PMID- 34370592 OWN - NLM STAT- MEDLINE DCOM- 20211213 LR - 20211214 IS - 1556-8342 (Electronic) IS - 1556-8253 (Linking) VI - 16 IP - 11 DP - 2021 Nov TI - Evaluation of Methods of Breast or Bottle Feeding on Length of Hospitalization of Preterm Infants. PG - 899-903 LID - 10.1089/bfm.2021.0066 [doi] AB - Background: Direct breastfeeding is the optimal method of nourishing preterm infants. Preconceived notions exist among health practitioners that establishment of direct breastfeeding lengthens hospitalization. Thus far, the aforementioned association remains unknown. Research Aim: The objective of this study was to assess the impact of direct breastfeeding establishment on length of hospital stay in preterm infants. Methods: A retrospective chart review on a sample of 101 mother-infant dyads was conducted in the neonatal intensive care unit at Kingston Health Sciences Center (KHSC) in Ontario, Canada. The sample consisted of three groups: (1) modified direct breastfeeding group, defined as infants receiving >/=50% direct breastfeeds during hospitalization, (2) partial breastfeeding group, defined as infants receiving <50% breastfeeds during hospitalization, and (3) bottle feeding group, defined as infants only receiving bottle feeds during hospitalization. A multiple linear regression model was performed to assess the relationship between length of hospitalization and method of oral feeds (modified direct breastfeeds vs. partial breastfeeds vs. bottle feeds) while controlling for infant (gestational age [GA], birth weight, 5 minutes Apgar score, ventilator support) and maternal (age, first-time mother, mental health conditions) factors. Results: GA was inversely associated with length of hospitalization. The number of days on ventilator support was positively associated with length of hospitalization. Method of oral feed, birth weight, 5 minutes Apgar score, maternal age, first-time mother status, and maternal mental health conditions were not associated with duration of hospitalization. Conclusions: Direct breastfeeding establishment does not lengthen hospitalization in preterm infants. This finding may aid health practitioners in increasing direct breastfeeding success in this population. FAU - Wener, Emily AU - Wener E AD - Department of Pediatrics, Queen's University, Kingston, Ontario, Canada. FAU - Dow, Kimberly E AU - Dow KE AD - School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada. FAU - Fucile, Sandra AU - Fucile S AUID- ORCID: 0000-0001-7765-6807 AD - Department of Pediatrics, Queen's University, Kingston, Ontario, Canada. AD - School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada. LA - eng PT - Journal Article DEP - 20210809 PL - United States TA - Breastfeed Med JT - Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine JID - 101260777 SB - IM MH - *Bottle Feeding MH - Breast Feeding MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - *Infant, Premature MH - Length of Stay MH - Ontario MH - Retrospective Studies OTO - NOTNLM OT - breastfeeding neonates OT - hospitalization OT - premature EDAT- 2021/08/10 06:00 MHDA- 2021/12/15 06:00 CRDT- 2021/08/09 17:15 PHST- 2021/08/10 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2021/08/09 17:15 [entrez] AID - 10.1089/bfm.2021.0066 [doi] PST - ppublish SO - Breastfeed Med. 2021 Nov;16(11):899-903. doi: 10.1089/bfm.2021.0066. Epub 2021 Aug 9.