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dc.creatorRodrigues, C
dc.creatorTeixeira, R
dc.creatorFonseca, MJ
dc.creatorZeitlin, J
dc.creatorBarros, H
dc.description.abstractBackground: 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.
dc.description.sponsorshipThis study was funded by the European Union Seventh Framework Programme (FP7/2007‐2013) under grant agreement no. 259882. This study was also funded by FEDER through the Operational Programme Competitiveness and Internationalization and national funding from the Foundation for Science and Technology—FCT (Portuguese Ministry of Science, Technology and Higher Education), under the Unidade de Investigação em Epidemiologia—Instituto de Saúde Pública da Universidade do Porto (EPIUnit) (POCI‐01‐0145‐FEDER‐006862; Ref.UID/DTP/04750/2013); the PhD Grant SFRH/BD/111794/2015 (Carina Rodrigues) and the individual grant SFRH/BSAB/113778/2015 (Henrique Barros), co‐funded by the FCT and the POCH/FSE Program.
dc.relation.ispartofPaediatr Perinat Epidemiol, vol. 32(3), p. 237-246
dc.subjectBreast feeding
dc.subjectBreast milk
dc.subjectVery preterm infants
dc.titlePrevalence and duration of breast milk feeding in very preterm infants: A 3-year follow-up study and a systematic literature review
dc.typeArtigo em Revista Científica Internacional
dc.contributor.uportoIntituto de Saúde Pública
Appears in Collections:ISPUP - Artigo em Revista Científica Internacional

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