期刊
JOGNN-JOURNAL OF OBSTETRIC GYNECOLOGIC AND NEONATAL NURSING
卷 50, 期 5, 页码 583-596出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jogn.2021.06.010
关键词
breastfeeding; breastfeeding satisfaction; early-term infants; late-preterm infants; low income; WIC
资金
- Clifford B. Kinley Trust Award, Purdue University
The study showed that late-preterm and early-term infants had lower rates of exclusive breastfeeding, breastfeeding self-efficacy, and satisfaction with breastfeeding compared to full-term infants. Ongoing professional breastfeeding support is crucial for promoting breastfeeding among late-preterm and early-term infants.
Objective: To assess breastfeeding exclusivity and rate of breastfeeding, breastfeeding self-efficacy, and satisfaction with breastfeeding after hospital discharge among low-income women with late-preterm and early-term infants compared with women with full-term infants. Design: Prospective, comparative, with repeated measures. Setting: Four Midwestern U.S. Special Supplemental Nutrition Program for Women, Infants, and Children offices. Participants: Participants included 270 mother-infant dyads. Methods: We assessed breastfeeding exclusivity, rate of breastfeeding, and breastfeeding self-efficacy at 2 weeks, 2 months, and 5 months and satisfaction with breastfeeding at 5 months after birth or when participants stopped breastfeeding. Results: More than 50% of women in each subgroup were non-Hispanic White. Late-preterm and early-term infants had lower breastfeeding exclusivity rates than full-term infants across the three time points (40%, 51%, and 65% at 2 weeks, p =.029; 22.5%, 34%, and 58% at 2 months, p < .001; and 7%, 15%, and 28.46% at 5 months, p < .001, respectively). The overall exclusive breastfeeding rate for all groups was 55.93% at 2 weeks, 44.07% at 2 months, and 20.37% at 5 months; 55.56% continued any breastfeeding at 5 months. Breastfeeding self-efficacy during the first 5 months after birth, satisfaction with breastfeeding, level of education, and attending breastfeeding classes were positively correlated with breastfeeding exclusivity. We found significantly less exclusive breastfeeding, lower breastfeeding self-efficacy, and lower satisfaction with breastfeeding among participants with late-preterm and early term infants compared to those with full-term infants. Conclusion: Ongoing professional breastfeeding support for women is needed to improve and promote breastfeeding exclusivity and continuation among their late-preterm and early-term infants.
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