This study identified maternal and infant characteristics predicting human milk (HM) feeding in very low birth weight (VLBW) infants whose mothers (n = 184) participated in a study of lactation counseling and initiated milk expression. Data were collected prospectively, by maternal interview and medical record review. During hospitalization, 159 (86%) infants received at least 50% HM proportion of feedings in the first 2 weeks of life, and 114 (62%) received some HM until the day of hospital discharge. Analysis showed plan to breastfeed was the strongest predictor of initiation and duration of HM feeding. Greater than 12 years of education, respiratory distress syndrome, Apgar score >6, and female gender were significant predictors, and no perinatal hypertensive disorder, white race, and mechanical ventilation were marginal predictors of HM feeding. Women with a high-risk pregnancy should be provided education about the benefits of breastfeeding for infants who are likely to be born prematurely. J Hum Lact. 25(4):412-419.
Lucas A., Cole TJBreast milk and neonatal necrotising enterocolitis. Lancet . 1990;336:1519-1523.
2.
Hylander M., Strobino D., Dhanireddy R.Human milk feedings and infection among very low birth weight infants. Pediatrics. 1998;102:e38.
3.
Shulman RJ, Schanler RJ, Lau C., Heitkemper M., Smith EOEarly feeding, feeding tolerance, and lactase activity in preterm infants . J Pediatr. 1998;133:645-649.
4.
Lucas A., Morley R., Cole T., Lister G., Leeson-Payne C.Breast milk and subsequent intelligence quotient in children born preterm . Lancet. 1992;339:261-264.
5.
O’Connor D., Jacobs J., Hall RT, et al. Growth and development of premature infants fed predominantly human milk, predominantly premature infant formula, or a combination of human milk and premature formula. J Pediatr Gastroenterol Nutr. 2003;37:437-446.
6.
Bier J., Oliver T., Ferguson A., Vohr BRHuman milk improves cognitive and motor development of premature infants during infancy. J Hum Lact. 2002;18:361-367.
7.
Pinnelli J., Saigal S., Atkinson S.Effect of breast milk consumption on neurodevelopmental outcomes at 6 and 12 months of age in VLBW infants. Adv Neonatal Care. 2003;3:76-87.
8.
Feldman R., Eidelman A.Direct and indirect effects of breast milk on the neurobehavioral and cognitive development of premature infants. Dev Psychobiol. 2003;43:109-119.
9.
Sisk PM, Lovelady CA, Gruber KJ, Dillard RG, O’Shea TMEarly human milk feeding is associated with a lower risk of necrotizing enterocolitis in very low birth weight infants. J Perinatol. 2007;27:428-433.
10.
Meinzen-Derr J., Poindexter B., Wrage L., Morrow AL, Stoll B., Donovan EFRole of human milk in extremely low birth weight infants’ risk of necrotizing enterocolitis or death. J Perinatol. 2009;29:57-62.
11.
Sisk PM, Lovelady CA, Dillard RG, Gruber KJ, O’Shea TMHuman milk consumption and full enteral feeding among infants ≤ 1250 grams . Pediatrics. 2008;121:e1528-e1533.
12.
Furman L., Taylor G., Minich N., Hack M.The effect of maternal milk on neonatal morbidity of very low-birth-weight infants. Arch Pediatr Adolesc Med. 2003;157:66-71.
13.
Schanler RJ , Shulman RJ, Lau C.Feeding strategies for premature infants: beneficial outcomes of feeding fortified human milk versus preterm formula . Pediatrics. 1999;103:1150-1157.
14.
Vohr B., Poindexter B., Dusick A., et al. Beneficial effect of breast milk in the neonatal intensive care unit on the developmental outcome of extremely low birth weight infants at 18 months of age. Pediatrics. 2006;118:e115-e123.
15.
Section on Breastfeeding, American Academy of Pediatrics.Breastfeeding and the use of human milk. Pediatrics. 2005;115: 496-506.
16.
World Health Organization Global strategy for infant and young child feeding. 2003. www.who.int/nutrition/publications/gs_infant_feeding_text_eng.pdf
17.
Killersreiter B., Grimmer I., Buhrer C., Dudenhausen J., Obladen M.Early cessation of breast milk feeding in very low birth weight infants. Early Hum Dev. 2001;60:193-205.
18.
Sisk PM, Lovelady CA, Dillard RG, Gruber KJLactation counseling for mothers of very low birth weight infants: effect on maternal anxiety and infant intake of human milk. Pediatrics . 2006;117:67-75.
19.
Meier P.The accuracy of test weighing for preterm infants. J Pediatr Gastroenterol Nutr. 1990;10:62-65.
20.
Battaglia F. , Lubcheno L.A practical classification of newborn infants by weight and gestational age. J Pediatr. 1967;71:159-163.
21.
Marshall D. , Kotelchuck M., Young T., Bose C., Kruyer L., O’Shea M.Risk factors for chronic lung disease in the surfactant era: a North Carolina population-based study of very low birth weight infants. Pediatrics. 1999;104:1345-1350.
22.
Donath S., Amir L., Team A.Relationship between prenatal feeding intention and initiation and duration of breastfeeding: a cohort study. Acta Paediatr. 2003;92:352-356.
23.
Miracle D., Meier P., Bennett P.Mothers’ decision to change from formula to mothers’ milk for very-low-birth-weight infants. JOGNN. 2004 ;33:692-703.
24.
Ryan A., Wenjun Z., Acosta A.Breastfeeding continues to increase into the new millennium. Pediatrics. 2002;110:1103-1109.
25.
Lessen R., Crivelli-Kovach A.Prediction of initiation and duration of breast-feeding for neonates admitted to the neonatal intensive care unit. J Perinat Neonatal Nurs . 2007;21:256-266.
26.
Flacking R. , Wallin L., Ewald U.Perinatal and socioeconomic determinants of breastfeeding duration in very preterm infants. Acta Paediatr . 2007;96:1126-1130.
27.
Espy K., Senn T.Incidence and correlates of breast milk feeding in hospitalized preterm infants . Soc Sci Med. 2003;57:1421-1428.
28.
Furman L., Minich N., Hack M.Correlates of lactation in mothers of very low birth weight infants. Pediatrics. 2002;109:e57.
29.
Smith M., Durkin M., Hinton V., Bellinger D., Kuhn L.Initiation of breastfeeding among mothers of very low birth weight infants . Pediatrics. 2003;111:1337-1342.
30.
Giglia R., Binns C., Alfonso H.Maternal cigarette smoking and breastfeeding duration. Acta Paediatr. 2006;95:1370-1374.
31.
Forester D., McLachan H., Lumley J.Factors associated with breastfeeding at six month postpartum in a group ofAustralian women. Int Breastfeed J. 2006;1:18.
32.
Di Napoli A., Di Lallo D., Pezzotti P., Forastiere F., Porta D.Effects of parental smoking and level of education on initiation and duration of breastfeeding. Acta Paediatr. 2006;95:678-685.
33.
Gudnadottir M. , Gunnarsson B., Thorsdotti I.Effects of sociodemographic factors on adherence to breastfeeding and other important infant dietary recommendations. Acta Paediatr. 2006;95:419-424.
34.
Daglas M., Antoniou E., Pitselis G., Iatrakis G., Kourounis G., Creatsas G.Factors influencing the initiation and progress of breastfeeding in Greece . Clin Exp Obstet Gynecol. 2005;32:189-192.
35.
Liu J., Rosenburg K., Sandoval A.Breastfeeding duration and perinatal cigarette smoking in a population-based cohort. Am J Public Health. 2006;96:309-314.
36.
Hopkinson J.Milk production by mothers of premature infants: influence of cigarette smoking . Pediatrics. 1992;90:934-938.
37.
Leeners B., Werner R., Kuse S., Neumaier-Wagner P.Breast-feeding in women with hypertensive disorders in pregnancy. J Perinat Med. 2005;33:553-560.
38.
Meier P., Engstrom J., Mingolelli S., Miracle D., Kiesling S.The Rush Mothers’ Milk Club: Breastfeeding interventions for mothers with very-low-birth-weight infants. J Obstet Gynecol Neonatal Nurs. 2004;33:164-174.
39.
Dweck N., Augustine M., Pandya D., Valdes-Greene R., Visintainer P., Brumberg H.NICU lactation consultant increases percentage of out-born versus inborn babies receiving human milk. J Perinatol. 2008;28:136-140.
40.
Merewood A. , Chamberlain L., Cook J., Philipp B., Malone K., Bauchner H.The effect of peer counselors on breastfeeding rates in the neonatal intensive care unit. Arch Pediatr Adolesc Med. 2006;160:681-685.
41.
Lu M., Lange L., Slusser W., Hamilton J., Halfon N.Provider encouragement of breast-feeding: evidence from a national survey . Obstet Gynecol. 2001;97:290-295.
