Engelsk titel: Total duration of lactation in mothers of preterm infants
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Författare:
Gloppestad K
Språk: Nor
Antal referenser: 53
Dokumenttyp:
Artikel
UI-nummer: 00047235
Sammanfattning
Aim: The total duration of lactation
was studied in mothers of preterm
infants in our NICU at the National
Hospital in Oslo, Norway
(comparable to level III nurseries
in USA). The duration of lactation
was studied also in subgroups of
mothers (grouped according to
infants´ birthweight).
Definition of lactation: Feeding at
breast (partial or total) and/or
feeding mother´s expressed milk.
Subjects: 108 mothers were
included, and 59.3% had a
Caesarian Section. The infants
stayed median 46.5 days at the
hospital, their gestational age at
birth was median 30.5 weeks (23-
36 weeks), and their birth weight
was median 1447.5 g (600-2480g).
68% of the infants needed oxygen
supply for median 12 days, and
50% of the infants needed
ventilator-connection for median
5.5 days. Twenty-seven percent of
the infants had a birthweight of
1000 g or below.
Methods: A structured interview
based on open-ended questions
was used at the time of the infants´
discharge. The mothers were asked
following main-questions: Do you
have breastmilk for your baby? If
not, how long did you have
breastmilk? Phone calls were used
later to those mothers who still
lactated at their infant´s discharge.
Existing sources of data were used
for infant variables as birthweight,
and a registration-schedule was
used for close contact, as initial
sucking and skin to skin holding.
The Wilcoxon Rank Sum test (Z)
was used to test differences
between subgroups. The Spearman
Rank Correlation test (rs) was used
to test relationship between
variables.
Results: The mothers lactated for a
median of 122 days (= 4 months)
(mean 168.3 days = 5.6 months,
variation 2 - 713 days). Mothers
who had previously breastfed,
continued lactation significantly
longer than those who had not (p=
0.029). Mothers who smoked post
birth had a significantly shorter
lactation period compared to nonsmoking
mothers (p= 0.0006),
respectively median 53 and 153
days.
A longer lactation period showed a
significant relationship with early
skin to skin holding of infants (p=
0.0055), and with increasing length
of education (p= 0.0001).
A shorter period of lactation
showed a significant relationship
with low gestational weeks (p=
0.0001), and with low birthweight
(p= 0.0001).
Lactation in 4 groups of mothers
(grouped according to infant
birthweight) were as follows: group
A (infants to and including 999 g):
median 56 days (= 1.8 months),
group B (1000 - 1499 g): median
72.5 days (= 2.4 months), group C
(1500 - 1999 g): median 273 days
(= 9.1 months), and in group D
(2000 - 2499 g): median 227 days
(= 7.5 months).
Additional findings. Mothers who
smoked during pregnancy (n= 37)
delivered their infants at a
significantly lower gestation week
(p= 0.026) (difference: median 2.5
week), and their infants had
significantly lower birth weights
(p= 0,038) (difference: median 195
g), compared to mothers who did
not smoke (tables and figure in
English).