Hospital re-admission of late preterm or term infants is not a factor influencing duration of predominant breastfeeding. Issue 2 (29th June 2012)

• Record Type: Journal Article
• Authors: McNeil, Deborah Ann; Siever, Jodi; Tough, Suzanne; Yee, Wendy; Rose, M Sarah; Lacaze-Masmonteil, Thierry
• Is Part Of: Archives of disease in childhood. Volume 98:Issue 2(2013)
• Page Start: F145
• Page End: F150
• Publication Date: 2012-06-29
• Subjects: Infants -- Diseases -- Periodicals; Newborn infants -- Diseases -- Periodicals; Fetus -- Diseases -- Periodicals; 618.920105
• DOI: 10.1136/archdischild-2011-300889
• Languages: English
• ISSNs: 1359-2998

Abstract

Abstract : Objective: To determine whether hospital re-admission within the first 2 months of life decreases the odds of predominant breastfeeding. Design: Mothers living in two large healthcare regions of Alberta (population 1 000 000 each) were recruited to participate in this prospective matched cohort study if they delivered a singleton infant between 34 and 41 weeks' gestation and were discharged within 7 days. Re-admitted infants were matched to non-re-admitted infants by site and date of birth. Questionnaires were mailed at 2 months postpartum. Predominant breastfeeding was defined as breastfeeding for at least three feedings per day for the past 7 days. Results: A total of 1798 mothers were eligible for analysis, (n=250 re-admitted, 1548 non-re-admitted). Seventy three per cent (n=1315) reported predominant breastfeeding at 2 months. Infant re-admission (adjusted OR: 1.12, 95% CI 0.8 to 1.55) and late preterm birth were not associated with discontinuation of predominant breastfeeding. The odds of predominantly breastfeeding were two times greater, if mothers' perceptions of talking about breastfeeding with a healthcare provider were positive versus negative. Whereas the odds were decreased for primiparous women (adjusted OR 0.61 95% CI 0.47 to 0.78) and not impacted for multiparous women (OR 0.60 95% CI 0.32 to 1.13) with a negative versus neutral perception of the breastfeeding talk experience. Conclusions: Hospital re-admission and late preterm birth had no significant impact on the odds of predominant breastfeeding beyond 8 weeks post partum whereas the odds were increased with a perception of a positive experience in speaking with a healthcare provider.