Practices, predictors and consequences of expressed breast-milk feeding in healthy full-term infants

Content Provider	Scilit
Author	Bai, Dorothy Li Fong, Daniel Yee Tak Lok, Kris Yuet Wan Wong, Janet Yuen Ha Tarrant, Marie
Copyright Year	2016
Description	Objective To investigate the prevalence and predictors of expressed breast-milk feeding in healthy full-term infants and its association with total duration of breast-milk feeding. Design Prospective cohort study. Setting In-patient postnatal units of four public hospitals in Hong Kong. Subjects A total of 2450 mother–infant pairs were recruited in 2006–2007 and 2011–2012 and followed up prospectively for 12 months or until breast-milk feeding had stopped. Results Across the first 6 months postpartum, the rate of exclusive expressed breast-milk feeding ranged from 5·1 to 8·0 % in 2006–2007 and from 18·0 to 19·8 % in 2011–2012. Factors associated with higher rate of exclusive expressed breast-milk feeding included supplementation with infant formula, lack of previous breast-milk feeding experience, having a planned caesarean section delivery and returning to work postpartum. Exclusive expressed breast-milk feeding was associated with an increased risk of early breast-milk feeding cessation when compared with direct feeding at the breast. The hazard ratio (95 % CI) ranged from 1·25 (1·04, 1·51) to 1·91 (1·34, 2·73) across the first 6 months. Conclusions Mothers of healthy term infants should be encouraged and supported to feed directly at the breast. Exclusive expressed breast-milk feeding should be recommended only when medically necessary and not as a substitute for feeding directly at the breast. Further research is required to explore mothers’ reasons for exclusive expressed breast-milk feeding and to identify the health outcomes associated with this practice.
Related Links	https://core.ac.uk/download/pdf/80964898.pdf https://www.cambridge.org/core/services/aop-cambridge-core/content/view/1E9AABDFB898BF52C3B46589AB1BB4E4/S136898001600241Xa.pdf/div-class-title-practices-predictors-and-consequences-of-expressed-breast-milk-feeding-in-healthy-full-term-infants-div.pdf
Ending Page	503
Page Count	12
Starting Page	492
ISSN	13689800
e-ISSN	14752727
DOI	10.1017/s136898001600241x
Journal	Public Health Nutrition
Issue Number	3
Volume Number	20
Language	English
Publisher	Cambridge University Press (CUP)
Publisher Date	2017-02-01
Access Restriction	Open
Subject Keyword	Public Health Nutrition Obstetrics and Gynecology
Content Type	Text
Resource Type	Article
Subject	Nutrition and Dietetics Public Health, Environmental and Occupational Health