ArticleBMJ open2016
Changes in the prevalence of breast feeding in preterm infants discharged from neonatal units: a register study over 10 years.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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The trial behind it
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Who cites it
31 citing papers in PubMed, 79 citations in OpenAlex.
- Breastfeeding satisfaction post hospital discharge and associated factors - a longitudinal cohort study of mothers of preterm infants.International breastfeeding journal · 2021Trial
- Breastfeeding and risk for ceasing in mothers of preterm infants-Long-term follow-up.Maternal & child nutrition · 2018Trial
- Proactive telephone support provided to breastfeeding mothers of preterm infants after discharge: a randomised controlled trial.Acta paediatrica (Oslo, Norway : 1992) · 2018Trial
- Impact of Comprehensive Breastfeeding Support Strategies on Exclusive Breastfeeding Rates at Discharge in a Neonatal Unit.Nutrients · 2026Observational
- NICU nurses' knowledge, attitudes, practices, and influencing factors regarding breastfeeding of newborns: a scoping review.International breastfeeding journal · 2026Review
- Factors associated with the interruption of exclusive breastfeeding and weaning in premature infants after hospital discharge: a prospective cohort study.Revista latino-americana de enfermagem · 2026Article
- Longitudinal studies on breastfeeding among preterm infants: a scoping review.BMC pregnancy and childbirth · 2025Article
- Article
- The Exclusively Breastfeeding Rate and Related Factors Among Preterm Infants at Discharge and Postnatal 6Sisli Etfal Hastanesi tip bulteni · 2025Article
- Breastfeeding in primiparous women with congenital heart disease - a register study.International breastfeeding journal · 2024Article
- Monitoring the Use of Human Milk, the Ideal Food for Very Low-Birth-Weight Infants-A Narrative Review.Foods (Basel, Switzerland) · 2024Review
- The relationship of milk expression pattern and lactation outcomes after very premature birth: A cohort study.PloS one · 2024Article
- Trend and Predictors of Breastmilk Feeding among Very-Low-Birth-Weight Infants in NICU and at Discharge.Nutrients · 2023Article
- Skin to Skin Contact Correlated with Improved Production and Consumption of Mother's Own Milk.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2023Article
- Lactation prescription plus acupoint stimulation improves breastfeeding quality and alleviates breast tenderness in parturients undergoing cesarean section.American journal of translational research · 2023Article
- Article
- Successful breastfeeding following a level II NICU stay in Qatar - a longitudinal study.International breastfeeding journal · 2022Article
- Self-efficacy in breastfeeding predicts how mothers perceive their preterm infant's state-regulation.International breastfeeding journal · 2022Article
- Factors associated with post NICU discharge exclusive breastfeeding rate and duration amongst first time mothers of preterm infants in Shanghai: a longitudinal cohort study.International breastfeeding journal · 2022Article
- Prevalence and patterns of gestational parent's own milk feeds among infants with major congenital surgical anomalies in the NICU.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThere are indications that the prevalence of exclusively breastfed preterm infants is decreasing in Sweden. The objective was to investigate trends in exclusive breast feeding at discharge from Swedish neonatal units and associated factors in preterm infants. DESIGN, SETTING AND
participantsThis is a register study with data from the Swedish Neonatal Quality Register. Data from 29 445 preterm infants (gestational age (GA) <37 weeks) who were born during the period 2004-2013 were retrieved. Data included maternal, perinatal and neonatal characteristics. Data were analysed for the whole population as well as for 3 GA groups.
resultsFrom 2004 to 2013, the prevalence of exclusive breast feeding decreased, in extremely preterm (GA 22-27 weeks) from 55% to 16%, in very preterm (GA 28-31 weeks) from 41% to 34% and in moderately preterm infants (GA 32-36 weeks) from 64% to 49%. The decline was statistically significant (p<0.001) in all 3 GA groups. This decline remained significant when adjustments were made for factors negatively associated with exclusive breast feeding and which became more prevalent during the study period, that is, small for GA (all groups) and maternal mental illness (very preterm and moderately preterm infants).
conclusionsIn the past 10 years, Sweden has experienced a lower rate of exclusive breast feeding in preterm infants, especially in extremely preterm infants. The factors analysed in this study explain only a small proportion of this decline. The decline in exclusive breast feeding at discharge from neonatal units raises concern and present challenges to the units to support and promote breast feeding.
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