Prevalence and duration of breast milk feeding in very preterm infants: A 3-year follow-up study and a systematic literature review

Carina Rodrigues, Raquel Teixeira, Maria João Fonseca, Jennifer Zeitlin, Henrique Barros, Adelina Sá Couto, Aldina Lopes, Alexandra Almeida, Alexandrina Portela, Alice Vilas Boas, Almerinda Pereira, Ana Aroso, Ana Berdeja, Ana Bettencourt, Ana B. A. Campos, Ana Castilho Santos, Ana Isabel Machado, Ana Maria Andrade, Ana Melo Bento, Ana Neto & 30 others Ana Pita, Ana Rute Ferreira, Angelina Tavares, Anselmo Costa, Antónia Nazaré, António Braga, António Fonseca, António Lanhoso, António Vilarinho, Beatriz Sousa, Carla Sá, Carlos Moniz, Cármen Carvalho, Catarina Dâmaso, Célia Araújo, Clara Paz Dias, Cláudia Araújo, Conceição Casanova, Conceição Cunha, Conceição Faria Murinello, Conceição Telhado, Cristina Didelet, Cristina Leite, Cristina Martins, Cristina Trindade, Daniela Almeida, José Guimarães, Luís Mendes Graça, Rui Costa, Teresa Ventura

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: The World Health Organization recommends exclusive breast milk feeding until 6 months and continuing up to 2 years of age; little is known about whether very preterm infants are fed in accordance with these recommendations. We aimed to describe the prevalence and duration of breast milk feeding in very preterm children and to systematically review internationally published data. Methods: We evaluated breast milk feeding initiation and duration in very preterm children born in 2 Portuguese regions (2011-2012) enrolled in the EPICE cohort and followed-up to the age of 3 (n = 466). We searched PubMed® from inception to January 2017 to identify original studies reporting the prevalence and/or duration of breast milk feeding in very preterm children. Results: 91.0% of children received some breast milk feeding and 65.3% were exclusively breast fed with a median duration of 2 months for exclusive and 3 months for any breast milk; only 9.9% received exclusive breast milk for at least 6 months, 10.2% received any breast milk for 12 months or more, and 2.0% for up to 24 months. The literature review identified few studies on feeding after hospital discharge (n = 9); these also reported a low prevalence of exclusive breast milk feeding at 6 months (1.0% to 27.0%) and of any breast milk at 12 months (8.0% to 12.0%). Conclusions: The duration of breast milk feeding among Portuguese very preterm infants was shorter than recommended. However, this appears to be common globally. Research is needed to inform strategies to promote continued breast milk feeding.

Original languageEnglish
Pages (from-to)237-246
Number of pages10
JournalPaediatric and Perinatal Epidemiology
Volume32
Issue number3
DOIs
Publication statusPublished - 1 May 2018

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Human Milk
Breast Feeding
Premature Infants
PubMed
Breast
Cross-Sectional Studies

Keywords

  • breast feeding
  • breast milk
  • EPICE project
  • very preterm infants

Cite this

Rodrigues, Carina ; Teixeira, Raquel ; Fonseca, Maria João ; Zeitlin, Jennifer ; Barros, Henrique ; Couto, Adelina Sá ; Lopes, Aldina ; Almeida, Alexandra ; Portela, Alexandrina ; Boas, Alice Vilas ; Pereira, Almerinda ; Aroso, Ana ; Berdeja, Ana ; Bettencourt, Ana ; Campos, Ana B. A. ; Santos, Ana Castilho ; Machado, Ana Isabel ; Andrade, Ana Maria ; Bento, Ana Melo ; Neto, Ana ; Pita, Ana ; Ferreira, Ana Rute ; Tavares, Angelina ; Costa, Anselmo ; Nazaré, Antónia ; Braga, António ; Fonseca, António ; Lanhoso, António ; Vilarinho, António ; Sousa, Beatriz ; Sá, Carla ; Moniz, Carlos ; Carvalho, Cármen ; Dâmaso, Catarina ; Araújo, Célia ; Paz Dias, Clara ; Araújo, Cláudia ; Casanova, Conceição ; Cunha, Conceição ; Murinello, Conceição Faria ; Telhado, Conceição ; Didelet, Cristina ; Leite, Cristina ; Martins, Cristina ; Trindade, Cristina ; Almeida, Daniela ; Guimarães, José ; Graça, Luís Mendes ; Costa, Rui ; Ventura, Teresa. / Prevalence and duration of breast milk feeding in very preterm infants : A 3-year follow-up study and a systematic literature review. In: Paediatric and Perinatal Epidemiology. 2018 ; Vol. 32, No. 3. pp. 237-246.
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abstract = "Background: The World Health Organization recommends exclusive breast milk feeding until 6 months and continuing up to 2 years of age; little is known about whether very preterm infants are fed in accordance with these recommendations. We aimed to describe the prevalence and duration of breast milk feeding in very preterm children and to systematically review internationally published data. Methods: We evaluated breast milk feeding initiation and duration in very preterm children born in 2 Portuguese regions (2011-2012) enrolled in the EPICE cohort and followed-up to the age of 3 (n = 466). We searched PubMed{\circledR} from inception to January 2017 to identify original studies reporting the prevalence and/or duration of breast milk feeding in very preterm children. Results: 91.0{\%} of children received some breast milk feeding and 65.3{\%} were exclusively breast fed with a median duration of 2 months for exclusive and 3 months for any breast milk; only 9.9{\%} received exclusive breast milk for at least 6 months, 10.2{\%} received any breast milk for 12 months or more, and 2.0{\%} for up to 24 months. The literature review identified few studies on feeding after hospital discharge (n = 9); these also reported a low prevalence of exclusive breast milk feeding at 6 months (1.0{\%} to 27.0{\%}) and of any breast milk at 12 months (8.0{\%} to 12.0{\%}). Conclusions: The duration of breast milk feeding among Portuguese very preterm infants was shorter than recommended. However, this appears to be common globally. Research is needed to inform strategies to promote continued breast milk feeding.",
keywords = "breast feeding, breast milk, EPICE project, very preterm infants",
author = "Carina Rodrigues and Raquel Teixeira and Fonseca, {Maria Jo{\~a}o} and Jennifer Zeitlin and Henrique Barros and Couto, {Adelina S{\'a}} and Aldina Lopes and Alexandra Almeida and Alexandrina Portela and Boas, {Alice Vilas} and Almerinda Pereira and Ana Aroso and Ana Berdeja and Ana Bettencourt and Campos, {Ana B. A.} and Santos, {Ana Castilho} and Machado, {Ana Isabel} and Andrade, {Ana Maria} and Bento, {Ana Melo} and Ana Neto and Ana Pita and Ferreira, {Ana Rute} and Angelina Tavares and Anselmo Costa and Ant{\'o}nia Nazar{\'e} and Ant{\'o}nio Braga and Ant{\'o}nio Fonseca and Ant{\'o}nio Lanhoso and Ant{\'o}nio Vilarinho and Beatriz Sousa and Carla S{\'a} and Carlos Moniz and C{\'a}rmen Carvalho and Catarina D{\^a}maso and C{\'e}lia Ara{\'u}jo and {Paz Dias}, Clara and Cl{\'a}udia Ara{\'u}jo and Concei{\cc}{\~a}o Casanova and Concei{\cc}{\~a}o Cunha and Murinello, {Concei{\cc}{\~a}o Faria} and Concei{\cc}{\~a}o Telhado and Cristina Didelet and Cristina Leite and Cristina Martins and Cristina Trindade and Daniela Almeida and Jos{\'e} Guimar{\~a}es and Gra{\cc}a, {Lu{\'i}s Mendes} and Rui Costa and Teresa Ventura",
year = "2018",
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doi = "10.1111/ppe.12457",
language = "English",
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Rodrigues, C, Teixeira, R, Fonseca, MJ, Zeitlin, J, Barros, H, Couto, AS, Lopes, A, Almeida, A, Portela, A, Boas, AV, Pereira, A, Aroso, A, Berdeja, A, Bettencourt, A, Campos, ABA, Santos, AC, Machado, AI, Andrade, AM, Bento, AM, Neto, A, Pita, A, Ferreira, AR, Tavares, A, Costa, A, Nazaré, A, Braga, A, Fonseca, A, Lanhoso, A, Vilarinho, A, Sousa, B, Sá, C, Moniz, C, Carvalho, C, Dâmaso, C, Araújo, C, Paz Dias, C, Araújo, C, Casanova, C, Cunha, C, Murinello, CF, Telhado, C, Didelet, C, Leite, C, Martins, C, Trindade, C, Almeida, D, Guimarães, J, Graça, LM, Costa, R & Ventura, T 2018, 'Prevalence and duration of breast milk feeding in very preterm infants: A 3-year follow-up study and a systematic literature review' Paediatric and Perinatal Epidemiology, vol. 32, no. 3, pp. 237-246. https://doi.org/10.1111/ppe.12457

Prevalence and duration of breast milk feeding in very preterm infants : A 3-year follow-up study and a systematic literature review. / Rodrigues, Carina; Teixeira, Raquel; Fonseca, Maria João; Zeitlin, Jennifer; Barros, Henrique; Couto, Adelina Sá; Lopes, Aldina; Almeida, Alexandra; Portela, Alexandrina; Boas, Alice Vilas; Pereira, Almerinda; Aroso, Ana; Berdeja, Ana; Bettencourt, Ana; Campos, Ana B. A.; Santos, Ana Castilho; Machado, Ana Isabel; Andrade, Ana Maria; Bento, Ana Melo; Neto, Ana; Pita, Ana; Ferreira, Ana Rute; Tavares, Angelina; Costa, Anselmo; Nazaré, Antónia; Braga, António; Fonseca, António; Lanhoso, António; Vilarinho, António; Sousa, Beatriz; Sá, Carla; Moniz, Carlos; Carvalho, Cármen; Dâmaso, Catarina; Araújo, Célia; Paz Dias, Clara; Araújo, Cláudia; Casanova, Conceição; Cunha, Conceição; Murinello, Conceição Faria; Telhado, Conceição; Didelet, Cristina; Leite, Cristina; Martins, Cristina; Trindade, Cristina; Almeida, Daniela; Guimarães, José; Graça, Luís Mendes; Costa, Rui; Ventura, Teresa.

In: Paediatric and Perinatal Epidemiology, Vol. 32, No. 3, 01.05.2018, p. 237-246.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Prevalence and duration of breast milk feeding in very preterm infants

T2 - A 3-year follow-up study and a systematic literature review

AU - Rodrigues, Carina

AU - Teixeira, Raquel

AU - Fonseca, Maria João

AU - Zeitlin, Jennifer

AU - Barros, Henrique

AU - Couto, Adelina Sá

AU - Lopes, Aldina

AU - Almeida, Alexandra

AU - Portela, Alexandrina

AU - Boas, Alice Vilas

AU - Pereira, Almerinda

AU - Aroso, Ana

AU - Berdeja, Ana

AU - Bettencourt, Ana

AU - Campos, Ana B. A.

AU - Santos, Ana Castilho

AU - Machado, Ana Isabel

AU - Andrade, Ana Maria

AU - Bento, Ana Melo

AU - Neto, Ana

AU - Pita, Ana

AU - Ferreira, Ana Rute

AU - Tavares, Angelina

AU - Costa, Anselmo

AU - Nazaré, Antónia

AU - Braga, António

AU - Fonseca, António

AU - Lanhoso, António

AU - Vilarinho, António

AU - Sousa, Beatriz

AU - Sá, Carla

AU - Moniz, Carlos

AU - Carvalho, Cármen

AU - Dâmaso, Catarina

AU - Araújo, Célia

AU - Paz Dias, Clara

AU - Araújo, Cláudia

AU - Casanova, Conceição

AU - Cunha, Conceição

AU - Murinello, Conceição Faria

AU - Telhado, Conceição

AU - Didelet, Cristina

AU - Leite, Cristina

AU - Martins, Cristina

AU - Trindade, Cristina

AU - Almeida, Daniela

AU - Guimarães, José

AU - Graça, Luís Mendes

AU - Costa, Rui

AU - Ventura, Teresa

PY - 2018/5/1

Y1 - 2018/5/1

N2 - Background: The World Health Organization recommends exclusive breast milk feeding until 6 months and continuing up to 2 years of age; little is known about whether very preterm infants are fed in accordance with these recommendations. We aimed to describe the prevalence and duration of breast milk feeding in very preterm children and to systematically review internationally published data. Methods: We evaluated breast milk feeding initiation and duration in very preterm children born in 2 Portuguese regions (2011-2012) enrolled in the EPICE cohort and followed-up to the age of 3 (n = 466). We searched PubMed® from inception to January 2017 to identify original studies reporting the prevalence and/or duration of breast milk feeding in very preterm children. Results: 91.0% of children received some breast milk feeding and 65.3% were exclusively breast fed with a median duration of 2 months for exclusive and 3 months for any breast milk; only 9.9% received exclusive breast milk for at least 6 months, 10.2% received any breast milk for 12 months or more, and 2.0% for up to 24 months. The literature review identified few studies on feeding after hospital discharge (n = 9); these also reported a low prevalence of exclusive breast milk feeding at 6 months (1.0% to 27.0%) and of any breast milk at 12 months (8.0% to 12.0%). Conclusions: The duration of breast milk feeding among Portuguese very preterm infants was shorter than recommended. However, this appears to be common globally. Research is needed to inform strategies to promote continued breast milk feeding.

AB - Background: The World Health Organization recommends exclusive breast milk feeding until 6 months and continuing up to 2 years of age; little is known about whether very preterm infants are fed in accordance with these recommendations. We aimed to describe the prevalence and duration of breast milk feeding in very preterm children and to systematically review internationally published data. Methods: We evaluated breast milk feeding initiation and duration in very preterm children born in 2 Portuguese regions (2011-2012) enrolled in the EPICE cohort and followed-up to the age of 3 (n = 466). We searched PubMed® from inception to January 2017 to identify original studies reporting the prevalence and/or duration of breast milk feeding in very preterm children. Results: 91.0% of children received some breast milk feeding and 65.3% were exclusively breast fed with a median duration of 2 months for exclusive and 3 months for any breast milk; only 9.9% received exclusive breast milk for at least 6 months, 10.2% received any breast milk for 12 months or more, and 2.0% for up to 24 months. The literature review identified few studies on feeding after hospital discharge (n = 9); these also reported a low prevalence of exclusive breast milk feeding at 6 months (1.0% to 27.0%) and of any breast milk at 12 months (8.0% to 12.0%). Conclusions: The duration of breast milk feeding among Portuguese very preterm infants was shorter than recommended. However, this appears to be common globally. Research is needed to inform strategies to promote continued breast milk feeding.

KW - breast feeding

KW - breast milk

KW - EPICE project

KW - very preterm infants

UR - http://www.scopus.com/inward/record.url?scp=85047897011&partnerID=8YFLogxK

U2 - 10.1111/ppe.12457

DO - 10.1111/ppe.12457

M3 - Article

VL - 32

SP - 237

EP - 246

JO - Paediatric and Perinatal Epidemiology

JF - Paediatric and Perinatal Epidemiology

SN - 0269-5022

IS - 3

ER -