ArticleMaternal & child nutrition2019
Low breastfeeding continuation to 6 months for very preterm infants: A European multiregional cohort study.
Article in Maternal & child nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.
- Effect of Neonatal Unit Interventions Designed to Increase Breastfeeding in Preterm Infants: An Overview of Systematic Reviews.Neonatology · 2024Pooled it
- Breastfeeding satisfaction post hospital discharge and associated factors - a longitudinal cohort study of mothers of preterm infants.International breastfeeding journal · 2021Trial
- Breast Milk Expression Frequency and Production, Na Concentrations and Na:K Ratios in the First 4 Weeks After Preterm Birth.Nutrients · 2026Article
- Neighborhood socioeconomic disadvantage and early overweight of very preterm-born children: a cohort study in France.Pediatric research · 2026Article
- Neurodevelopmental and social determinants of school support received by children born preterm.Pediatric research · 2026Article
- Beneficial Effects and Factors Associated With Provision of Breast Milk at Neonatal Intensive Care Unit Discharge to Very Low Birth Weight Infants: A Nationwide Cohort Study in Korea.Journal of Korean medical science · 2026Article
- Long-term breastfeeding outcomes in very preterm infants: predictors and challenges.Frontiers in pediatrics · 2026Article
- Analysis of the economic benefits and feasibility of the same-city delivery model for donor human milk (SCDM-DHM).International breastfeeding journal · 2025Article
- Exploring Risk Factors Associated With Early Mother's Own Milk Feeding Cessation in Very Low Birth Weight Infants.Maternal & child nutrition · 2025Article
- Longitudinal studies on breastfeeding among preterm infants: a scoping review.BMC pregnancy and childbirth · 2025Article
- Breastfeeding trajectory of mothers of preterm infants within 6 months postpartum: A longitudinal study.International journal of nursing studies advances · 2025Article
- Bridging the Milk Gap: Integrating a Human Milk Bank-Blood Bank Model to Reinforce Lactation Support and Neonatal Care.Nutrients · 2025Article
- Possible Factors Affecting Breast Milk Feeding Status Of Preterm Infants Monitored in the Neonatal Intensive Care Unit.Turkish archives of pediatrics · 2025Article
- The relationship of early expressed milk quantity and later full breastmilk feeding after very preterm birth: A cohort study.Maternal & child nutrition · 2025Article
- Differences between neonatal units with high and low rates of breast milk feeding for very preterm babies at discharge: a qualitative study of staff experiences.BMC pregnancy and childbirth · 2024Article
- Human milk feeding for moderate and late preterm infants at age 2 months: Insights from a cluster randomized controlled trial 2-month follow-up.PEC innovation · 2024Article
- Monitoring the Use of Human Milk, the Ideal Food for Very Low-Birth-Weight Infants-A Narrative Review.Foods (Basel, Switzerland) · 2024Review
- Maternal Wellbeing Five Years after a Very Preterm Delivery: Prevalence and Influencing Factors in a European Cohort.Children (Basel, Switzerland) · 2023Article
- Are Babies Born Preterm High-Risk Asthma Candidates?Journal of clinical medicine · 2023Review
- Risk factors for cerebral palsy and movement difficulties in 5-year-old children born extremely preterm.Pediatric research · 2023Article
Corrections and comments
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Authors and funding
12 authors at 7 institutions in 7 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Breastfeeding confers multiple benefits for the health and development of very preterm infants, but there is scarce information on the duration of breastfeeding after discharge from the neonatal intensive care unit (NICU). We used data from the Effective Perinatal Intensive Care in Europe population-based cohort of births below 32 weeks of gestation in 11 European countries in 2011-2012 to investigate breastfeeding continuation until 6 months. Clinical and sociodemographic characteristics were collected from obstetric and neonatal medical records as well as parental questionnaires at 2 years of corrected age. Among 3,217 ever-breastfed infants, 34% were breastfeeding at 6 months of age (range across countries from 25% to 56%); younger and less educated mothers were more likely to stop before 6 months (adjusted relative risk [aRR] <25 years: 0.68, 95% CI [0.53, 0.88], vs. 25-34 years; lower secondary: 0.58, 95% CI [0.45, 0.76] vs. postgraduate education). Multiple birth, bronchopulmonary dysplasia (BPD), and several neonatal transfers reduced the probability of continuation but not low gestational age, fetal growth restriction, congenital anomalies, or severe neonatal morbidities. Among infants breastfeeding at discharge, mixed versus exclusive breast milk feeding at discharge was associated with stopping before 6 months: aRR = 0.60, 95% CI [0.48, 0.74]. Low breastfeeding continuation rates in this high-risk population call for more support to breastfeeding mothers during and after the neonatal hospitalization, especially for families with low socio-economic status, multiples, and infants with BPD. Promotion of exclusive breastfeeding in the NICU may constitute a lever for improving breastfeeding continuation after discharge.
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