Institute of Medical Sociology Health Services Research and Rehabilitation Science, Faculty of Human Sciences and Faculty of Medicine, University of Cologne, Cologne, Germany.
Techniker Krankenkasse, Healthcare Management, Hamburg, Germany.
BMC Pregnancy Childbirth. 2022 Feb 25;22(1):158. doi: 10.1186/s12884-022-04468-7.
If infants with a very low birth weight (VLBW) are to be fed exclusively with human milk, it is essential to focus on lactation initiation. The aim of the study is to learn more about the current state of lactation initiation and human milk provision in neonatal intensive care units in Germany from the mothers' perspective.
Written surveys were conducted with mothers of VLBW infants to learn more about the timing of initiation of lactation, pumping frequency during the first three days postpartum and feeding of the preterm infant during hospitalisation.
The data of 437 mothers (response rate: 44.7%) were included in the analyses. Of these, only 7.8% stated that they had initiated lactation immediately after delivery and 38.2% within 6 h. In terms of pumping frequency, 50.1% pumped 7-9 times a day within the first 3 days postpartum; 60.9% reported that their infant received formula feedings during the hospital stay.
Overall, deficits were still evident with regard to the initiation of lactation in mothers of VLBW infants in Germany, resulting in a large proportion of VLBW infants receiving formula in the hospital.
German Clinical Trial Register: DRKS00017755 .
如果极低出生体重（VLBW）婴儿要完全用母乳喂养，那么关注泌乳启动至关重要。本研究旨在从母亲的角度了解德国新生儿重症监护病房（NICU）中泌乳启动和提供人乳的现状。
对 VLBW 婴儿的母亲进行书面调查，以了解泌乳启动的时间、产后头三天的泵奶频率以及婴儿住院期间的喂养情况。
共纳入 437 名母亲（应答率：44.7%）的数据进行分析。其中，只有 7.8%的母亲表示在分娩后立即开始泌乳，38.2%的母亲在 6 小时内开始泌乳。在泵奶频率方面，50.1%的母亲在产后头 3 天内每天泵奶 7-9 次；60.9%的母亲报告说他们的婴儿在住院期间接受了配方奶喂养。
总体而言，德国 VLBW 婴儿母亲的泌乳启动仍存在不足，导致很大比例的 VLBW 婴儿在医院接受配方奶喂养。
德国临床试验注册中心：DRKS00017755。
