Feeding and Wellness Among Late Preterm Infants
| Status: | Completed |
|---|---|
| Conditions: | Women's Studies |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/17/2018 |
| Start Date: | November 2008 |
| End Date: | January 2010 |
Early Feeding and Wellness Among Late Preterm Infants Born at MacDonald Women's Hospital: A Feasibility Study for a Breastfeeding Intervention
1. The first aim of this proposal is to pilot the feasibility of weekly phone monitoring of
infant feeding and illness patterns in a socio-economically and racially diverse
population. Specifically, the investigators aim to estimate the rate of group loss to
follow up from birth to 13 weeks (3 months) of age with weekly phone interview of
mothers of late preterm (LPT, gestational age 34 0/7- 36 6/7 weeks gestation) infants.
2. The second aim is to describe breastfeeding and formula feeding practices, and rates of
illness and post-discharge hospital care utilization, through age 13 weeks (3 months)
among late preterm infants born at MacDonald Women's Hospital. The investigators
estimate that the rate of exclusive breastfeeding among LPT infants at 3 months of age
is less than the documented rate of 37% for all infants in Cuyahoga County.
infant feeding and illness patterns in a socio-economically and racially diverse
population. Specifically, the investigators aim to estimate the rate of group loss to
follow up from birth to 13 weeks (3 months) of age with weekly phone interview of
mothers of late preterm (LPT, gestational age 34 0/7- 36 6/7 weeks gestation) infants.
2. The second aim is to describe breastfeeding and formula feeding practices, and rates of
illness and post-discharge hospital care utilization, through age 13 weeks (3 months)
among late preterm infants born at MacDonald Women's Hospital. The investigators
estimate that the rate of exclusive breastfeeding among LPT infants at 3 months of age
is less than the documented rate of 37% for all infants in Cuyahoga County.
Late preterm infants (LPT, gestational age 34 0/7 - 36 6/7 weeks) are the largest proportion
of all preterm (less than 37 weeks gestation) infants. Recent evidence finds an increased
risk of early post-discharge morbidity and re-hospitalization among LPT as compared to full
term infants, which is linked to breastfeeding, specifically to early lactation failure and
decreased breast milk intake. Accurate and inexpensive methods to collect data on rates of
breastfeeding and early morbidity among LPT infants are critical to design, implementation
and monitoring of effective interventions. This pilot study evaluates the feasibility of
weekly phone calling in a racially and socioeconomically diverse population of mothers of LPT
infants.
of all preterm (less than 37 weeks gestation) infants. Recent evidence finds an increased
risk of early post-discharge morbidity and re-hospitalization among LPT as compared to full
term infants, which is linked to breastfeeding, specifically to early lactation failure and
decreased breast milk intake. Accurate and inexpensive methods to collect data on rates of
breastfeeding and early morbidity among LPT infants are critical to design, implementation
and monitoring of effective interventions. This pilot study evaluates the feasibility of
weekly phone calling in a racially and socioeconomically diverse population of mothers of LPT
infants.
Inclusion Criteria:
- Mothers of singleton LPT (late preterm, gestational age 34 0/7- 36 6/7 completed
weeks) infants
Exclusion Criteria:
- Exclusion criteria for mothers include positive maternal drug screen for drug of abuse
- Age < 18 years, or per caregiver discretion mother is not appropriate for study.
- Exclusion criteria for infants include custody under contention, positive screen for
maternal drugs of abuse, or major congenital anomaly or congenital infection.
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