Predictive factors of the interruption of exclusive breastfeeding in premature infants: a prospective cohort

Rev Bras Enferm. Nov-Dec 2018;71(6):2876-2882. doi: 10.1590/0034-7167-2017-0762.
[Article in English, Portuguese]


Objective: to evaluate the incidence of exclusive breastfeeding and the risk factors associated to its interruption in premature infants after hospital discharge.

Method: this is a prospective cohort with 113 premature infants in a neonatal unit, whom were followed-up from 7 to 15 days after hospital discharge. The outcome was the interruption of exclusive breastfeeding. Maternal and neonatal exposure variables were evaluated by a regression model and described by the confidence interval (95%) and risk ratio.

Results: exclusive breastfeeding rate was 81.4% at discharge and 66.4% at 7 to 15 days after discharge. Double gestation, time of mechanical ventilation and birth weight were associated with higher risks of interruption of exclusive breastfeeding after discharge.

Conclusion: there is a need for the implementation of actions that promote the early onset and maintenance of exclusive breastfeeding of premature infants.

MeSH terms

  • Adult
  • Birth Weight
  • Brazil
  • Breast Feeding / methods
  • Breast Feeding / statistics & numerical data*
  • Cohort Studies
  • Female
  • Humans
  • Infant, Newborn
  • Infant, Premature / growth & development*
  • Intensive Care Units, Neonatal / organization & administration
  • Male
  • Prospective Studies
  • Risk Factors
  • Surveys and Questionnaires