Akerström S, Asplund I, Norman M
Department of Neonatology, Karolinska University Hospital, Stockholm, Sweden.
Acta Paediatr. 2007 Oct;96(10):1450-4. doi: 10.1111/j.1651-2227.2007.00502.x.
To determine the extent and duration of breastfeeding in preterm and sick newborn infants admitted to a level IIb neonatal unit (NU).
Hospital-based follow-up of 1730 infants born in 1996, 2001 and 2004, and studied from discharge to 6 months of post-natal age.
At discharge from the NU, 98% of term (n = 945) and 92% of preterm (n = 785) infants were exclusively or partly breastfed. Exclusive breastfeeding increased at 2 months of corrected post-natal age and 78% of term infants were still exclusively or partly breastfed at 6 months of corrected post-natal age. Duration of breastfeeding among preterm infants was significantly shorter than in infants born at term. However, even among extremely preterm infants with a gestational age <28 weeks, 41% were still breastfeeding, exclusively or in part, at 6 months of post-natal age. There was no difference in breastfeeding after neonatal care in 1996 as compared to 2004. Moreover, the study showed that the breastfeeding after neonatal care differed only slightly from population data for all infants in Sweden.
Breastfeeding can be successfully established in most preterm and previously sick neonates.
确定入住二级b新生儿病房（NU）的早产和患病新生儿的母乳喂养程度和持续时间。
对1996年、2001年和2004年出生的1730名婴儿进行基于医院的随访，研究从出院至出生后6个月。
在新生儿病房出院时，98%的足月儿（n = 945）和92%的早产儿（n = 785）进行了纯母乳喂养或部分母乳喂养。在矫正胎龄2个月时，纯母乳喂养率增加，78%的足月儿在矫正胎龄6个月时仍进行纯母乳喂养或部分母乳喂养。早产儿的母乳喂养持续时间明显短于足月儿。然而，即使是胎龄<28周的极早产儿，41%在出生后6个月仍在进行纯母乳喂养或部分母乳喂养。1996年与2004年新生儿护理后的母乳喂养情况没有差异。此外，研究表明，新生儿护理后的母乳喂养情况与瑞典所有婴儿的总体数据仅有轻微差异。
大多数早产和曾患病的新生儿能够成功建立母乳喂养。
