Breastfeeding disparities between multiples and singletons by NICU discharge

Multiple pregnancy increases the risk of a range of adverse perinatal outcomes, including breastfeeding failure. However, studies on predictive factors of breastfeeding duration in preterm twin infants have a conflicting result. The purpose of this observational study was to compare feeding practice...

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Autores: Porta, Roser, Capdevila, Eva, Botet Mussons, Francisco, Ginovart, Gemma, Moliner, Elisenda, Nicolàs, Marta, Gutiérrez García, Antonio Manuel, Ponce-Taylor, Jaume, Verd, Sergio
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/140442
Acceso en línea:https://hdl.handle.net/2445/140442
Access Level:acceso abierto
Palabra clave:Alletament
Infants prematurs
Embaràs
Breastfeeding
Premature infants
Pregnancy
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spelling Breastfeeding disparities between multiples and singletons by NICU dischargePorta, RoserCapdevila, EvaBotet Mussons, FranciscoGinovart, GemmaMoliner, ElisendaNicolàs, MartaGutiérrez García, Antonio ManuelPonce-Taylor, JaumeVerd, SergioAlletamentInfants prematursEmbaràsBreastfeedingPremature infantsPregnancyMultiple pregnancy increases the risk of a range of adverse perinatal outcomes, including breastfeeding failure. However, studies on predictive factors of breastfeeding duration in preterm twin infants have a conflicting result. The purpose of this observational study was to compare feeding practices, at hospital discharge, of twin and singleton very low birth weight infants. The study is part of a prospective survey of a national Spanish cohort of very low birth weight infants (SEN1500) that includes 62 neonatal units. The study population comprised all infants registered in the network from 2002 to 2013. They were grouped into singletons and multiples. The explanatory variables were first analyzed using univariate models; subsequently, significant variables were analyzed simultaneously in a multiple stepwise backward model. During the twelve-year period, 32,770 very low birth weight infants were included in the database, of which 26.957 were discharged alive and included in this analysis. Nine thousand seven hundred and fifty-eight neonates were multiples, and 17,199 were singletons. At discharge, 31% of singleton infants were being exclusively breastfed, 43% were bottle-fed, and 26% were fed a combination of both. In comparison, at discharge, only 24% of multiple infants were exclusively breastfed, 43% were bottle-fed, and 33% were fed a combination of both (p < 0.001). On multivariable analysis, twin pregnancy had a statistically significant, but small efect, on cessation of breastfeeding before discharge (OR 1.10; 95% CI: 1.02, 1.19). Risks of early in-hospital breastfeeding cessation were also independently associated with multiple mother-infant stress factors, such as sepsis, intraventricular hemorrhage, retinopathy, necrotizing enterocolitis, intubation, and use of inotropes. Instead, antibiotic treatment at delivery, In vitro fertilization and prenatal steroids were associated with a decreased risk for shorter in-hospital breastfeeding duration. Multiple pregnancy, even in the absence of pathological conditions associated to very low birth weight twin infants, may be an impeding factor for in-hospital breastfeeding.MDPI2019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/140442Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3390/nu11092191Nutrients, 2019, vol. 11, num. 2191https://doi.org/10.3390/nu11092191cc-by (c) Porta, Roser et al., 2019http://creativecommons.org/licenses/by/3.0/esinfo:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1404422026-05-27T06:46:51Z
dc.title.none.fl_str_mv Breastfeeding disparities between multiples and singletons by NICU discharge
title Breastfeeding disparities between multiples and singletons by NICU discharge
spellingShingle Breastfeeding disparities between multiples and singletons by NICU discharge
Porta, Roser
Alletament
Infants prematurs
Embaràs
Breastfeeding
Premature infants
Pregnancy
title_short Breastfeeding disparities between multiples and singletons by NICU discharge
title_full Breastfeeding disparities between multiples and singletons by NICU discharge
title_fullStr Breastfeeding disparities between multiples and singletons by NICU discharge
title_full_unstemmed Breastfeeding disparities between multiples and singletons by NICU discharge
title_sort Breastfeeding disparities between multiples and singletons by NICU discharge
dc.creator.none.fl_str_mv Porta, Roser
Capdevila, Eva
Botet Mussons, Francisco
Ginovart, Gemma
Moliner, Elisenda
Nicolàs, Marta
Gutiérrez García, Antonio Manuel
Ponce-Taylor, Jaume
Verd, Sergio
author Porta, Roser
author_facet Porta, Roser
Capdevila, Eva
Botet Mussons, Francisco
Ginovart, Gemma
Moliner, Elisenda
Nicolàs, Marta
Gutiérrez García, Antonio Manuel
Ponce-Taylor, Jaume
Verd, Sergio
author_role author
author2 Capdevila, Eva
Botet Mussons, Francisco
Ginovart, Gemma
Moliner, Elisenda
Nicolàs, Marta
Gutiérrez García, Antonio Manuel
Ponce-Taylor, Jaume
Verd, Sergio
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Alletament
Infants prematurs
Embaràs
Breastfeeding
Premature infants
Pregnancy
topic Alletament
Infants prematurs
Embaràs
Breastfeeding
Premature infants
Pregnancy
description Multiple pregnancy increases the risk of a range of adverse perinatal outcomes, including breastfeeding failure. However, studies on predictive factors of breastfeeding duration in preterm twin infants have a conflicting result. The purpose of this observational study was to compare feeding practices, at hospital discharge, of twin and singleton very low birth weight infants. The study is part of a prospective survey of a national Spanish cohort of very low birth weight infants (SEN1500) that includes 62 neonatal units. The study population comprised all infants registered in the network from 2002 to 2013. They were grouped into singletons and multiples. The explanatory variables were first analyzed using univariate models; subsequently, significant variables were analyzed simultaneously in a multiple stepwise backward model. During the twelve-year period, 32,770 very low birth weight infants were included in the database, of which 26.957 were discharged alive and included in this analysis. Nine thousand seven hundred and fifty-eight neonates were multiples, and 17,199 were singletons. At discharge, 31% of singleton infants were being exclusively breastfed, 43% were bottle-fed, and 26% were fed a combination of both. In comparison, at discharge, only 24% of multiple infants were exclusively breastfed, 43% were bottle-fed, and 33% were fed a combination of both (p < 0.001). On multivariable analysis, twin pregnancy had a statistically significant, but small efect, on cessation of breastfeeding before discharge (OR 1.10; 95% CI: 1.02, 1.19). Risks of early in-hospital breastfeeding cessation were also independently associated with multiple mother-infant stress factors, such as sepsis, intraventricular hemorrhage, retinopathy, necrotizing enterocolitis, intubation, and use of inotropes. Instead, antibiotic treatment at delivery, In vitro fertilization and prenatal steroids were associated with a decreased risk for shorter in-hospital breastfeeding duration. Multiple pregnancy, even in the absence of pathological conditions associated to very low birth weight twin infants, may be an impeding factor for in-hospital breastfeeding.
publishDate 2019
dc.date.none.fl_str_mv 2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/140442
url https://hdl.handle.net/2445/140442
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3390/nu11092191
Nutrients, 2019, vol. 11, num. 2191
https://doi.org/10.3390/nu11092191
dc.rights.none.fl_str_mv cc-by (c) Porta, Roser et al., 2019
http://creativecommons.org/licenses/by/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Porta, Roser et al., 2019
http://creativecommons.org/licenses/by/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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