Factors Associated with the Method of Feeding Preterm Infants after Hospital Discharge

Purpose: To investigate factors that may affect the method of feeding among preterm infants at 4 weeks after discharge. Methods: This study included 222 mother-infant dyads born before a gestational age of 37 weeks. The feeding method and general medical characteristics of the participants were asse...

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Main Authors: Soo-Yeon Han, Sun-Mi Chae
Format: Article
Language:English
Published: Korean Academy of Child Health Nursing 2018-04-01
Series:Child Health Nursing Research
Subjects:
Online Access:http://www.e-chnr.org/upload/pdf/chnr-24-2-128.pdf
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author Soo-Yeon Han
Sun-Mi Chae
author_facet Soo-Yeon Han
Sun-Mi Chae
author_sort Soo-Yeon Han
collection DOAJ
description Purpose: To investigate factors that may affect the method of feeding among preterm infants at 4 weeks after discharge. Methods: This study included 222 mother-infant dyads born before a gestational age of 37 weeks. The feeding method and general medical characteristics of the participants were assessed at 4 weeks after discharge using a structured questionnaire. Multinomial logistic regression analysis was used to examine which factors were associated with breastfeeding at home. Results: Of the 222 infants who qualified for the study, 71 (32.9%) continued to receive breastmilk at 4 weeks post-discharge. Multinomial logistic regression analysis showed that breastfeeding at 4 weeks post-discharge was associated with higher breastfeeding self-efficacy, vaginal delivery (experience), direct breastfeeding in the neonatal intensive care unit (NICU), gestational age between 30 and 34 weeks, and breastmilk consumption in the NICU. The following factors were associated with mixed feeding at 4 weeks post-discharge: being employed, having higher breastfeeding self-efficacy, and direct breastfeeding in the NICU. Conclusion: NICU nurses should provide opportunities for direct breastfeeding during hospitalization and support breastfeeding to enhance breastfeeding self-efficacy. These factors may help to ensure the continuation of breastfeeding after discharge. Moreover, factors that affect breastfeeding should be considered when providing interventions.
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spelling doaj.art-fdb7591139ad4849a7fe6dee620bde522022-12-21T22:21:29ZengKorean Academy of Child Health NursingChild Health Nursing Research2287-91102287-91292018-04-0124212813710.4094/chnr.2018.24.2.1281585Factors Associated with the Method of Feeding Preterm Infants after Hospital DischargeSoo-Yeon Han0Sun-Mi Chae1Graduate School, Seoul National University, Seoul, KoreaCollege of Nursing, Seoul National University, Seoul, KoreaPurpose: To investigate factors that may affect the method of feeding among preterm infants at 4 weeks after discharge. Methods: This study included 222 mother-infant dyads born before a gestational age of 37 weeks. The feeding method and general medical characteristics of the participants were assessed at 4 weeks after discharge using a structured questionnaire. Multinomial logistic regression analysis was used to examine which factors were associated with breastfeeding at home. Results: Of the 222 infants who qualified for the study, 71 (32.9%) continued to receive breastmilk at 4 weeks post-discharge. Multinomial logistic regression analysis showed that breastfeeding at 4 weeks post-discharge was associated with higher breastfeeding self-efficacy, vaginal delivery (experience), direct breastfeeding in the neonatal intensive care unit (NICU), gestational age between 30 and 34 weeks, and breastmilk consumption in the NICU. The following factors were associated with mixed feeding at 4 weeks post-discharge: being employed, having higher breastfeeding self-efficacy, and direct breastfeeding in the NICU. Conclusion: NICU nurses should provide opportunities for direct breastfeeding during hospitalization and support breastfeeding to enhance breastfeeding self-efficacy. These factors may help to ensure the continuation of breastfeeding after discharge. Moreover, factors that affect breastfeeding should be considered when providing interventions.http://www.e-chnr.org/upload/pdf/chnr-24-2-128.pdfBreastfeedingInfant formulaFeeding methodPreterm birthPatient discharge
spellingShingle Soo-Yeon Han
Sun-Mi Chae
Factors Associated with the Method of Feeding Preterm Infants after Hospital Discharge
Child Health Nursing Research
Breastfeeding
Infant formula
Feeding method
Preterm birth
Patient discharge
title Factors Associated with the Method of Feeding Preterm Infants after Hospital Discharge
title_full Factors Associated with the Method of Feeding Preterm Infants after Hospital Discharge
title_fullStr Factors Associated with the Method of Feeding Preterm Infants after Hospital Discharge
title_full_unstemmed Factors Associated with the Method of Feeding Preterm Infants after Hospital Discharge
title_short Factors Associated with the Method of Feeding Preterm Infants after Hospital Discharge
title_sort factors associated with the method of feeding preterm infants after hospital discharge
topic Breastfeeding
Infant formula
Feeding method
Preterm birth
Patient discharge
url http://www.e-chnr.org/upload/pdf/chnr-24-2-128.pdf
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