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Original Article
Breast Feeding Rates and Factors Influencing Breast Feeding Practice in Late Preterm Infants: Comparison with Preterm Born at Less than 34 Weeks of Gestational Age
Gun Ja Jang, Sang Lak Lee, Hyeon Mi Kim
Journal of Korean Academy of Nursing 2012;42(2):181-189.
DOI: https://doi.org/10.4040/jkan.2012.42.2.181
Published online: April 30, 2012

1Assistant Professor, Department of Nursing, Daegu University, Daegu, Korea.

2Professor, Department of Pediatrics, School of Medicine, Keimyung University, Daegu, Korea.

3Assistant professor, Department of Nursing, Taegu Science College, Daegu, Korea.

Address reprint requests to: Kim, Hyeon Mi. Department of Nursing, Taegu Science College, 47 Yeongsong-ro, Book-gu, Daegu 702-723, Korea. Tel: +82-53-320-1064, Fax: +82-53-320-1761, hyeonmi@paran.com
• Received: July 7, 2011   • Accepted: April 26, 2012

© 2012 Korean Society of Nursing Science

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  • Purpose
    This study was done to compare breast feeding rates and factors influencing feeding practice between late preterm (34≤GA<37) and preterm infants (GA<34).
  • Methods
    A survey was done of 207 late preterm and 117 preterm infants in neonatal intensive care units (NICU) of 4 university hospitals in D city. Data were collected from July 2009 to June 2010 from 324 medical records in the NICU. Breast-feeding at home was checked either by telephone survey or questioning during hospital visits.
  • Results
    Rate of breast feeding for late preterm infants was significantly lower than for preterm infants. There was no significant difference in breast-feeding at home. We found differences in factors influencing breast feeding between the two groups. Factors influencing feeding for late preterm infants were type of delivery, mothers' occupation, feeding type during hospitalization, time elapse from hospital discharge, total admission days, infant's body weight at first feeding and length of NPO (nothing by mouth). Factors influencing feeding for preterm infants were birth order, maternal disease and obstetric complications, and one-minute Apgar score.
  • Conclusion
    Results of the study show low rates of breast-feeding for late preterm infants indicating a need for breast-feeding education for mothers of these infants.
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Table 1
Comparison of General Characteristics between Late Preterm and Preterm Infant Group
jkan-42-181-i001.jpg

NICU=Neonatal intensive care unit; GA=Gestational age; A/S=Apgar score.

Table 2
Comparison of Maternal Characteristics between Late Preterm and Preterm Infant Group
jkan-42-181-i002.jpg

GA=Gestational age; NSVD=Normal spontaneous vaginal delivery; C-sec=Caesarean section; PIH=Pregnancy induced hypertension; DM=Diabetes mellitus; PROM=Premature rupture of membranes.

Table 3
Comparison of Feeding Characteristics between Late Preterm and Preterm Infant Group
jkan-42-181-i003.jpg

GA=Gestational age; PMA=Post menstrual age (GA+post natal age); NPO=Non per os (Nothing by mouth).

Table 4
Comparison of Feeding Type between Late Preterm and Preterm Infant Group
jkan-42-181-i004.jpg

GA=Gestational age.

Table 5
Predictors related to Breast-feeding Performance in Late Preterm and Preterm Infant Group
jkan-42-181-i005.jpg

GA=Gestational age; CI=Confidence interval; NPO=Non per os (Nothing by mouth); NSVD=Normal spontaneous vaginal delivery.

Figure & Data

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        Breast Feeding Rates and Factors Influencing Breast Feeding Practice in Late Preterm Infants: Comparison with Preterm Born at Less than 34 Weeks of Gestational Age
        J Korean Acad Nurs. 2012;42(2):181-189.   Published online April 30, 2012
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      We recommend
      Breast Feeding Rates and Factors Influencing Breast Feeding Practice in Late Preterm Infants: Comparison with Preterm Born at Less than 34 Weeks of Gestational Age
      Breast Feeding Rates and Factors Influencing Breast Feeding Practice in Late Preterm Infants: Comparison with Preterm Born at Less than 34 Weeks of Gestational Age

      Comparison of General Characteristics between Late Preterm and Preterm Infant Group

      NICU=Neonatal intensive care unit; GA=Gestational age; A/S=Apgar score.

      Comparison of Maternal Characteristics between Late Preterm and Preterm Infant Group

      GA=Gestational age; NSVD=Normal spontaneous vaginal delivery; C-sec=Caesarean section; PIH=Pregnancy induced hypertension; DM=Diabetes mellitus; PROM=Premature rupture of membranes.

      Comparison of Feeding Characteristics between Late Preterm and Preterm Infant Group

      GA=Gestational age; PMA=Post menstrual age (GA+post natal age); NPO=Non per os (Nothing by mouth).

      Comparison of Feeding Type between Late Preterm and Preterm Infant Group

      GA=Gestational age.

      Predictors related to Breast-feeding Performance in Late Preterm and Preterm Infant Group

      GA=Gestational age; CI=Confidence interval; NPO=Non per os (Nothing by mouth); NSVD=Normal spontaneous vaginal delivery.

      Table 1 Comparison of General Characteristics between Late Preterm and Preterm Infant Group

      NICU=Neonatal intensive care unit; GA=Gestational age; A/S=Apgar score.

      Table 2 Comparison of Maternal Characteristics between Late Preterm and Preterm Infant Group

      GA=Gestational age; NSVD=Normal spontaneous vaginal delivery; C-sec=Caesarean section; PIH=Pregnancy induced hypertension; DM=Diabetes mellitus; PROM=Premature rupture of membranes.

      Table 3 Comparison of Feeding Characteristics between Late Preterm and Preterm Infant Group

      GA=Gestational age; PMA=Post menstrual age (GA+post natal age); NPO=Non per os (Nothing by mouth).

      Table 4 Comparison of Feeding Type between Late Preterm and Preterm Infant Group

      GA=Gestational age.

      Table 5 Predictors related to Breast-feeding Performance in Late Preterm and Preterm Infant Group

      GA=Gestational age; CI=Confidence interval; NPO=Non per os (Nothing by mouth); NSVD=Normal spontaneous vaginal delivery.


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