作者: Sharon G. Casavant , Jacqueline M. McGrath , Georgine Burke , Carrie-Ellen Briere
DOI: 10.1097/ANC.0000000000000234
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摘要: Background Increasingly, evidence supports oral feeding of very low birth-weight (VLBW) preterm infants exclusively at breast or with milk. Despite known milk benefits, outcomes related to exclusive provision are poor. Identifying factors that promote is critical. Purpose Breastfeeding practices mothers VLBW admitted neonatal intensive care unit were explored identify associated mode discharge. Method This retrospective study replicates previous work. Subjects consecutively during a 24-month period. Primary included receiving any Infant variables gestational age, postmenstrual age first direct breastfeeding, and comorbid conditions. Maternal ethnicity. Nursing practice direct-to-breastfeeding, number times daily, total direct-to-breastfeeding encounters 24 hours prior Results A 96 (28.7 ± 2.8 weeks' age) met inclusion criteria. Of these, 48% received Controlling for significant effect length stay, feed more likely discharged home (adjusted odds ratio = 8.7; 95% confidence interval, 2.9-32.3; P Implications Significant associations found between infant Targeting receive may yield the best outcome even among sickest smallest infants.