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- Publisher Website: 10.1017/S136898001600241X
- Scopus: eid_2-s2.0-84989920296
- PMID: 27692019
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Article: Practices, predictors and consequences of expressed breast-milk feeding in healthy full-term infants
Title | Practices, predictors and consequences of expressed breast-milk feeding in healthy full-term infants |
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Authors | |
Keywords | Breast milk Breast-feeding Chinese Expression Pumping |
Issue Date | 2017 |
Publisher | Cambridge University Press. The Journal's web site is located at http://journals.cambridge.org/action/displayJournal?jid=PHN |
Citation | Public Health Nutrition, 2017, v. 20 n. 3, p. 492-503 How to Cite? |
Abstract | To investigate the prevalence and predictors of expressed breast-milk feeding in healthy full-term infants and its association with total duration of breast-milk feeding.
Prospective cohort study.
In-patient postnatal units of four public hospitals in Hong Kong.
A total of 2450 mother–infant pairs were recruited in 2006–2007 and 2011–2012 and followed up prospectively for 12 months or until breast-milk feeding had stopped.
Across the first 6 months postpartum, the rate of exclusive expressed breast-milk feeding ranged from 5·1 to 8·0 % in 2006–2007 and from 18·0 to 19·8 % in 2011–2012. Factors associated with higher rate of exclusive expressed breast-milk feeding included supplementation with infant formula, lack of previous breast-milk feeding experience, having a planned caesarean section delivery and returning to work postpartum. Exclusive expressed breast-milk feeding was associated with an increased risk of early breast-milk feeding cessation when compared with direct feeding at the breast. The hazard ratio (95 % CI) ranged from 1·25 (1·04, 1·51) to 1·91 (1·34, 2·73) across the first 6 months.
Mothers of healthy term infants should be encouraged and supported to feed directly at the breast. Exclusive expressed breast-milk feeding should be recommended only when medically necessary and not as a substitute for feeding directly at the breast. Further research is required to explore mothers’ reasons for exclusive expressed breast-milk feeding and to identify the health outcomes associated with this practice. |
Persistent Identifier | http://hdl.handle.net/10722/232510 |
ISSN | 2023 Impact Factor: 3.0 2023 SCImago Journal Rankings: 0.861 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Bai, DL | - |
dc.contributor.author | Fong, DYT | - |
dc.contributor.author | Lok, YWK | - |
dc.contributor.author | Wong, JYH | - |
dc.contributor.author | Tarrant, AM | - |
dc.date.accessioned | 2016-09-20T05:30:31Z | - |
dc.date.available | 2016-09-20T05:30:31Z | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | Public Health Nutrition, 2017, v. 20 n. 3, p. 492-503 | - |
dc.identifier.issn | 1368-9800 | - |
dc.identifier.uri | http://hdl.handle.net/10722/232510 | - |
dc.description.abstract | To investigate the prevalence and predictors of expressed breast-milk feeding in healthy full-term infants and its association with total duration of breast-milk feeding. Prospective cohort study. In-patient postnatal units of four public hospitals in Hong Kong. A total of 2450 mother–infant pairs were recruited in 2006–2007 and 2011–2012 and followed up prospectively for 12 months or until breast-milk feeding had stopped. Across the first 6 months postpartum, the rate of exclusive expressed breast-milk feeding ranged from 5·1 to 8·0 % in 2006–2007 and from 18·0 to 19·8 % in 2011–2012. Factors associated with higher rate of exclusive expressed breast-milk feeding included supplementation with infant formula, lack of previous breast-milk feeding experience, having a planned caesarean section delivery and returning to work postpartum. Exclusive expressed breast-milk feeding was associated with an increased risk of early breast-milk feeding cessation when compared with direct feeding at the breast. The hazard ratio (95 % CI) ranged from 1·25 (1·04, 1·51) to 1·91 (1·34, 2·73) across the first 6 months. Mothers of healthy term infants should be encouraged and supported to feed directly at the breast. Exclusive expressed breast-milk feeding should be recommended only when medically necessary and not as a substitute for feeding directly at the breast. Further research is required to explore mothers’ reasons for exclusive expressed breast-milk feeding and to identify the health outcomes associated with this practice. | - |
dc.language | eng | - |
dc.publisher | Cambridge University Press. The Journal's web site is located at http://journals.cambridge.org/action/displayJournal?jid=PHN | - |
dc.relation.ispartof | Public Health Nutrition | - |
dc.rights | Public Health Nutrition. Copyright © Cambridge University Press. | - |
dc.rights | This article has been published in a revised form in Public Health Nutrition [http://doi.org/10.1017/S136898001600241X]. This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. © copyright holder. | - |
dc.subject | Breast milk | - |
dc.subject | Breast-feeding | - |
dc.subject | Chinese | - |
dc.subject | Expression | - |
dc.subject | Pumping | - |
dc.title | Practices, predictors and consequences of expressed breast-milk feeding in healthy full-term infants | - |
dc.type | Article | - |
dc.identifier.email | Fong, DYT: dytfong@hku.hk | - |
dc.identifier.email | Lok, YWK: krislok@hku.hk | - |
dc.identifier.email | Wong, JYH: janetyh@hku.hk | - |
dc.identifier.email | Tarrant, AM: tarrantm@hku.hk | - |
dc.identifier.authority | Fong, DYT=rp00253 | - |
dc.identifier.authority | Lok, YWK=rp02172 | - |
dc.identifier.authority | Wong, JYH=rp01561 | - |
dc.identifier.authority | Tarrant, AM=rp00461 | - |
dc.description.nature | postprint | - |
dc.identifier.doi | 10.1017/S136898001600241X | - |
dc.identifier.pmid | 27692019 | - |
dc.identifier.scopus | eid_2-s2.0-84989920296 | - |
dc.identifier.hkuros | 266084 | - |
dc.identifier.volume | 20 | - |
dc.identifier.issue | 3 | - |
dc.identifier.spage | 492 | - |
dc.identifier.epage | 503 | - |
dc.identifier.isi | WOS:000395423600010 | - |
dc.publisher.place | United Kingdom | - |
dc.identifier.issnl | 1368-9800 | - |