Journal of Home Health Care Nursing (가정∙방문간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정∙방문간호학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Affecting the Breastfeeding of Late Preterm Infants after Discharge from a Neonatal Intensive Care Unit in South Korea

  • Received : 2022.03.09
  • Accepted : 2022.04.21
  • Published : 2022.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aims to determine the factors that affect the breastfeeding of late preterm infants (gestation age 34+0~36+6) in South Korea. Method: A cross-sectional and questionnaire-based survey was conducted on 178 mothers of 209 late preterm infants discharged from a university hospital. We collected data on participants' demographics, breastfeeding-related characteristics and current status of breastfeeding and analyzed them using SPSS. Results: Breastfeeding duration varied significantly according to the number of babies born (t=3.691, p<.001), birth order (F=6.416, p=.002), type of feeding planned (F=8.691, p<.001), planned breastfeeding period(F=24.779, p<.001), previous baby's breastfeeding type(F= 8.510, p<.001), previous baby's breastfeeding duration(F=10.589, p<.001). The mothers with incomes of 3-5 million won a month were less likely to continue breastfeeding than those with incomes over 5 million won (CI: 0.049-0.086: p=0.035). Conclusion: Our results are meaningful in that we revealed that mother's monthly income influenced breastfeeding continuation, first-time mothers and mothers of multiples were at risk of breastfeeding difficulties. Interventions for helping late preterm infants' mothers establish breastfeeding and maintain an adequate milk supply are vital.

Keywords

References

  1. Engle WA. A recommendation for the definition of "late preterm"(near-term) and the birth weight-gestational age classification system. Seminars in Perinatology. 2006;30:2-7. https://doi.org/10.1053/j.semperi.2006.01.007
  2. Kosis. 2019 Number of Births by Gestational Week [Internet]. [cited 2022, March 4]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_2AAF012&vw_cd=MT_RTITLE&list_id=R_SUB_OTITLE_OTIT_UNTIT_AA&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_RTITLE.
  3. Shapiro-Mendoza CK, Lackritz, EM. Epidemiology of late and moderate preterm birth. Seminars in Fetal & Neonatal Medicine. 2012;17(3):163-169. https://doi.org/10.1016/j.siny.2012.01.007
  4. Engle WA, Tomashek KM, Wallman C. Late-preterm infants: a population at risk. Pediatrics. 2007; 120(6): 1390-1401. https://doi.org/10.1542/peds.2007-2952
  5. Ballesta-Castillejos A, Gomez-Salgado J, Rodriguez-Almagro J, Hernandez-Martinez A. Development and validation of a predictive model of exclusive breastfeeding at hospital discharge: Retrospective cohort study. International Journal of Nursing Studies. 2021;117:1-8. https://doi.org/10.1016/j.ijnurstu.2021.103898
  6. Britton JR, Britton HL, Gronwaldt, V. Breastfeeding, sensitivity, and attachment. Pediatrics. 2006; 118(5): e1436-1443. https://doi.org/10.1542/peds.2005-2916
  7. Byerly T, Buckman C, Tumin D, Bear K. Prematurity and breastfeeding initiation: A sibling analysis. Acta Paediatrica. 2020; 109(12): 2586-2591. https://doi.org/10.1111/apa.15290
  8. WHO. 2021 Breastfeeding [Internet]. [cited 2022, March 4]. Available from https://www.who.int/health-topics/breastfeeding#tab=tab_1
  9. Colaizy TT, Morriss FH. Positive effect of NICU admission on breastfeeding of preterm US infants in 2000 to 2003. Journal of Perinatology. 2008;28(7):505-510. https://doi.org/10.1038/jp.2008.32
  10. Donath SM, Amir LH. Effect of gestation on initiation and duration of breastfeeding. Archives of Disease in Childhood Fetal & Neonatal Edition. 2008;93(6):F448-450. https://doi.org/10.1136/adc.2007.133215
  11. Celik I.H., Demirel G., Canpolat F.E., & Dilmen U. A common problem for neonatal intensive care units: late preterm infants, a prospective study with term controls in a large perinatal center. The Journal of Maternal-Fetal and Neonatal Medicine. 2013;26(5):459-462. https://doi.org/10.3109/14767058.2012.735994
  12. Vila-Candel R, Soriano-Vidal FJ, Murillo-Llorente M, Perez-Bermejo M, Castro- Sanchez E. Maintenance of exclusive breastfeeding after three months postpartum: an experience in a health department of a Valencian Community. Aten. Primaria. 2019;51(2):91-98. https://doi.org/10.1016/j.aprim.2017.09.002
  13. Jang EH. Effects of Late Preterm Infants Care Education Program on Maternal Confidence, Breastfeeding Rate of the Mothers as well as on Growth and Readmission Rate of Late Preterm Infants. [dissertation]. Daegu: Dong A University; 2016. 1-3 p.
  14. Kim MS, Ahn YM., Bae SM, Kim MJ. The Research on the Breast Feeding and its Related Factors of Premature Infant. Child Health Nursing Research. 2003;9(3):272-284.
  15. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41:1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  16. Wooldridge J, Hall WA. Post hospitalization Breastfeeding Patterns of Moderately Preterm Infants. Journal of Perinatal & Neonatal Nursing. 2003;17(1):50-65. https://doi.org/10.1097/00005237-200301000-00005
  17. Kim HS, Kang KA, Kim SJ, Bae WH, Chae SA., et al. Pediatric Primary Care. Seoul : Soo Moon Sa; 2012. p 281-283.
  18. Tomashek KM, Shapiro-Mendoza CK, Weiss J, Kotelchuck M, Barfield W, Evans S., et al. Early discharge among late preterm and term newborns and risk of neonatal morbidity. Seminars in Perinatology. 2003;30:61-68. https://doi.org/10.1053/j.semperi.2006.02.003
  19. Lee SO, Chung ES, Ahn SH, Moon, GN, Park NH. A study of predictors of breastfeeding. Child Health Nursing Research. 2003;9(4):368-375.
  20. Kruse L, Denk CE, Feldman-Winter L, Rotondo FM. Longitudinal patterns of breastfeeding initiation. Maternal & Child Health Journal. 2006;10(1):13-18. https://doi.org/10.1007/s10995-005-0027-1
  21. Lee CH. Research on Breast feeding Pattern and Related Factors of Premature Infant's mother. [master's thesis]. Seoul: Korea University; 2006. 33-34 p.
  22. Baker JL, Gamborg M, Heitmann B, Lissner L, Sorensen TI, Rasmussen KM. Breastfeeding reduces postpartum weight retention. The American Journal of Clinical Nutrition. 2008;88(6):1543-1551. https://doi.org/10.3945/ajcn.2008.26379
  23. Ahluwalia IB, Morrow B, Hsia, J. Why do women stop breastfeeding? Findings from the pregnancy risk assessment and monitoring system. Pediatrics. 2005;116(6):1408-1412. https://doi.org/10.1542/peds.2005-0013
  24. Jang GJ. Comparing Factors Associated with Breastfeeding in Late Preterm Infants of Different Gestational Ages. Child Health Nursing Research. 2015;21(4):302-310. http://dx.doi.org/10.4094/chnr.2015.21.4.302
  25. Lee SJ. Trends and related factors of 6-month postpartum exclusive breastfeeding practice rate. [master's thesis]. Seoul: Chung-Ang University; 2020. 32 p.