MS, University of Cincinnati, 2019, Allied Health Sciences: Nutrition
Background: In the United States 10% of all infants are born preterm.1 Preterm birth, low birth weight, and NICU admissions put newborns at increased risk of morbidity and mortality.1,2 Breast milk provides NICU-admitted infants with nutritional and immunologic protections including human milk oligosaccharides, secretory IgA, hormones, growth factors, cytokines, and chemokines.3,4 The AAP states the potent benefits of human milk are such that all premature infants should receive human milk, preferably mother's own milk (MOM).5
Objectives: Our objective was to determine the predictors of the following outcomes for NICU-admitted newborns and their mothers: mother attempting breast milk expression (Attempted Expression), mother initiating breast milk expression within 6 hours of birth (EBM First 6h), newborn receiving MOM as first feeding (MOM First Feeding), newborn receiving colostrum for oral care within the first 36 hours of life (COC First 36h), and newborn receiving any MOM at discharge (DC), or day of life 21 (DOL21) if discharged after DOL21 (MOM DC/DOL 21).
Methods: We included all preterm infants born at UCMC June 1, 2018 to May 31, 2019 and examined a comprehensive set of socio-demographic, maternal, obstetric, and infant variables as being potential predictors of MOM outcome variables. We built a database by linking mother's medical record with newborn medical record and hand extraction of additional variables from nursing notes, lactation notes, etc. All data were imported into SAS for data analysis. We used chi square analyses to examine the unadjusted associations between independent variables and MOM outcomes. We used logistic regression models to examine the adjusted associations between the independent variables and MOM outcomes.
Results: It was found from our fully adjusted logistic regression model that the independent predictors of mother not attempting breast milk expression were active smoking (P<0.0001), multiparity (P=0.03), maternal (open full item for complete abstract)
Committee: Laurie Nommsen-Rivers Ph.D. (Committee Chair); Laura Ward M.D. (Committee Member)
Subjects: Nutrition