ArticleInternational breastfeeding journal2022
Factors associated with post NICU discharge exclusive breastfeeding rate and duration amongst first time mothers of preterm infants in Shanghai: a longitudinal cohort study.
Article in International breastfeeding journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 37 citations in OpenAlex.
- The effect of breastfeeding education given through the teach-back method on mothers' breastfeeding self-efficacy and breastfeeding success: a randomized controlled study.BMC pregnancy and childbirth · 2024Trial
- The effect of family integrated care on the prognosis of premature infants.BMC pediatrics · 2022Trial
- Improving direct breastfeeding at discharge in a Level II Neonatal ICU.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Breastfeeding support experiences of mothers of preterm infants in China: a qualitative study.BMC pregnancy and childbirth · 2026Article
- Social Representations of Bedside Milk Expression Among Mothers of Preterm Newborns in Neonatal Intensive Care Units.Journal of advanced nursing · 2026Article
- Alberta family integrated careFrontiers in pediatrics · 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
- Long-term breastfeeding outcomes in very preterm infants: predictors and challenges.Frontiers in pediatrics · 2026Article
- [Prevalence and Influencing Factors of Functional Gastrointestinal Disorders Among Infants Aged 0 to 9 Months With Gastrointestinal Discomfort in China: A Multicenter Cross-Sectional Survey].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025Article
- Factors influencing the provision of human milk feeding support for preterm infants in Neonatal Intensive Care Units in China: a qualitative study of neonatal nurses' perspectives.International breastfeeding journal · 2025Article
- Breastfeeding self-efficacy, milk output, and influencing factors in mothers of preterm infants: a prospective cohort study in the NICU.BMC pregnancy and childbirth · 2025Article
- Exploring Risk Factors Associated With Early Mother's Own Milk Feeding Cessation in Very Low Birth Weight Infants.Maternal & child nutrition · 2025Article
- Enhancing early mother's own milk (MOM) use in NICU preterm infants with colostrum oral immune therapy (COIT): evidence summary.Translational pediatrics · 2025Article
- Longitudinal studies on breastfeeding among preterm infants: a scoping review.BMC pregnancy and childbirth · 2025Article
- Possible Factors Affecting Breast Milk Feeding Status Of Preterm Infants Monitored in the Neonatal Intensive Care Unit.Turkish archives of pediatrics · 2025Article
- Mother's Own Milk Provision During the First 12 Weeks of Life by Gestational Age.JAMA network open · 2025Article
- The influence of human milk composition and its microbiome on the gut microecology and early growth and development of preterm infants (the YI study): protocol design and cohort profile.Frontiers in nutrition · 2025Article
- The Exclusively Breastfeeding Rate and Related Factors Among Preterm Infants at Discharge and Postnatal 6Sisli Etfal Hastanesi tip bulteni · 2025Article
- Direct breastfeeding frequency of late preterm and term infants in the neonatal intensive care unit and availability of mother's own milk at six months of age. a retrospective cohort study.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Monitoring the Use of Human Milk, the Ideal Food for Very Low-Birth-Weight Infants-A Narrative Review.Foods (Basel, Switzerland) · 2024Review
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBreastfeeding is crucial for the preterm infants. Breast milk is not only food but also medicine. Few studies have focused on the longitudinal effects of exclusive breastfeeding outcome of preterm infants separated from their mothers after discharge, especially in Shanghai. We aimed to examine the exclusive breastfeeding rate and duration amongst first time mothers of preterm infants after discharge and its determinants.
methodsAnalyses were based on 500 preterm infants separated from their mothers in a tertiary maternity and infant-specialized hospital in Shanghai from September 2018 to September 2019.The Socio-demographic characteristics, breastfeeding knowledge questionnaire, breastfeeding self-efficacy short form scale, Edinburgh postpartum depression scale and breastfeeding family support scale were used for the investigation and the exclusive breastfeeding rate of premature infants was followed up on 1 month, 3 months and 6 months after discharge. The changing trend of breastfeeding knowledge, breastfeeding self-efficacy, postpartum depression and family support were measured by ANOVA at different stages. Using the chi-square test and multiple logistic regression, factors impacting the breastfeeding rate of preterm infants at three time intervals after discharge were investigated. The Kaplan Meier survival curve and cox regression model were used to analyze the determinants of exclusive breastfeeding duration of premature infants after discharge.
resultsExclusive breastfeeding rates were 19.0, 17.2 and 10.4% at 1 month, 3 months and 6 months after discharge of preterm infants, respectively. The average length of exclusive breastfeeding duration was(3.69 ± 1.80)months. Finally, type of delivery (adjusted odds ratio [AOR] 1.564; 95% confidence interval [CI] 0.513,3.116), gestational age(AOR 0.612, 95% CI 0.236, 3.418), maternal family support (AOR 6.125,95% CI 6.359, 98.452) were discovered to be independent predictors on the exclusive breastfeeding rate at 6 months after preterm infants were discharged. Through the cox regression model, we found that a maternal planned pregnancy (HR 0.681, 95%CI 0.531,0.873), delivering breast milk during hospitalization (HR 0.797, 95%CI 0.412,2.288), NICU feeding mode during hospitalization (HR 1.221, 95%CI 0.128,1.381) and family support (HR 0.561, 95%CI 0.004,2.428) were significantly associated with the exclusive breastfeeding duration after discharge.
conclusionsThe exclusive breastfeeding outcome of premature infants was affected by many factors, so we should focus on the three levels of individual, family, society and design targeted intervention measures to increase the exclusive breastfeeding rate and prolong exclusive breastfeeding duration.
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