Omarsdottir S, Adling A, Bonamy A K E, Legnevall L, Tessma M K, Vanpée M
Department of Medicine, Solna, Karolinska Institute, Stockholm, Sweden.
Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.
J Perinatol. 2015 May;35(5):367-72. doi: 10.1038/jp.2014.212. Epub 2014 Nov 27.
To investigate the predictors of maternal milk feeds (MMFs) in extremely preterm (EPT) infants during neonatal stay.
Maternal characteristics, obstetrical data and infant characteristics were correlated to MMFs in 97 EPT infants during the first 6 weeks of life and at hospital discharge.
High MMFs (>90%) at second week predicted sustained MMFs the first 6 weeks of life; nonuniversity education and non-Nordic origin were unfavorable predictors. The proportion of MMFs the first 6 weeks of life and maternal age were positively associated with MMFs at discharge, whereas overweight was an unfavorable predictor. High MMFs at second week, assisted reproduction technology and employment were predictive factors for exclusive MMFs at discharge.
High MMFs at week 2 promote sustained MMFs in EPT infants and exclusive MMFs at discharge. Mothers who are either young, overweight, non-Nordic or without university education may need special interventions to establish successful lactation.
探讨极早产儿（EPT）在新生儿期住院期间接受母乳哺喂（MMF）的预测因素。
在97例EPT婴儿出生后的前6周及出院时，将母亲特征、产科数据和婴儿特征与MMF进行相关性分析。
出生后第二周较高的MMF（>90%）可预测出生后前6周持续的MMF；非大学学历和非北欧血统是不利的预测因素。出生后前6周的MMF比例和母亲年龄与出院时的MMF呈正相关，而超重是不利的预测因素。出生后第二周较高的MMF、辅助生殖技术和就业情况是出院时纯母乳喂养的预测因素。
出生后第2周较高的MMF可促进EPT婴儿持续接受MMF及出院时纯母乳喂养。年轻、超重、非北欧血统或未接受大学教育的母亲可能需要特殊干预以成功建立母乳喂养。
