The trends in the usage of breast milk in neonatal intensive care setting

Çelik K., Asena M., İpek M. Ş.

Pediatrics International, vol.62, no.9, pp.1064-1072, 2020 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 62 Issue: 9
  • Publication Date: 2020
  • Doi Number: 10.1111/ped.14263
  • Journal Name: Pediatrics International
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Agricultural & Environmental Science Database, BIOSIS, CAB Abstracts, CINAHL, EMBASE, MEDLINE, Veterinary Science Database
  • Page Numbers: pp.1064-1072
  • Keywords: breast milk, breast-feeding, neonatal intensive care, prematurity, Turkey
  • Akdeniz University Affiliated: Yes

Abstract

© 2020 Japan Pediatric SocietyBackground: Many interventions have been designed to increase breast milk (BM) consumption among preterm and critical-term infants in neonatal units. The aim of this study was to determine the trends in the usage of BM in a neonatal unit and the risk factors for insufficient breast-milk feeding at discharge. Methods: This retrospective study included newborn infants who hospitalized in the neonatal unit during two periods in different years, a 15-month period in 2012–2013 and in 2017–2018. The primary outcomes were the availability of BM within 24 h after delivery and the status of infant feeding at discharge. Results: During two periods of the study, a total of 3,018 infants were included in the study. The rate of BM expression within the first 24 h after delivery was 92.9%, and it was found that the first period of the study, caesarean section delivery, very low birth weight, being first-time mother, and young maternal age were each independently associated with the delayed initiation of BM expression (P < 0.05). At discharge, 87.6% of the infants had been feeding with BM. Multiple births, the delayed initiation of BM expression, and the length of hospital stay were associated with inadequate BM feeding at discharge (P < 0.001). Conclusion: This study showed that interventions supporting BM feeding, which have recently been carried out, made improvements to the initiation of BM expression among mothers whose babies were admitted to the neonatal unit, and in the rate of BM feeding among infants at discharge.