Rates and Determinants of Mother’s Own Milk Feeding in Infan
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A Study was conducted to examine the rates and determinants of mother’s own milk (MOM) feeding at hospital discharge in a cohort of infants born very preterm within the Canadian Neonatal Network (CNN).

This was a population-based cohort study of infants born at less than 33 weeks of gestation and admitted to neonatal intensive care units (NICUs) participating in the CNN. The rates and determinants of MOM use at discharge home among the participating NICUs were examined. Multivariable logistic regression analysis to were used to identify independent determinants of MOM feeding.

Results:
--Among the 6404 infants born very preterm and discharged home during the study period, 4457 received MOM or MOM supplemented with formula.

--Rates of MOM feeding at discharge varied from 49% to 87% across NICUs.

--Determinants associated with MOM feeding at discharge were gestational age 29-32 weeks compared with less than 26 weeks (adjusted odds ratio [aOR] 1.56), primipara mothers (aOR 2.12), maternal diabetes (aOR 0.79), and maternal smoking (aOR 0.27).

--Receipt of MOM by day 3 of age was the major predictor of breast milk feeding at discharge (aOR 3.61).

In conclusion, approximately two-thirds of infants born very preterm received MOM at the time of discharge from the hospital, with rates varying between NICUs. Supporting mothers to breastfeed in the first three days after birth can be linked to higher rates of mother's own milk feeding at discharge.

Source: https://www.jpeds.com/article/S0022-3476(21)00388-7/fulltext?rss=yes
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