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. 2022 Sep 16;14(18):3841.
doi: 10.3390/nu14183841.

Breastfeeding in Neonates Admitted to an NICU: 18-Month Follow-Up

Rozeta Sokou  1   2 , Stavroula Parastatidou  1 , Georgios Ioakeimidis  1 , Evangelia-Filothei Tavoulari  1 , Athanasia Makrogianni  1 , Elina Isaakidou  1 , Nicoletta Iacovidou  2 , Aikaterini Konstantinidi  1
Affiliations

Breastfeeding in Neonates Admitted to an NICU: 18-Month Follow-Up

Rozeta Sokou et al. Nutrients. .

Abstract

Introduction: The admission of neonates to Neonatal Intensive Care Units (NICUs) has been identified as a primary inhibiting factor in the establishment of breastfeeding. The aims of this study were to (1) estimate the prevalence and duration of breastfeeding in infants/toddlers who had been admitted to an NICU in Greece and (2) to investigate factors, associated with the NICU stay, which affected the establishment and maintenance of breastfeeding in infants/toddlers previously admitted to the NICU. Materials and methods: Data for this cohort study were retrieved from interviews with mothers of infants/toddlers who had been admitted to our NICU as neonates during the period of 2017−2019. Interviews were conducted based on a questionnaire regarding the child’s nutrition from birth to the day of the interview, including previous maternal experience with breastfeeding. Information related to the prenatal period, gestation age, delivery mode, duration of NICU stay, and neonatal feeding strategies during their hospital stay were recorded. Results: The response rate to the telephone interviews was 57%, resulting in 279 mother−infant pairs being included in this study. The results showed that 78.1% of children received maternal milk during their first days of life. Of all infants, 58.1% were exclusively breastfed during their first month, with a gradual decrease to 36.9% and 19.4% by the end of the third and sixth months of life, respectively. The prevalence of breastfed children reached 14.7% and 7.5% at the ages of twelve and eighteen months, respectively. In the multivariate analysis, prematurity emerged as an independent prognostic factor for the duration of exclusive and any breastfeeding (aHR 1.64, 95% CI: 1.03−2.62; and 1.69, 95% CI: 1.05−2.72, respectively; p < 0.05). Additionally, the nationality of the mother, NICU breastfeeding experience, the administration of maternal milk during neonatal hospital stay, and previous breastfeeding experience of the mother were independent prognostic factors for the duration of breastfeeding. Conclusions: Although breastfeeding is a top priority in our NICU, the exclusive-breastfeeding rates at 6 months were quite low for the hospitalized neonates, not reaching World Health Organization (WHO) recommendations. Mothers/families of hospitalized neonates should receive integrated psychological and practical breastfeeding support and guidance.

Keywords: breastfeeding; breastfeeding support; hospitalized neonates; lactation; neonates; preterm neonates.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flow chart of the study population.
Figure 2
Figure 2
Probability of exclusive breastfeeding depending on duration (months, discrete survival curves) according to prematurity.
Figure 3
Figure 3
Probability of any breastfeeding depending on duration (months, discrete survival curves) according to prematurity.
See this image and copyright information in PMC

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References

    1. Section on Breastfeeding. Eidelman A.I., Schanler R.J., Johnston M., Landers S., Noble L., Szucs K., Viehmann L. Breastfeeding and the Use of Human Milk. Pediatrics. 2012;129:e827–e841. doi: 10.1542/peds.2011-3552. - DOI - PubMed
    1. WHO Breastfeeding. 2022. [(accessed on 20 July 2022)]. Available online: https://www.who.int/health-topics/breastfeeding#tab=tab_1.
    1. UNICEF Breastfeeding. 2022. [(accessed on 20 July 2022)]. Available online: https://data.unicef.org/topic/nutrition/breastfeeding/
    1. Dimitroglou M., Iliodromiti Z., Christou E., Volaki P., Petropoulou C., Sokou R., Boutsikou T., Iacovidou N. Human Breast Milk: The Key Role in the Maturation of Immune, Gastrointestinal and Central Nervous Systems: A Narrative Review. Diagnostics. 2022;12:2208. doi: 10.3390/diagnostics12092208. - DOI - PMC - PubMed
    1. Meier P.P., Patel A.L., Bigger H.R., Rossman B., Engstrom J.L. Supporting Breastfeeding in the Neonatal Intensive Care Unit: Rush Mother’s Milk Club as a Case Study of Evidence-Based Care. Pediatric Clin. N. Am. 2013;60:209–226. doi: 10.1016/j.pcl.2012.10.007. - DOI - PubMed