Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Breastfeeding outcomes in European NICUs: impact of parental visiting policies

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Danish premature birth rates during the COVID-19 lockdown

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. EPICE cohort: two-year neurodevelopmental outcomes after very preterm birth

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Variation in very preterm extrauterine growth in a European multicountry cohort

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Milk feed osmolality and adverse events in newborn infants and animals: a systematic review

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Cerebral oxygenation and blood flow in term infants during postnatal transition: BabyLux project

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

OBJECTIVE: The documented benefits of maternal milk for very preterm infants have raised interest in hospital policies that promote breastfeeding. We investigated the hypothesis that more liberal parental policies are associated with increased breastfeeding at discharge from the neonatal unit.

DESIGN: Prospective area-based cohort study.

SETTING: Neonatal intensive care units (NICUs) in 19 regions of 11 European countries.

PATIENTS: All very preterm infants discharged alive in participating regions in 2011-2012 after spending >70% of their hospital stay in the same NICU (n=4407).

MAIN OUTCOME MEASURES: We assessed four feeding outcomes at hospital discharge: any and exclusive maternal milk feeding, independent of feeding method; any and exclusive direct breastfeeding, defined as sucking at the breast. We computed a neonatal unit Parental Presence Score (PPS) based on policies regarding parental visiting in the intensive care area (range 1-10, with higher values indicating more liberal policies), and we used multivariable multilevel modified Poisson regression analysis to assess the relation between unit PPS and outcomes.

RESULTS: Policies regarding visiting hours, duration of visits and possibility for parents to stay during medical rounds and spend the night in unit differed within and across countries. After adjustment for potential confounders, infants cared for in units with liberal parental policies (PPS≥7) were about twofold significantly more likely to be discharged with exclusive maternal milk feeding and exclusive direct breastfeeding.

CONCLUSION: Unit policies promoting parental presence and involvement in care may increase the likelihood of successful breastfeeding at discharge for very preterm infants.

OriginalsprogEngelsk
TidsskriftArchives of Disease in Childhood. Fetal and Neonatal Edition
Vol/bind104
Udgave nummer2
Sider (fra-til)F151-F158
ISSN1359-2998
DOI
StatusUdgivet - mar. 2019

Bibliografisk note

© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2019. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

ID: 58890365