A structured programme to promote breastfeeding improved the rates in very preterm infants at discharge

Aim We developed the Promotion of Breastfeeding (PROBREAST) programme and evaluated what effect it had on the breastfeeding rate in infants born at less than 32 weeks of gestation or weighing ≤1500 grams. Methods We compared the breastfeeding rate in two cohorts of patients who were born before (n =...

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Veröffentlicht in:Acta Paediatrica 2024-06, Vol.113 (6), p.1322-1330
Hauptverfasser: Perugi, Silvia, Ciarcià, Martina, Coviello, Caterina, Fusco, Monica, Lunardi, Clara, Remaschi, Giulia, Sarcina, Davide, Sassudelli, Giovanni, Pratesi, Simone, Dani, Carlo, Artese, Claudia, Banchini, Roberto, Barbitta, Irene, Campolmi, Angelica, Chpakovskaia, Elena, Dianori, Francesco, Franchi, Monica, Giustini, Simona, Piazza, Monica, Vannozzi, Rossella, Venturelli, Valentina
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container_issue 6
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container_title Acta Paediatrica
container_volume 113
creator Perugi, Silvia
Ciarcià, Martina
Coviello, Caterina
Fusco, Monica
Lunardi, Clara
Remaschi, Giulia
Sarcina, Davide
Sassudelli, Giovanni
Pratesi, Simone
Dani, Carlo
Artese, Claudia
Banchini, Roberto
Barbitta, Irene
Campolmi, Angelica
Chpakovskaia, Elena
Dianori, Francesco
Franchi, Monica
Giustini, Simona
Piazza, Monica
Vannozzi, Rossella
Venturelli, Valentina
description Aim We developed the Promotion of Breastfeeding (PROBREAST) programme and evaluated what effect it had on the breastfeeding rate in infants born at less than 32 weeks of gestation or weighing ≤1500 grams. Methods We compared the breastfeeding rate in two cohorts of patients who were born before (n = 72; January 2017 to June 2018) and after (n = 80; July 2018 to December 2019) the application of the programme. Moreover, we compared the correlation between type of feeding at discharge and post‐discharge breastfeeding rate, between exclusive breastfeeding, postnatal growth and neurodevelopment. Results Infants in the PROBREAST group had an exclusive breastfeeding rate at discharge higher (42 vs. 16%, p 
doi_str_mv 10.1111/apa.17184
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Methods We compared the breastfeeding rate in two cohorts of patients who were born before (n = 72; January 2017 to June 2018) and after (n = 80; July 2018 to December 2019) the application of the programme. Moreover, we compared the correlation between type of feeding at discharge and post‐discharge breastfeeding rate, between exclusive breastfeeding, postnatal growth and neurodevelopment. Results Infants in the PROBREAST group had an exclusive breastfeeding rate at discharge higher (42 vs. 16%, p &lt; 0.001) than that in the historical control group. Exclusive breastfeeding was negatively correlated with weight z‐score at discharge, but not at 12 and 24 months corrected age, and was positively correlated with cognitive score at 24 months corrected age. Conclusion The application of a structured programme for the promotion of breastfeeding improved the breastfeeding rate in very preterm infants. We demonstrated that exclusive breastfeeding at discharge improved their neurodevelopment without impairing growth.</description><identifier>ISSN: 0803-5253</identifier><identifier>ISSN: 1651-2227</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.17184</identifier><identifier>PMID: 38436515</identifier><language>eng</language><publisher>Norway: Wiley Subscription Services, Inc</publisher><subject>Breast feeding ; Breastfeeding &amp; lactation ; breastmilk ; direct breastfeeding ; Infants ; Neonates ; Neurodevelopment ; Newborn babies ; Premature babies ; preterm infant ; programme ; promotion</subject><ispartof>Acta Paediatrica, 2024-06, Vol.113 (6), p.1322-1330</ispartof><rights>2024 Foundation Acta Paediatrica. Published by John Wiley &amp; Sons Ltd</rights><rights>2024 Foundation Acta Paediatrica. Published by John Wiley &amp; Sons Ltd.</rights><rights>2024 Foundation Acta Pædiatrica. 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Methods We compared the breastfeeding rate in two cohorts of patients who were born before (n = 72; January 2017 to June 2018) and after (n = 80; July 2018 to December 2019) the application of the programme. Moreover, we compared the correlation between type of feeding at discharge and post‐discharge breastfeeding rate, between exclusive breastfeeding, postnatal growth and neurodevelopment. Results Infants in the PROBREAST group had an exclusive breastfeeding rate at discharge higher (42 vs. 16%, p &lt; 0.001) than that in the historical control group. Exclusive breastfeeding was negatively correlated with weight z‐score at discharge, but not at 12 and 24 months corrected age, and was positively correlated with cognitive score at 24 months corrected age. Conclusion The application of a structured programme for the promotion of breastfeeding improved the breastfeeding rate in very preterm infants. 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source Wiley Open Access
subjects Breast feeding
Breastfeeding & lactation
breastmilk
direct breastfeeding
Infants
Neonates
Neurodevelopment
Newborn babies
Premature babies
preterm infant
programme
promotion
title A structured programme to promote breastfeeding improved the rates in very preterm infants at discharge
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