Factors Affecting Breastfeeding Outcomes at Six Months in Preterm Infants / Ying Wang in Journal of Human Lactation, Vol. 35, n°1 (Février 2019)

[article]  inJournal of Human Lactation > Vol. 35, n°1 (Février 2019) . - pp.80-89 Titre : Factors Affecting Breastfeeding Outcomes at Six Months in Preterm Infants Type de document : texte imprimé Auteurs : Ying Wang, Auteur ; Carrie E. Briere, Auteur ; Wanli Xu, Auteur Année de publication : 2019 Article en page(s) : pp.80-89 Langues : Anglais (eng) Catégories : Allaitement exclusif Comportement du nouveau-né et du nourrisson Durée de l'allaitement Epidémiologie « Etude de la distribution et des déterminants des états ou des évènements liés à la santé dans des populations spécifiques, et l’utilisation de cette connaissance pour le contrôle de la santé » Last JM, A Dictionary of Epidemiology, 2001 Etude longitudinale Etudes d'observation Groupe par âge Hôpital Jeune adulte Lien mère enfant (attachement) Nourrisson très faible poids à la naissance Nutrition du nourrisson Période postnatale Post-partum Prématuré (avant 37 semaines) Représentation de son auto-efficacité Santé Soutien allaitement Soutien aux mères Résumé : "Background: Preterm mother-infant dyads often face many obstacles to breastfeeding. Preterm infants are at highest risk for low rates of exclusive breastfeeding. Research Aim: To determine the prevalence of breastfeeding at 6 months among preterm infants and to identify factors that influenced mothers’ breastfeeding practices. Methods: A longitudinal observational study was conducted in a metropolitan hospital in Beijing, China. Mothers (N = 270) and their preterm infants (N = 280) were included in the study. Characteristics of preterm mothers and their perceptions of breastfeeding self-efficacy, knowledge, social support, and postpartum depression symptoms were measured at the discharge of neonatal intensive care. Breastfeeding data were collected by phone interview at 6 months corrected age. Results: At discharge, mothers of very preterm infants perceived a lower level of breastfeeding self-efficacy (measured with the Breastfeeding Self-Efficacy Scale–Short Form) and had a higher level of depression symptoms (measured with the Edinburgh Postnatal Depression Scale [EPDS]) than mothers of moderate and late preterm infants (p < .05-.01). Nearly half of all mothers had an elevated EPDS score, considered to be symptomatic of postpartum depression. At 6 months, only 22.5% of all infants were exclusively breastfeeding. Factors associated with exclusive breastfeeding, including younger maternal age, previous breastfeeding experience, shorter mother-infant separation time during intensive care, older infant gestational age, and a higher level of breastfeeding self-efficacy, significantly predicted exclusive breastfeeding practice (p < .05-.001). Conclusion: The prevalence of breastfeeding at 6 months for preterm infants in this sample was low. Strategies to improve breastfeeding duration for preterm infants are needed, including support and education of mothers while in the hospital."[Résumé de l'auteur] Permalink : ./index.php?lvl=notice_display&id=1147 [article]

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