Predictors of Transition Time to Breastfeeding in Preterm Infants
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Abstract
Purpose: To determine the predictive power of severity of illness, duration of tube feeding, readiness to breastfeed, and breast milk volume on the transition time to breastfeeding in preterm infants.
Design: Predictive correlational research.
Methods: The study sample included 73 pairs of mothers and their preterm infants who were admitted to a sick newborn unit and a postpartum unit at a tertiary hospital in Bangkok. The infants did not need tube feeding and were allowed to begin breastfeeding. Convenience sampling was used for recruitment based on inclusion criteria. Data were collected by using a demographic data form, an assessment of severity of illness form, an assessment of breastfeeding readiness form, a breastfeeding record form, and a notebook for recording breast milk volume. Descriptive statistics and logistic regression were used for data analysis.
Main findings: The results indicated that severity of illness and breast milk volume were able to jointly explain 41% of transition time to breastfeeding in preterm (Nagelkerke R2 = .41). Preterm infants with severe illness were 4.28 times more likely to have a transition time longer than 3 days as compared to those without severe illness (OR = 4.28, 95%CI = 1.22, 15.03, p = .023). Preterm infants whose mothers had more milk volume were 5.44 times more likely to have a transition time longer than 3 days as compared to those whose mothers had less milk volume (OR = 5.44, 95%CI = 1.45, 20.37, p = .012).
Conclusion and recommendations: Severity of illness and breast milk volume were predictors of transition time to breastfeeding in preterm infants. It is suggested that the study findings be used for planning to promote the transition to breastfeeding in preterm infants.
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