1393 Regional Study for Predictive Factors of Breastfeeding Preterm Infants Less Than 33 Weeks

Objective To determine regional prevalence of breastfeeding very premature infants and identify factors influencing it’s initiation at birth and continuation at discharge. Study Design It was a prospective observational study in preterm t test at p Results Questionnaires collected concerns 112/150 infants (74.7%) and 95 parents (17 multiple pregnancy). At birth, 65.2% (n=73) were breastfed. Factors significantly associated with breastfeeding at birth were: maternal body mass index (BMI), employed mothers, mothers that have been breastfed (MoBr) and daycare other than grandparents. In a multivariate regression model, BMI, daycare by grandparents and MoBr were independent predictive factors of breastfeeding at birth with OR [IC 95%]: 1.18 [1.01–1.38], 0.24 [0.08–0.74] and 5.8 [1.49–22.56] respectively. At discharge, 46.4% (n=52) of infants were breastfed. Factors significantly associated with breastfeeding at discharge were: intrapartum information about breastfeeding employed mothers, non smoker mothers, low paternal BMI, high educational level of fathers, daycare by grandparents, and MoBr. The last 4 factors were independent predictors of breastfeeding at discharge in a multivariate binary logistic model with OR [IC 95%]: 0.75 [0.62–0.9], 5.35 [1.24–23.1], 0.18 [0.03–0.96] and 7.5 [1.35–41.8] respectively. Conclusion Socio-economic, educational and family conditions influence differently breastfeeding initiation and continuation. This diagnosis is precious to breastfeeding promotion programs.