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1393 Regional Study for Predictive Factors of Breastfeeding Preterm Infants Less Than 33 Weeks
  1. C Lucas1,
  2. H Gonny2,
  3. C Tripon3,4,
  4. K Husseini1,
  5. D Lapeyre1,
  6. F Hay-Findler1,
  7. S Robert1
  1. 1Pediatric Intensive Care Unit
  2. 2Obstetrics
  3. 3Neonatology, University Hospital of Poitiers, Poitiers
  4. 4Department of Neonatology, General Hospital of Angoulême, Angoulême, France

Abstract

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.

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