Hans Christian Andersen Children's Hospital, Odense University Hospital, Odense, Denmark.
Acta Paediatr. 2010 Jul;99(7):1000-4. doi: 10.1111/j.1651-2227.2010.01721.x. Epub 2010 Feb 11.
To describe feeding practices at hospital discharge in relation to characteristics of the very preterm infants (VPI) and their mothers.
Design. Prospective hospital-based registration of very preterm infants born with a gestational age < or =32 weeks in Denmark during 2004-2008. Subjects. Healthy mothers and VPI without diseases causing eating disabilities at discharge.
A total of 478 VPI were registered. At discharge, 60% were exclusively breastfed, 35% were exclusively bottlefed, and 5% were both breast- and bottle-fed. Mothers of high social class (p = 0.000) and 'not smoking' (p = 0.003) were significantly more often breastfeeding their preterm infant(s) at discharge. Single births infants tended more often to be breastfed (p = 0.09). Infant age at discharge and duration of hospitalization did not influence breastfeeding at discharge. Increase in weight z-score from birth to discharge was largest in the bottlefeeding-group compared with the breastfeeding-group (p = 0.000) probably as a result of feeding practice the last week(s) of hospitalization.
Breastfeeding can successfully be established in very preterm infants. Mothers of low social classes, smokers, multiple birth and very preterm infants with low weight for age may need extra attention in breastfeeding establishing policies.
描述与极低出生体重儿（VLBWI）及其母亲特征相关的出院时喂养方式。
设计。前瞻性医院登记 2004-2008 年丹麦出生胎龄<或=32 周的极早产儿。研究对象。健康母亲和VLBWI，无导致进食障碍的疾病。
共登记 478 例 VLBWI。出院时，60%的婴儿纯母乳喂养，35%的婴儿纯奶瓶喂养，5%的婴儿混合喂养。高社会阶层的母亲（p=0.000）和“不吸烟”的母亲（p=0.003）更倾向于在出院时母乳喂养早产儿。单胎婴儿更倾向于母乳喂养（p=0.09）。出院时婴儿的年龄和住院时间长短与出院时的母乳喂养无关。与母乳喂养组相比，出生体重 z 评分从出生到出院的增长在奶瓶喂养组最大（p=0.000），可能是由于住院最后几周的喂养方式。
VLBWI 可以成功建立母乳喂养。社会阶层较低、吸烟、多胎和体重较轻的母亲可能需要在母乳喂养建立政策方面给予额外关注。
