Variations in breastfeeding rates for very preterm infants between regions and neonatal units in Europe: Results from the MOSAIC cohort

Mercedes Bonet, Béatrice Blondel, Rocco Agostino, Evelyne Combier, Rolf F. Maier, Marina Cuttini, Babak Khoshnood, Jennifer Zeitlin, E. Martens, G. Martens, P. Van Reempts, K. Boerch, T. Weber, B. Peitersen, G. Bréart, J. L. Chabernaud, D. Delmas, P. H. Jarreau, E. Papiernik, H. CharreireF. Michaud, C. Ferdynus, E. Combier, J. B. Gouyon, L. Gortner, W. Künzel, R. F. Maier, B. Misselwitz, S. Schmidt, R. Agostino, D. Di Lallo, R. Paesano, L. Den Ouden, L. Kollée, G. Visser, J. Gerrits, R. De Heus, G. Breborowicz, J. Gadzinowski, J. Mazela, H. Barros, I. Campos, M. Carrapato, E. Draper, D. Field, J. Konje, A. Fenton, D. Milligan, S. Sturgiss, B. Blondel, H. Pilkington, J. Zeitlin, M. Cuttini, S. Petrou

Research output: Contribution to journalArticle

Abstract

Objectives: To compare breastfeeding rates at discharge for very preterm infants between European regions and neonatal units, and to identify characteristics associated with breast feeding using multilevel models. Methods: Population-based cohort of 3006 very preterm births (22-31 weeks of gestation) discharged home from neonatal units in eight European regions in 2003. Results: Breastfeeding rates varied from 19% in Burgundy to 70% in Lazio, and were correlated with national rates in the entire newborn population. Women were more likely to breast feed if they were older, primiparous and European; more premature, smaller and multiple babies or those with bronchopulmonary dysplasia were breast fed less. Variations across regions and neonatal units remained statistically significant after adjusting for maternal, infant and unit characteristics. Conclusion: It is possible to achieve high breastfeeding rates for very preterm infants, but rates varied widely across regions and neonatal units throughout Europe.

Original languageEnglish
JournalArchives of Disease in Childhood: Fetal and Neonatal Edition
Volume96
Issue number6
DOIs
Publication statusPublished - Nov 2011

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

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    Bonet, M., Blondel, B., Agostino, R., Combier, E., Maier, R. F., Cuttini, M., Khoshnood, B., Zeitlin, J., Martens, E., Martens, G., Van Reempts, P., Boerch, K., Weber, T., Peitersen, B., Bréart, G., Chabernaud, J. L., Delmas, D., Jarreau, P. H., Papiernik, E., ... Petrou, S. (2011). Variations in breastfeeding rates for very preterm infants between regions and neonatal units in Europe: Results from the MOSAIC cohort. Archives of Disease in Childhood: Fetal and Neonatal Edition, 96(6). https://doi.org/10.1136/adc.2009.179564