Rate of Breastfeeding for 4 Months and Promoting Factors: A Cohort Study of Mothers of Preterm Infants at Siriraj Hospital

Authors

  • Sopapan Ngerncham Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Bua-Ngam Sudsawat Pediatric Nursing Division, Nursing Department, Siriraj Hospital.
  • Patcharin Boonlerluk *Pediatric Nursing Division, Nursing Department, Siriraj Hospital
  • Tanyaporn Jaroonnetr Pediatric Nursing Division, Nursing Department, Siriraj Hospital.
  • Manutchaya Arkomwattana Pediatric Nursing Division, Nursing Department, Siriraj Hospital.
  • Uthaiwon Sawangsri Pediatric Nursing Division, Nursing Department, Siriraj Hospital.

Keywords:

Breastfeeding, preterm infants, promoting factors

Abstract

Background: Breast milk is widely accepted as the best nutrition for all newborn infants. Preterm infants probably gain more benefits from breast milk than term infants because they are at higher risk for having several morbidities.

Objective: To determine the rate of 4-month exclusive or predominant breastfeeding and partial breastfeeding in preterm infants, and to determine the promoting factors of successful breastfeeding.

Methods: This was a cohort study in mothers of preterm infants with gestational age ≤ 34 weeks and birth weight ≤ 2000 grams. The mother-infant dyads were followed until 4 months of age.

Results: The study period was between 1 March 2009 and 28 February 2010. There were 90 mothers recruited. Data of 74 mothers with complete follow up were analyzed. The mean maternal age was 29.67 ± 7.43 years old. The median gestational age at delivery was 31 (interquartile range 4) weeks. Mean infants birth weight was 1412.71 ± 339.18 grams. The rates of exclusive or predominant and partial breastfeeding were 32.4% and 29.7%, respectively. Mother works at home, maternity leave, mothers stay with infants during hospitalization and exclusive breastfeeding in the last 24 hours before discharge were associated with 4-month exclusive or predominant breastfeeding. After multiple logistic regression analysis, factors significantly associated with successful exclusive breastfeeding were mothers work at home (adjusted OR 6.77, 95%CI 1.80-25.55), previous breastfeeding experience (5.09, 95%CI 1.39-18.65), mothers stay with infants during hospitalization (4.22, 1.17-15.22) and exclusive breastfeeding in the last 24 hours before discharge (4.70, 1.17-18.89).

Conclusion: Exclusive breastfeeding in preterm infants is possible. Mothers stay with their infants during long hospitalization and exclusive breastfeeding during the last 24 hours before discharge are significant promoting factors that should be supported by health personnel. Mother works at home is the other significant promoting factor of successful 4-months exclusive or predominant breastfeeding.

Downloads

Published

31-07-2020

How to Cite

Ngerncham, S., Sudsawat, B.-N., Boonlerluk, P., Jaroonnetr, T. ., Arkomwattana, . M. ., & Sawangsri, U. (2020). Rate of Breastfeeding for 4 Months and Promoting Factors: A Cohort Study of Mothers of Preterm Infants at Siriraj Hospital. Siriraj Medical Journal, 62(3), 128–132. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/243767

Issue

Vol. 62 No. 3 (2010): May-June

Section

Original Article

License

Authors who publish with this journal agree to the following conditions:

Copyright Transfer

In submitting a manuscript, the authors acknowledge that the work will become the copyrighted property of Siriraj Medical Journal upon publication.

License

 Articles are licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). This license allows for the sharing of the work for non-commercial purposes with proper attribution to the authors and the journal. However, it does not permit modifications or the creation of derivative works.

Sharing and Access

Authors are encouraged to share their article on their personal or institutional websites and through other non-commercial platforms. Doing so can increase readership and citations.