Objective To determine regional prevalence of breastfeeding very premature infants and identify factors influencing it’s initiation at birth and continuation at discharge.
Study Design It was a prospective observational study in preterm < 33 weeks of gestational age (GA) from January to December 2010 in Poitou-Charentes. Data were collected from infant report and using a questionnaire sent at home. The variables were analyzed with the Chi² test and Student’s t test at p<0.05 and binary logistic regression for predictive factors.
Results Questionnaires collected concerns 112/150 infants (74.7%) and 95 parents (17 multiple pregnancy). At birth, 65.2% (n=73) were breastfed. Factors significantly associated with breastfeeding at birth were: maternal body mass index (BMI), employed mothers, mothers that have been breastfed (MoBr) and daycare other than grandparents. In a multivariate regression model, BMI, daycare by grandparents and MoBr were independent predictive factors of breastfeeding at birth with OR [IC 95%]: 1.18 [1.01–1.38], 0.24 [0.08–0.74] and 5.8 [1.49–22.56] respectively. At discharge, 46.4% (n=52) of infants were breastfed. Factors significantly associated with breastfeeding at discharge were: intrapartum information about breastfeeding employed mothers, non smoker mothers, low paternal BMI, high educational level of fathers, daycare by grandparents, and MoBr. The last 4 factors were independent predictors of breastfeeding at discharge in a multivariate binary logistic model with OR [IC 95%]: 0.75 [0.62–0.9], 5.35 [1.24–23.1], 0.18 [0.03–0.96] and 7.5 [1.35–41.8] respectively.
Conclusion Socio-economic, educational and family conditions influence differently breastfeeding initiation and continuation. This diagnosis is precious to breastfeeding promotion programs.