Room for improvement in breast milk feeding after very preterm birth in Europe: Results from the EPICE cohort

Detalhes bibliográficos
Autor(a) principal: Wilson, E
Data de Publicação: 2018
Outros Autores: Bonamy, A, Bonet, M, Toome, L, Rodrigues, C, Howell, E, Cuttini, M, Zeitlin, J, Barros, H, Rodrigues, T
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10216/113055
Resumo: Breast milk feeding (BMF) is associated with lower neonatal morbidity in the very preterm infant (<32 weeks gestation) and breastfeeding is beneficial for maternal health. Previous studies show large variations in BMF after very preterm birth and recognize the need for targeted breastfeeding support in the neonatal intensive care units (NICU). In a European collaboration project about evidence‐based practices after very preterm birth, we examined the association between maternal, obstetric, and infant clinical factors; neonatal and maternal care unit policies; and BMF at discharge from the NICU. In multivariable analyses, covariates associated with feeding at discharge were first investigated as predictors of any BMF and in further analysis as predictors of exclusive or partial BMF. Overall, 58% (3,826/6,592) of the infants received any BMF at discharge, but there were large variations between regions (range 36–80%). Primiparity, administration of antenatal corticosteroids, first enteral feed <24 hr after birth, and mother's own milk at first enteral feed were predictors positively associated with any BMF at discharge. Vaginal delivery, singleton birth, and receiving mother's own milk at first enteral feed were associated with exclusive BMF at discharge. Units with a Baby Friendly Hospital accreditation improved any BMF at discharge; units with protocols for BMF and units using donor milk had higher rates of exclusive BMF at discharge. This study suggests that there is a high potential for improving BMF through policies and support in the NICU.
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spelling Room for improvement in breast milk feeding after very preterm birth in Europe: Results from the EPICE cohortBreast feedingNeonatal intensive care unitVery preterm birthBreast milk feeding (BMF) is associated with lower neonatal morbidity in the very preterm infant (<32 weeks gestation) and breastfeeding is beneficial for maternal health. Previous studies show large variations in BMF after very preterm birth and recognize the need for targeted breastfeeding support in the neonatal intensive care units (NICU). In a European collaboration project about evidence‐based practices after very preterm birth, we examined the association between maternal, obstetric, and infant clinical factors; neonatal and maternal care unit policies; and BMF at discharge from the NICU. In multivariable analyses, covariates associated with feeding at discharge were first investigated as predictors of any BMF and in further analysis as predictors of exclusive or partial BMF. Overall, 58% (3,826/6,592) of the infants received any BMF at discharge, but there were large variations between regions (range 36–80%). Primiparity, administration of antenatal corticosteroids, first enteral feed <24 hr after birth, and mother's own milk at first enteral feed were predictors positively associated with any BMF at discharge. Vaginal delivery, singleton birth, and receiving mother's own milk at first enteral feed were associated with exclusive BMF at discharge. Units with a Baby Friendly Hospital accreditation improved any BMF at discharge; units with protocols for BMF and units using donor milk had higher rates of exclusive BMF at discharge. This study suggests that there is a high potential for improving BMF through policies and support in the NICU.20182018-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10216/113055eng1740-870910.1111/mcn.12485Wilson, EBonamy, ABonet, MToome, LRodrigues, CHowell, ECuttini, MZeitlin, JBarros, HRodrigues, Tinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-09-27T07:28:51Zoai:repositorio-aberto.up.pt:10216/113055Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-09-27T07:28:51Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Room for improvement in breast milk feeding after very preterm birth in Europe: Results from the EPICE cohort
title Room for improvement in breast milk feeding after very preterm birth in Europe: Results from the EPICE cohort
spellingShingle Room for improvement in breast milk feeding after very preterm birth in Europe: Results from the EPICE cohort
Wilson, E
Breast feeding
Neonatal intensive care unit
Very preterm birth
title_short Room for improvement in breast milk feeding after very preterm birth in Europe: Results from the EPICE cohort
title_full Room for improvement in breast milk feeding after very preterm birth in Europe: Results from the EPICE cohort
title_fullStr Room for improvement in breast milk feeding after very preterm birth in Europe: Results from the EPICE cohort
title_full_unstemmed Room for improvement in breast milk feeding after very preterm birth in Europe: Results from the EPICE cohort
title_sort Room for improvement in breast milk feeding after very preterm birth in Europe: Results from the EPICE cohort
author Wilson, E
author_facet Wilson, E
Bonamy, A
Bonet, M
Toome, L
Rodrigues, C
Howell, E
Cuttini, M
Zeitlin, J
Barros, H
Rodrigues, T
author_role author
author2 Bonamy, A
Bonet, M
Toome, L
Rodrigues, C
Howell, E
Cuttini, M
Zeitlin, J
Barros, H
Rodrigues, T
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Wilson, E
Bonamy, A
Bonet, M
Toome, L
Rodrigues, C
Howell, E
Cuttini, M
Zeitlin, J
Barros, H
Rodrigues, T
dc.subject.por.fl_str_mv Breast feeding
Neonatal intensive care unit
Very preterm birth
topic Breast feeding
Neonatal intensive care unit
Very preterm birth
description Breast milk feeding (BMF) is associated with lower neonatal morbidity in the very preterm infant (<32 weeks gestation) and breastfeeding is beneficial for maternal health. Previous studies show large variations in BMF after very preterm birth and recognize the need for targeted breastfeeding support in the neonatal intensive care units (NICU). In a European collaboration project about evidence‐based practices after very preterm birth, we examined the association between maternal, obstetric, and infant clinical factors; neonatal and maternal care unit policies; and BMF at discharge from the NICU. In multivariable analyses, covariates associated with feeding at discharge were first investigated as predictors of any BMF and in further analysis as predictors of exclusive or partial BMF. Overall, 58% (3,826/6,592) of the infants received any BMF at discharge, but there were large variations between regions (range 36–80%). Primiparity, administration of antenatal corticosteroids, first enteral feed <24 hr after birth, and mother's own milk at first enteral feed were predictors positively associated with any BMF at discharge. Vaginal delivery, singleton birth, and receiving mother's own milk at first enteral feed were associated with exclusive BMF at discharge. Units with a Baby Friendly Hospital accreditation improved any BMF at discharge; units with protocols for BMF and units using donor milk had higher rates of exclusive BMF at discharge. This study suggests that there is a high potential for improving BMF through policies and support in the NICU.
publishDate 2018
dc.date.none.fl_str_mv 2018
2018-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10216/113055
url http://hdl.handle.net/10216/113055
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1740-8709
10.1111/mcn.12485
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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