title: Early Provision of Mother's Own Milk and Other Predictors of Successful Breast Milk Feeding after Very Preterm Birth: A Regional Observational Study.
abstract: BACKGROUND
  Breast milk is associated with a lower risk of neonatal morbidity in very preterm infants. Despite the benefits, the duration of breastfeeding is shorter in very preterm infants than in term infants.
  
  
  OBJECTIVE
  This study aimed to investigate how early provision of mother's own milk (MOM) and maternal and infant characteristics are related to breast milk feeding (BMF) between 36 and 40 weeks postmenstrual age (PMA) after very preterm birth.
  
  
  METHODS
  A regional observational study of 138 singleton infants born at < 32 weeks of gestation in Stockholm, Sweden, was conducted. Data were derived from medical charts to investigate the association between early provision of MOM; maternal and infant characteristics; and exclusive, partial, or no BMF at 36 weeks PMA. Moreover, changes in BMF between 36 and 40 weeks PMA were studied.
  
  
  RESULTS
  Most infants (80%) received MOM at 36 weeks PMA (55% exclusively, 25% partial). High provision of MOM at postnatal day 7 was associated with exclusive BMF at 36 weeks PMA, odds ratio (OR) 1.18 per 10 mL/kg MOM (95% confidence interval [CI], 1.06-1.32). Mothers born in non-Nordic countries provided MOM exclusively less often, adjusted OR 0.27 (95% CI, 0.10-0.69), compared to Nordic mothers. Between 36 and 40 weeks PMA, BMF decreased overall. This change was not associated with investigated predictors.
  
  
  CONCLUSIONS
  It is possible to achieve high rates of BMF in very preterm infants. High intake of MOM early in the postnatal period is strongly related to exclusive BMF at 36 weeks PMA.
authors: Department of Clinical Science Intervention and Technology, Karolinska Institutet, Stockholm, Sweden emilija.wilson@ki.se.
authors: Emilija
authors: E
authors: Wilson
authors: Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
authors: Kyllike
authors: K
authors: Christensson
authors: Clinical Epidemiology Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
authors: Lena
authors: L
authors: Brandt
authors: Department of Clinical Science Intervention and Technology, Karolinska Institutet, Stockholm, Sweden Clinical Epidemiology Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
authors: Maria
authors: M
authors: Altman
authors: Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden Clinical Epidemiology Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
authors: Anna-Karin
authors: AK
authors: Bonamy
mesh_terms: D000293:Adolescent; D000328:Adult; D001942:Breast Feeding / Q000379:methods / Q000523:psychology / Q000706:statistics & numerical data*; D061186:Breast Milk Expression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007224:Infant Care / Q000379:methods* / Q000523:psychology / Q000706:statistics & numerical data; D007231:Infant, Newborn; D007234:Infant, Premature; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D008895:Milk, Human; D011446:Prospective Studies; D055815:Young Adult
keywords: breast milk; breast milk feeding; breastfeeding; home-based care; lactation; neonatal intensive care; preterm infants