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Predictors of prolonged breast milk provision to very low birth weight infants

The Journal of Pediatrics Sep 01, 2018

Romaine A, et al. - In very low birth weight (VLBW) infants, researchers identified demographic, clinical, and maternal factors correlated with the provision of maternal breast milk (BM) on the day of life (DOL) 30 and at discharge. This cohort study included VLBW infants who initially received maternal BM and were born at one of 197 neonatal intensive care units managed by the Pediatrix Medical Group from 2010 to 2012. It was noted that predictors of maternal BM provision at DOL 30 involved increased maternal age, white maternal race, the absence of a history of necrotizing enterocolitis or late-onset sepsis, higher household income, lower education level, lack of donor BM exposure, and lower gestational age. Findings suggested an association of maternal-infant demographic and clinical factors and household neighborhood socioeconomic characteristics with the provision of maternal BM at 30 postnatal days to VLBW infants. Results of this study suggested that identification of these factors allows providers to predict mothers' needs and develop tailored interventions designed to improve rates of prolonged maternal BM provision and infant outcomes.
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