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Oras, Paola
Publications (2 of 2) Show all publications
Oras, P., Thernström Blomqvist, Y., Hedberg Nyqvist, K., Gradin, M., Rubertsson, C., Hellström-Westas, L. & Funkquist, E.-L. (2016). Skin-to-skin contact is associated with earlier breastfeeding attainment in preterm infants. Acta Paediatrica, 105(7), 783-789
Open this publication in new window or tab >>Skin-to-skin contact is associated with earlier breastfeeding attainment in preterm infants
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2016 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 105, no 7, p. 783-789Article in journal (Refereed) Published
Abstract [en]

AIM:

This study investigated the effects of skin-to-skin contact on breastfeeding attainment, duration and infant growth in preterm infants, as this has not been sufficiently explored.

METHODS:

A prospective longitudinal study on Kangaroo mother care was carried out, comprising 104 infants with a gestational age of 28+0 to 33+6 and followed up to one year of corrected age. Parents and staff recorded the duration of skin-to skin contact during the stay in the neonatal intensive care unit (NICU). Medical data were collected through patient records and follow-up questionnaires were filled in by parents.

RESULTS:

The 53 infants who attained full breastfeeding in the NICU did so at a median (range) of 35+0 (32+1 to 37+5) weeks of postmenstrual age and skin-to-skin contact was the only factor that influenced earlier attainment in the regression analysis (R(2) 0.215 p<0.001). The daily duration of skin-to-skin contact during the stay in the NICU did not affect the duration of breastfeeding or infant growth after discharge. Furthermore, infant growth was not affected by the feeding strategy of exclusive, partial breastfeeding or no breastfeeding.

CONCLUSION:

A longer daily duration of skin-to-skin contact in the NICU was associated with earlier attainment of exclusive breastfeeding.

Keywords
Breastfeeding duration; family-centred care; human milk; infant growth; Kangaroo mother care
National Category
Pediatrics
Identifiers
urn:nbn:se:uu:diva-289173 (URN)10.1111/apa.13431 (DOI)000378565100018 ()27100380 (PubMedID)
Available from: 2016-04-29 Created: 2016-04-29 Last updated: 2019-06-28Bibliographically approved
Oras, P., Thernström Blomqvist, Y., Hedberg Nyqvist, K., Gradin, M., Rubertsson, C., Hellström-Westas, L. & Funkquist, E.-L. (2015). Breastfeeding Patterns in Preterm Infants Born at 28-33 Gestational Weeks. Journal of Human Lactation, 31(3), 377-385
Open this publication in new window or tab >>Breastfeeding Patterns in Preterm Infants Born at 28-33 Gestational Weeks
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2015 (English)In: Journal of Human Lactation, ISSN 0890-3344, E-ISSN 1552-5732, Vol. 31, no 3, p. 377-385Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Studies of breastfeeding patterns during preterm infants' first year of life are scarce but are important for providing breastfeeding mothers of preterm infants with optimal support.

OBJECTIVE:

This study aimed to describe breastfeeding patterns in preterm infants up to 1 year of corrected age.

METHODS:

As part of a larger study on kangaroo mother care in Sweden, a 24-hour breastfeeding diary was sent home after discharge from hospital, and at 2, 6, and 12 months of the infant's corrected age. Eighty-three mothers responded to the follow-up questionnaires, and the number of respondents to the breastfeeding diary was 48 at discharge, 43 at 2 months, 22 at 6 months, and 8 at 12 months. Infants were born at a median (range) gestational age of 32 (28-33) weeks. Breastfeeding patterns were analyzed according to durations, frequencies per 24 hours, and intervals between sessions.

RESULTS:

In exclusively breastfed infants, the median (range) breastfeeding session frequency was 14 (8-26) times per 24 hours including 4 (1-9) times per night after discharge (n = 24) and 10 (6-25) times per 24 hours including 2 (0-5) times per night at 2 months (n = 23). In partially breastfed infants, the median (range) frequency was 5 (1-14) times per 24 hours including 2 (0-4) times per night at 6 months (n = 20) and 5.5 (1-12) times per 24 hours including 2 (0-3) times per night at 12 months (n = 8).

CONCLUSION:

Mothers reported large variations in breastfeeding patterns, with higher median breastfeeding session frequencies than previously described in term infants in affluent settings.

National Category
Clinical Medicine Pediatrics
Identifiers
urn:nbn:se:uu:diva-254708 (URN)10.1177/0890334415586406 (DOI)000358070300010 ()25956792 (PubMedID)
Note

This study was supported by grants from the Regional Research Council in the Uppsala-Orebro region, Uppsala County Council, and Uppsala University Funds.

Available from: 2015-06-10 Created: 2015-06-10 Last updated: 2019-06-28Bibliographically approved
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