Neonatal Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, via Commenda 12, 20122 Milan, Italy.
Department of Clinical Sciences and Community Health, University of Milan, Via San Barnaba 8, 20122 Milan, Italy.
Nutrients. 2019 Feb 1;11(2):312. doi: 10.3390/nu11020312.
The late preterm infant population is increasing globally. Many studies show that late preterm infants are at risk of experiencing challenges common to premature babies, with breastfeeding issues being one of the most common. In this study, we investigated factors and variables that could interfere with breastfeeding initiation and duration in this population. We conducted a prospective observational study, in which we administered questionnaires on breastfeeding variables and habits to mothers of late preterm infants who were delivered in the well-baby nursery of our hospital and followed up for three months after delivery. We enrolled 149 mothers and 189 neonates, including 40 pairs of twins. Our findings showed that late preterm infants had a low rate of breastfeeding initiation and early breastfeeding discontinuation at 15, 40 and 90 days of life. The mothers with higher educational levels and previous positive breastfeeding experience had a longer breastfeeding duration. The negative factors for breastfeeding were the following: Advanced maternal age, Italian ethnicity, the feeling of reduced milk supply and having twins. This study underlines the importance of considering these variables in the promotion and protection of breastfeeding in this vulnerable population, thus offering mothers tailored support.
早产儿人口在全球范围内呈增长趋势。许多研究表明，晚期早产儿有经历早产儿常见问题的风险，母乳喂养问题是最常见的问题之一。在这项研究中，我们调查了可能干扰这一人群母乳喂养开始和持续时间的因素和变量。我们进行了一项前瞻性观察研究，对在我们医院新生儿病房分娩的晚期早产儿的母亲进行了母乳喂养变量和习惯的问卷调查，并在分娩后三个月进行了随访。我们共纳入了 149 名母亲和 189 名新生儿，其中包括 40 对双胞胎。我们的研究结果表明，晚期早产儿的母乳喂养开始率较低，在生命的 15、40 和 90 天母乳喂养中断率较高。教育程度较高和以前有过积极母乳喂养经验的母亲母乳喂养时间较长。母乳喂养的负面因素包括：母亲年龄较大、意大利裔、感觉奶量减少和有双胞胎。这项研究强调了在这个弱势群体中促进和保护母乳喂养时考虑这些变量的重要性，从而为母亲提供有针对性的支持。
