Early Use of Mother's Own Raw Milk, Maternal Satisfaction, and Breastfeeding Continuation in Hospitalised Neonates: A Prospective Cohort Study.

Détails

ID Serval
serval:BIB_8D988A4D78BB
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Early Use of Mother's Own Raw Milk, Maternal Satisfaction, and Breastfeeding Continuation in Hospitalised Neonates: A Prospective Cohort Study.
Périodique
Neonatology
Auteur(s)
Fischer Fumeaux C.J., Denis A., Prudon M.B., Plaisant F., Essomo Megnier-Mbo C.M., Fernandes L., Touzet S., Claris O., Laborie S.
ISSN
1661-7819 (Electronic)
ISSN-L
1661-7800
Statut éditorial
Publié
Date de publication
2018
Peer-reviewed
Oui
Volume
113
Numéro
2
Pages
131-139
Langue
anglais
Notes
Publication types: Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
Despite the critical importance of breast milk for preterm and sick neonates, there is no consensus regarding the use of raw mother's own milk (MOM) in neonatal units.
This study aimed to describe the use of raw MOM in hospitalised neonates before day 7 (early use), and to investigate: (i) related factors, (ii) maternal satisfaction, and (iii) the association with breastfeeding continuation.
This prospective cohort included 516 neonates intended to be breastfed in 2 French neonatal units. Neonates receiving raw MOM before day 7 were compared to those who did not. The association between early use of MOM and breastfeeding continuation at hospital discharge, and up to 6 months later, was measured by logistic regression.
More than one-third (36.2%) of breastfed neonates did not receive any MOM during their first week, mainly due to organisational constraints and staff reluctance. Maternal satisfaction related to early raw MOM use was high (96%), and was coupled with a more frequent maternal feeling of being supported in breastfeeding (p = 0.003). There was a significant association between early use of MOM and breastfeeding continuation at discharge (OR 2.92, 95% CI 1.94-4.40, p < 0.0001), which persisted 6 months later (OR 2.70, 95% CI 1.21-6.03, p = 0.023). This association appeared independent in multivariable analyses (at discharge: aOR 2.03, 95% CI 1.27-3.25, p = 0.003; 6 months later: aOR 2.46, 95% CI 1.02-5.92, p = 0.045).
While the early use of raw MOM in hospitalised neonates can be limited by multiple factors, it appears supportive for mothers, and might represent a simple opportunity to improve breastfeeding in neonatal units.
Mots-clé
Adult, Breast Feeding, Female, France, Humans, Infant Nutritional Physiological Phenomena, Infant, Newborn, Infant, Premature/growth & development, Intensive Care Units, Neonatal, Logistic Models, Male, Milk, Human, Mothers/psychology, Patient Discharge, Personal Satisfaction, Prospective Studies, Breast milk, Breastfeeding support, Human milk, Neonatal intensive care unit, Preterm neonate, Raw milk, Term neonate
Pubmed
Web of science
Création de la notice
09/12/2017 10:55
Dernière modification de la notice
28/09/2019 6:08
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