Rates and Determinants of Mother's Own Milk Feeding in Infants Born Very Preterm

Canadian Neonatal Network (CNN) and Canadian Preterm Birth Network (CPTBN) Investigators

doi:10.1016/j.jpeds.2021.04.037

Rates and Determinants of Mother's Own Milk Feeding in Infants Born Very Preterm

Canadian Neonatal Network (CNN) and Canadian Preterm Birth Network (CPTBN) Investigators

Medicine

Producción científica: Contribución a una revista › Artículo › revisión exhaustiva

20 Citas (Scopus)

Resumen

Objectives: To examine rates and determinants of mother's own milk (MOM) feeding at hospital discharge in a cohort of infants born very preterm within the Canadian Neonatal Network (CNN). Study design: This was a population-based cohort study of infants born at <33 weeks of gestation and admitted to neonatal intensive care units (NICUs) participating in the CNN between January 1, 2015, and December 31, 2018. We examined the rates and determinants of MOM use at discharge home among the participating NICUs. We used multivariable logistic regression analysis to identify independent determinants of MOM feeding. Results: Among the 6404 infants born very preterm and discharged home during the study period, 4457 (70%) received MOM or MOM supplemented with formula. Rates of MOM feeding at discharge varied from 49% to 87% across NICUs. Determinants associated with MOM feeding at discharge were gestational age 29-32 weeks compared with <26 weeks (aOR 1.56, 95% CI 1.25-1.93), primipara mothers (aOR 2.12, 95% CI 1.86-2.42), maternal diabetes (aOR 0.79, 95% CI 0.66-0.93), and maternal smoking (aOR 0.27, 95% CI 0.19-0.38). Receipt of MOM by day 3 of age was the major predictor of breast milk feeding at discharge (aOR 3.61, 95% CI 3.17-4.12). Conclusions: Approximately two-thirds of infants born very preterm received MOM at hospital discharge, and rates varied across NICUs. Supporting mothers to provide breast milk in the first 3 days after birth may be associated with improved MOM feeding rates at discharge.

Idioma original	English
Páginas (desde-hasta)	21-27.e4
Publicación	Journal of Pediatrics
Volumen	236
DOI	https://doi.org/10.1016/j.jpeds.2021.04.037
Estado	Published - sep. 2021

Nota bibliográfica

Funding Information:
Supported by the Canadian Institutes of Health Research (CIHR) funding the Canadian Preterm Birth Network (PBN 150642). Organizational support for the Canadian Neonatal Network and the Canadian Preterm Birth Network was provided by the Maternal-infant Care Research Centre (MiCare) at Mount Sinai Hospital in Toronto, Ontario, Canada. MiCare is supported by a CIHR Team Grant (CTP 87518), the Ontario Ministry of Health and Long-Term Care, and the participating hospitals. P.S. holds a CIHR Applied Research Chair in Reproductive and Child Health Services and Policy Research (APR-126340). The funding bodies had no role in the design or conduct of the study; the collection, management, analysis, or interpretation of the data; the preparation, review, or approval of the manuscript; or the decision to submit the manuscript for publication. The authors declare no conflicts of interest.

Publisher Copyright:
© 2021 Elsevier Inc.

ASJC Scopus Subject Areas

Pediatrics, Perinatology, and Child Health

PubMed: MeSH publication types

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

ODS de las Naciones Unidas

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@article{f8bf7e420a014d7cac6edcc029c97956,

title = "Rates and Determinants of Mother's Own Milk Feeding in Infants Born Very Preterm",

abstract = "Objectives: To examine rates and determinants of mother's own milk (MOM) feeding at hospital discharge in a cohort of infants born very preterm within the Canadian Neonatal Network (CNN). Study design: This was a population-based cohort study of infants born at <33 weeks of gestation and admitted to neonatal intensive care units (NICUs) participating in the CNN between January 1, 2015, and December 31, 2018. We examined the rates and determinants of MOM use at discharge home among the participating NICUs. We used multivariable logistic regression analysis to identify independent determinants of MOM feeding. Results: Among the 6404 infants born very preterm and discharged home during the study period, 4457 (70%) received MOM or MOM supplemented with formula. Rates of MOM feeding at discharge varied from 49% to 87% across NICUs. Determinants associated with MOM feeding at discharge were gestational age 29-32 weeks compared with <26 weeks (aOR 1.56, 95% CI 1.25-1.93), primipara mothers (aOR 2.12, 95% CI 1.86-2.42), maternal diabetes (aOR 0.79, 95% CI 0.66-0.93), and maternal smoking (aOR 0.27, 95% CI 0.19-0.38). Receipt of MOM by day 3 of age was the major predictor of breast milk feeding at discharge (aOR 3.61, 95% CI 3.17-4.12). Conclusions: Approximately two-thirds of infants born very preterm received MOM at hospital discharge, and rates varied across NICUs. Supporting mothers to provide breast milk in the first 3 days after birth may be associated with improved MOM feeding rates at discharge.",

author = "{Canadian Neonatal Network (CNN) and Canadian Preterm Birth Network (CPTBN) Investigators} and Dinesh Dharel and Nalini Singhal and Christel Wood and Zenon Cieslak and Fabiana Bacchini and Shah, {Prakesh S.} and Ye, {Xiang Y.} and Belal Alshaikh and Haim Abenhaim and Jehier Afifi and Ruben Alvaro and James Andrews and Anthony Armson and Francois Audibert and Khalid Aziz and Marilyn Ballantyne and Jon Barrett and Marc Beltempo and Anick Berard and Valerie Bertelle and Lucie Blais and Alan Bocking and Jaya Bodani and Jason Burrows and Kimberly Butt and Roderick Canning and George Carson and Nils Chaillet and Sue Chandra and Paige Church and Kevin Coughlin and Joan Crane and Dianne Creighton and {Da Silva}, Orlando and Thierry Daboval and Leanne Dahlgren and Sibasis Daspal and {de Cabo}, Cecilia and Akhil Deshpandey and Kimberly Dow and Christine Drolet and Michael Dunn and {el Helou}, Salhab and Darine El-Chaar and Walid El-Naggar and Carlos Fajardo and Jonathan Foster and Robert Gagnon and Rob Gratton and Victor Han",

note = "Funding Information: Supported by the Canadian Institutes of Health Research (CIHR) funding the Canadian Preterm Birth Network (PBN 150642). Organizational support for the Canadian Neonatal Network and the Canadian Preterm Birth Network was provided by the Maternal-infant Care Research Centre (MiCare) at Mount Sinai Hospital in Toronto, Ontario, Canada. MiCare is supported by a CIHR Team Grant (CTP 87518), the Ontario Ministry of Health and Long-Term Care, and the participating hospitals. P.S. holds a CIHR Applied Research Chair in Reproductive and Child Health Services and Policy Research (APR-126340). The funding bodies had no role in the design or conduct of the study; the collection, management, analysis, or interpretation of the data; the preparation, review, or approval of the manuscript; or the decision to submit the manuscript for publication. The authors declare no conflicts of interest. Publisher Copyright: {\textcopyright} 2021 Elsevier Inc.",

year = "2021",

month = sep,

doi = "10.1016/j.jpeds.2021.04.037",

language = "English",

volume = "236",

pages = "21--27.e4",

journal = "Journal of Pediatrics",

issn = "0022-3476",

publisher = "Mosby Inc.",

}

TY - JOUR

T1 - Rates and Determinants of Mother's Own Milk Feeding in Infants Born Very Preterm

AU - Canadian Neonatal Network (CNN) and Canadian Preterm Birth Network (CPTBN) Investigators

AU - Dharel, Dinesh

AU - Singhal, Nalini

AU - Wood, Christel

AU - Cieslak, Zenon

AU - Bacchini, Fabiana

AU - Shah, Prakesh S.

AU - Ye, Xiang Y.

AU - Alshaikh, Belal

AU - Abenhaim, Haim

AU - Afifi, Jehier

AU - Alvaro, Ruben

AU - Andrews, James

AU - Armson, Anthony

AU - Audibert, Francois

AU - Aziz, Khalid

AU - Ballantyne, Marilyn

AU - Barrett, Jon

AU - Beltempo, Marc

AU - Berard, Anick

AU - Bertelle, Valerie

AU - Blais, Lucie

AU - Bocking, Alan

AU - Bodani, Jaya

AU - Burrows, Jason

AU - Butt, Kimberly

AU - Canning, Roderick

AU - Carson, George

AU - Chaillet, Nils

AU - Chandra, Sue

AU - Church, Paige

AU - Coughlin, Kevin

AU - Crane, Joan

AU - Creighton, Dianne

AU - Da Silva, Orlando

AU - Daboval, Thierry

AU - Dahlgren, Leanne

AU - Daspal, Sibasis

AU - de Cabo, Cecilia

AU - Deshpandey, Akhil

AU - Dow, Kimberly

AU - Drolet, Christine

AU - Dunn, Michael

AU - el Helou, Salhab

AU - El-Chaar, Darine

AU - El-Naggar, Walid

AU - Fajardo, Carlos

AU - Foster, Jonathan

AU - Gagnon, Robert

AU - Gratton, Rob

AU - Han, Victor

N1 - Funding Information: Supported by the Canadian Institutes of Health Research (CIHR) funding the Canadian Preterm Birth Network (PBN 150642). Organizational support for the Canadian Neonatal Network and the Canadian Preterm Birth Network was provided by the Maternal-infant Care Research Centre (MiCare) at Mount Sinai Hospital in Toronto, Ontario, Canada. MiCare is supported by a CIHR Team Grant (CTP 87518), the Ontario Ministry of Health and Long-Term Care, and the participating hospitals. P.S. holds a CIHR Applied Research Chair in Reproductive and Child Health Services and Policy Research (APR-126340). The funding bodies had no role in the design or conduct of the study; the collection, management, analysis, or interpretation of the data; the preparation, review, or approval of the manuscript; or the decision to submit the manuscript for publication. The authors declare no conflicts of interest. Publisher Copyright: © 2021 Elsevier Inc.

PY - 2021/9

Y1 - 2021/9

N2 - Objectives: To examine rates and determinants of mother's own milk (MOM) feeding at hospital discharge in a cohort of infants born very preterm within the Canadian Neonatal Network (CNN). Study design: This was a population-based cohort study of infants born at <33 weeks of gestation and admitted to neonatal intensive care units (NICUs) participating in the CNN between January 1, 2015, and December 31, 2018. We examined the rates and determinants of MOM use at discharge home among the participating NICUs. We used multivariable logistic regression analysis to identify independent determinants of MOM feeding. Results: Among the 6404 infants born very preterm and discharged home during the study period, 4457 (70%) received MOM or MOM supplemented with formula. Rates of MOM feeding at discharge varied from 49% to 87% across NICUs. Determinants associated with MOM feeding at discharge were gestational age 29-32 weeks compared with <26 weeks (aOR 1.56, 95% CI 1.25-1.93), primipara mothers (aOR 2.12, 95% CI 1.86-2.42), maternal diabetes (aOR 0.79, 95% CI 0.66-0.93), and maternal smoking (aOR 0.27, 95% CI 0.19-0.38). Receipt of MOM by day 3 of age was the major predictor of breast milk feeding at discharge (aOR 3.61, 95% CI 3.17-4.12). Conclusions: Approximately two-thirds of infants born very preterm received MOM at hospital discharge, and rates varied across NICUs. Supporting mothers to provide breast milk in the first 3 days after birth may be associated with improved MOM feeding rates at discharge.

AB - Objectives: To examine rates and determinants of mother's own milk (MOM) feeding at hospital discharge in a cohort of infants born very preterm within the Canadian Neonatal Network (CNN). Study design: This was a population-based cohort study of infants born at <33 weeks of gestation and admitted to neonatal intensive care units (NICUs) participating in the CNN between January 1, 2015, and December 31, 2018. We examined the rates and determinants of MOM use at discharge home among the participating NICUs. We used multivariable logistic regression analysis to identify independent determinants of MOM feeding. Results: Among the 6404 infants born very preterm and discharged home during the study period, 4457 (70%) received MOM or MOM supplemented with formula. Rates of MOM feeding at discharge varied from 49% to 87% across NICUs. Determinants associated with MOM feeding at discharge were gestational age 29-32 weeks compared with <26 weeks (aOR 1.56, 95% CI 1.25-1.93), primipara mothers (aOR 2.12, 95% CI 1.86-2.42), maternal diabetes (aOR 0.79, 95% CI 0.66-0.93), and maternal smoking (aOR 0.27, 95% CI 0.19-0.38). Receipt of MOM by day 3 of age was the major predictor of breast milk feeding at discharge (aOR 3.61, 95% CI 3.17-4.12). Conclusions: Approximately two-thirds of infants born very preterm received MOM at hospital discharge, and rates varied across NICUs. Supporting mothers to provide breast milk in the first 3 days after birth may be associated with improved MOM feeding rates at discharge.

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U2 - 10.1016/j.jpeds.2021.04.037

DO - 10.1016/j.jpeds.2021.04.037

M3 - Article

C2 - 33901519

AN - SCOPUS:85106348699

SN - 0022-3476

VL - 236

SP - 21-27.e4

JO - Journal of Pediatrics

JF - Journal of Pediatrics

ER -

Rates and Determinants of Mother's Own Milk Feeding in Infants Born Very Preterm

Resumen

Nota bibliográfica

ASJC Scopus Subject Areas

PubMed: MeSH publication types

ODS de las Naciones Unidas

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