Efficiency of breastfeeding as compared to bottle-feeding in very low birth weight (VLBW, < 1.5 kg) infants

被引：15
|
作者：
Furman L. [1 ,2 ]
Minich N. [1 ]
机构：
[1] Department of Pediatrics, Case Western Reserve University, Cleveland, OH
[2] Div. of General Academic Pediatrics, Rainbow Babies/Children's Hospital, University Hospitals of Cleveland, Cleveland, OH 44106
来源：
Journal of Perinatology | 2004年 / 24卷 / 11期
基金：
美国国家卫生研究院;
关键词：
D O I：
10.1038/sj.jp.7211175
中图分类号：
学科分类号：
摘要：
Objectives: To examine feeding efficiency and correlates of feeding behaviors in breastfeeding as compared with boute-feeding VLBW infants at 35 weeks corrected age (CA, postmenstrual plus chronologic age). Study design: In all, 105 singleton VLBW infants underwent a standardized feeding observation, of whom 35 were observed breastfeeding and 70 bottle-feeding. Intake, efficiency, and feeding behaviors were compared, and effects of infant and maternal factors were examined. Results: Breastfeeding as compared with bottle-feeding infants took in smaller volumes (median 6.5 vs 30.5 ml, p<0.001), fed less efficiently (median 0.6 vs 2.2 ml/min, p<0.001), and spent less time with sucking bursts (mean 33 vs 55%, p<0.001). For breastfed infants, birth and neonatal factors and prior maternal breastfeeding experience were not associated with feeding efficiency or behaviors. Conclusion: Feeding performance of breastfeeding compared with bottle-feeding VLBW infants at 35 weeks CA is worrisome, and lactation intervention is needed for discharge planning. © 2004 Nature Publishing Group All rights reserved.
引用
收藏
页码：706 / 713
页数：7
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