The role of residential distance in maternal breast milk intake in preterm and very low birthweight infants
摘要
Study the association of residential distance in the context of other socioeconomic factors with the availability of maternal breast milk (MBM) to reduce barriers and improve outcomes for very low birthweight preterm infants.
Study designThis prospective cohort study analyzed demographic, socioeconomic, and clinical data from 300 maternal-preterm infant dyads with infants born <1500 g. Data included residential distance from the hospital, comorbidities, and infant MBM intake measured as a percentage of total enteral intake.
ResultsBivariate analysis revealed that maternal race, median income by zip code, marital status, and residential distance were significantly associated with MBM intake. In a multivariate regression model, only residential distance and marital status remained significant predictors, with greater distance from the hospital and marriage status associated with higher MBM intake.
ConclusionResidential distance from the studied hospital was not a significant barrier to breastfeeding. Hospitals need to examine their own barriers to breastfeeding.