Document Detail


Factors influencing breast milk versus formula feeding at discharge for very low birth weight infants in California.
MedLine Citation:
PMID:  19628218     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate incidence and factors influencing breast milk feeding at discharge for very low birth weight infants (VLBW) in a population-based cohort. STUDY DESIGN: We used data from the California Perinatal Quality Care Collaborative to calculate incidence of breast milk feeding at hospital discharge for 6790 VLBW infants born in 2005-2006. Multivariable logistic regression was used to examine which sociodemographic and medical factors were associated with breast milk feeding. The impact of removing risk adjustment for race was examined. RESULTS: At initial hospital discharge, 61.1% of VLBW infants were fed breast milk or breast milk supplemented with formula. Breast milk feeding was more common with higher birth weight and gestational age. After risk adjustment, multiple birth was associated with higher breast milk feeding. Factors associated with exclusive formula feeding were Hispanic ethnicity, African American race, and no prenatal care. Hospital risk-adjusted rates of breast milk feeding varied widely (range 19.7% to 100%) and differed when race was removed from adjustment. CONCLUSIONS: A substantial number of VLBW infants were not fed breast milk at discharge. Specific groups may benefit from targeted interventions to promote breast milk feeding. There may be benefit to reporting risk-adjusted rates both including and excluding race in adjustment when considering quality improvement initiatives.
Authors:
Henry Chong Lee; Jeffrey B Gould
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Publication Detail:
Type:  Journal Article     Date:  2009-07-22
Journal Detail:
Title:  The Journal of pediatrics     Volume:  155     ISSN:  1097-6833     ISO Abbreviation:  J. Pediatr.     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-20     Completed Date:  2009-12-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  657-62.e1-2     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, Division of Neonatology, University of California, San Francisco, San Francisco, CA 94143-0734, USA. LeeHC@peds.ucsf.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Attitude to Health
Bottle Feeding / trends*
Breast Feeding / statistics & numerical data*
California
Child Development / physiology*
Delivery, Obstetric / methods
Female
Gestational Age
Humans
Incidence
Infant Formula / administration & dosage*
Infant, Newborn
Infant, Very Low Birth Weight*
Intensive Care Units, Neonatal
Logistic Models
Male
Maternal Age
Multivariate Analysis
Patient Discharge
Pregnancy
Probability
Registries
Risk Assessment
Weight Gain / physiology
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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