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http://dx.doi.org/10.4094/chnr.2018.24.2.128

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

Han, Soo-Yeon (Graduate School, Seoul National University)
Chae, Sun-Mi (College of Nursing, Seoul National University)
Publication Information
Child Health Nursing Research / v.24, no.2, 2018 , pp. 128-137 More about this Journal
Abstract
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.
Keywords
Breastfeeding; Infant formula; Feeding method; Preterm birth; Patient discharge;
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Times Cited By KSCI : 2  (Citation Analysis)
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