Dijokienė Ieva, Žemaitienė Raminta, Stonienė Dalia
Department of Neonatology, Faculty of Medicine, Lithuanian University of Health Sciences, LT-44307 Kaunas, Lithuania.
Children (Basel). 2024 Mar 28;11(4):401. doi: 10.3390/children11040401.
The aim of this study is to identify factors associated with successful breastfeeding in late preterm infants (LPIs) and explore the initiation of complementary feeding; Methods: Prospective cohort study was conducted of infants born at 34 to 36 weeks gestational age in the Hospital of the Lithuanian University of Health Sciences Kaunas Clinics during 2020-2021. Families were followed up until the infants reached 12 months of age. Average breastfeeding initial time, average breastfeeding duration time, prevalence of exclusive breastfeeding and average solid-food feeding initiation time were examined. The correlations among factors that might affect breastfeeding rates were calculated using the chi-square test ( < 0.05); Results: In our study with 222 eligible participants, we observed a statistically significant delay in breastfeeding initiation only in the 34 gestational age group ( < 0.001). At discharge, the 36 group exhibited a significantly higher exclusive breastfeeding rate ( < 0.001). Over the first year, breastfeeding rates varied, with no correlation found between duration of exclusive breastfeeding and gestational age. Initial solid-food feeding times were similar across groups, and all infants were introduced to vegetables first; Conclusions: Vaginal delivery, skin-to-skin contact after birth, early rooming-in, and breastfeeding within 2 h after birth statistically significantly causes earlier breastfeeding initiation and longer duration of breastfeeding in LPIs. All infants began solid-food feeding at an average age of 5 months, with vegetables being the primary food choice.
本研究旨在确定与晚期早产儿成功母乳喂养相关的因素,并探讨辅食添加情况;方法:对2020 - 2021年在立陶宛卫生科学大学考纳斯临床医院出生的孕周为34至36周的婴儿进行前瞻性队列研究。对家庭进行随访直至婴儿满12个月。检查母乳喂养开始的平均时间、母乳喂养持续时间、纯母乳喂养率和固体食物喂养开始的平均时间。使用卡方检验计算可能影响母乳喂养率的因素之间的相关性(<0.05);结果:在我们对222名符合条件的参与者的研究中,我们仅在34孕周组观察到母乳喂养开始存在统计学上的显著延迟(<0.001)。出院时,36周组的纯母乳喂养率显著更高(<0.001)。在第一年中,母乳喂养率有所不同,纯母乳喂养持续时间与孕周之间未发现相关性。各小组开始固体食物喂养的时间相似,所有婴儿均首先引入蔬菜;结论:阴道分娩、出生后皮肤接触、早期母婴同室以及出生后2小时内进行母乳喂养在统计学上显著导致晚期早产儿更早开始母乳喂养且母乳喂养持续时间更长。所有婴儿开始固体食物喂养的平均年龄为5个月,蔬菜是主要的食物选择。