Factors Affecting Breastfeeding Outcomes at Six Months in Preterm Infants
| Autor: | Wanli Xu, Xiaomei Cong, Carrie-Ellen Briere, Ying Wang |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Postpartum depression China medicine.medical_specialty Psychometrics Breastfeeding Mothers Depression Postpartum 03 medical and health sciences Social support 0302 clinical medicine Pregnancy 030225 pediatrics Intensive care medicine Humans Longitudinal Studies 030212 general & internal medicine Depression (differential diagnoses) Obstetrics business.industry Infant Newborn Infant Obstetrics and Gynecology medicine.disease Phone interview Very preterm Breast Feeding Female Observational study business Infant Premature |
| Zdroj: | Journal of Human Lactation. 35:80-89 |
| ISSN: | 1552-5732 0890-3344 |
| DOI: | 10.1177/0890334418771307 |
| Popis: | Background: Preterm mother-infant dyads often face many obstacles to breastfeeding. Preterm infants are at highest risk for low rates of exclusive breastfeeding. Research Aim: To determine the prevalence of breastfeeding at 6 months among preterm infants and to identify factors that influenced mothers’ breastfeeding practices. Methods: A longitudinal observational study was conducted in a metropolitan hospital in Beijing, China. Mothers ( N = 270) and their preterm infants ( N = 280) were included in the study. Characteristics of preterm mothers and their perceptions of breastfeeding self-efficacy, knowledge, social support, and postpartum depression symptoms were measured at the discharge of neonatal intensive care. Breastfeeding data were collected by phone interview at 6 months corrected age. Results: At discharge, mothers of very preterm infants perceived a lower level of breastfeeding self-efficacy (measured with the Breastfeeding Self-Efficacy Scale–Short Form) and had a higher level of depression symptoms (measured with the Edinburgh Postnatal Depression Scale [EPDS]) than mothers of moderate and late preterm infants ( p < .05-.01). Nearly half of all mothers had an elevated EPDS score, considered to be symptomatic of postpartum depression. At 6 months, only 22.5% of all infants were exclusively breastfeeding. Factors associated with exclusive breastfeeding, including younger maternal age, previous breastfeeding experience, shorter mother-infant separation time during intensive care, older infant gestational age, and a higher level of breastfeeding self-efficacy, significantly predicted exclusive breastfeeding practice ( p < .05-.001). Conclusion: The prevalence of breastfeeding at 6 months for preterm infants in this sample was low. Strategies to improve breastfeeding duration for preterm infants are needed, including support and education of mothers while in the hospital. |
| Databáze: | OpenAIRE |
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