{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T15:41:54Z","timestamp":1771947714183,"version":"3.50.1"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"S 01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>\n            Objective\u2003We sought to describe rates of breastmilk feeding (BF) at hospital discharge and 6 weeks postpartum and to identify risk factors for noninitiation or cessation among pregnancies complicated by preterm prelabor rupture of membranes (PPROM).<\/jats:p><jats:p>\n            Study Design\u2003Retrospective cohort study of pregnant persons with PPROM admitted to a single tertiary center (2013\u20132019). Patients with deliveries complicated by intrauterine or neonatal demise or with incomplete BF data were excluded. Demographic, antepartum, and delivery characteristics were evaluated. Primary analysis identified rate of BF initiation at maternal discharge and factors associated with noninitiation. Secondary analysis evaluated BF continuation and factors associated with cessation at 6 weeks postpartum. Bivariate statistics were used to compare characteristics and logistic regression was used to estimate adjusted odds ratios (aOR).<\/jats:p><jats:p>\n            Results\u2003Of 397 patients with PPROM, 342(86%) initiated BF prior to discharge. Those reporting tobacco use in pregnancy were less likely to initiate BF (aOR: 0.32; 95% confidence interval [CI]: 0.16, 0.64). In contrast, private insurance (aOR: 2.53; 95% CI: 1.19, 5.37) and pregnancy latency \u2265 14 days (aOR: 3.02; 95% CI: 1.09, 8.38) were associated with BF initiation at hospital discharge. Of the 293 patients with postpartum follow-up, only 214 (73%) had BF continuation at 6 weeks postpartum. Maternal age &lt;20 years (aOR: 0.07; 95% CI: 0.01, 0.68) and multiparity (aOR: 0.54; 95% CI: 0.29, 0.99) were associated with BF cessation. Patients with private insurance were observed to have increased odds of BF continuation (aOR: 2.10; 95% CI: 1.07, 4.12).<\/jats:p><jats:p>\n            Conclusion\u2003Among patients with PPROM, tobacco use may be associated with noninitiation of BF prior to discharge, whereas age\u2009&lt;\u200920 years and multiparity were associated with cessation by 6 weeks postpartum. Longer pregnancy latency \u2265 14 days was associated with BF initiation prior to discharge. Private insurance was associated with increased rates of BF initiation and continuation postpartum. BF education and support should be offered to all patients admitted for PPROM.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/a-2211-1787","type":"journal-article","created":{"date-parts":[[2023,11,16]],"date-time":"2023-11-16T01:20:47Z","timestamp":1700097647000},"page":"e3196-e3201","source":"Crossref","is-referenced-by-count":3,"special_numbering":"S","title":["Predictors of Breastfeeding among Patients Admitted with Preterm Prelabor Rupture of Membranes"],"prefix":"10.1055","volume":"41","author":[{"given":"Carmen M.A.","family":"Santoli","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian A.","family":"Taylor-Cho","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice J.","family":"Darling","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa N.","family":"Montoya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer B.","family":"Gilner","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8384-3721","authenticated-orcid":false,"given":"Sarahn M.","family":"Wheeler","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah K.","family":"Dotters-Katz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,12,5]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"e827","DOI":"10.1542\/peds.2011-3552","article-title":"Breastfeeding and the use of human milk","volume":"129","author":"Section on Breastfeeding","year":"2012","journal-title":"Pediatrics"},{"issue":"153","key":"ref2","first-page":"1","article-title":"Breastfeeding and maternal and infant health outcomes in developed countries","author":"S Ip","year":"2007","journal-title":"Evid Rep Technol Assess (Full Rep)"},{"issue":"07","key":"ref3","doi-asserted-by":"crossref","first-page":"e2221608","DOI":"10.1001\/jamanetworkopen.2022.21608","article-title":"Associations of maternal milk feeding with neurodevelopmental outcomes at 7 years of age in former preterm infants","volume":"5","author":"M B Belfort","year":"2022","journal-title":"JAMA Netw Open"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"e2021054272","DOI":"10.1542\/peds.2021-054272","article-title":"Promoting human milk and breastfeeding for the very low birth weight infant","volume":"148","author":"M G Parker","year":"2021","journal-title":"Pediatrics"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"S17","DOI":"10.1016\/j.jpeds.2012.11.049","article-title":"Human milk and the nutritional needs of preterm infants","volume":"162","author":"D I Tudehope","year":"2013","journal-title":"J Pediatr"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.pcl.2012.09.008","article-title":"Human milk for the premature infant","volume":"60","author":"M A Underwood","year":"2013","journal-title":"Pediatr Clin North Am"},{"issue":"10","key":"ref7","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.1111\/j.1651-2227.2007.00502.x","article-title":"Successful breastfeeding after discharge of preterm and sick newborn infants","volume":"96","author":"S Akerstr\u00f6m","year":"2007","journal-title":"Acta Paediatr"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.adnc.2004.12.003","article-title":"A review of the literature examining the benefits and challenges, incidence and duration, and barriers to breastfeeding in preterm infants","volume":"5","author":"J Callen","year":"2005","journal-title":"Adv Neonatal Care"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1089\/bfm.2012.0075","article-title":"Prevalence and predictors of early breastfeeding among late preterm mother-infant dyads","volume":"8","author":"J R Demirci","year":"2013","journal-title":"Breastfeed Med"},{"issue":"09","key":"ref10","doi-asserted-by":"crossref","first-page":"1648","DOI":"10.1007\/s10995-012-1178-5","article-title":"Outcomes and factors associated with breastfeeding for <8 weeks among preterm infants: findings from 6 states and NYC, 2004-2007","volume":"17","author":"C Mulready-Ward","year":"2013","journal-title":"Matern Child Health J"},{"issue":"07","key":"ref11","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1111\/j.1651-2227.2010.01721.x","article-title":"Factors associated with successful establishment of breastfeeding in very preterm infants","volume":"99","author":"G Zachariassen","year":"2010","journal-title":"Acta Paediatr"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"e80","DOI":"10.1097\/AOG.0000000000003700","article-title":"Prelabor rupture of membranes: ACOG practice bulletin, number 217","volume":"135","year":"2020","journal-title":"Obstet Gynecol"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"e65","DOI":"10.1097\/AOG.0000000000004479","article-title":"Prediction and prevention of spontaneous preterm birth: ACOG practice bulletin, number 234","volume":"138","author":"Prediction and Prevention of Spontaneous Preterm Birth","year":"2021","journal-title":"Obstet Gynecol"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/S0140-6736(08)60074-4","article-title":"Epidemiology and causes of preterm birth","volume":"371","author":"R L Goldenberg","year":"2008","journal-title":"Lancet"},{"issue":"06","key":"ref15","doi-asserted-by":"crossref","first-page":"642","DOI":"10.3109\/14767058.2011.597899","article-title":"Preterm birth aetiology 2004-2008. Maternal factors associated with three phenotypes: spontaneous preterm labour, preterm pre-labour rupture of membranes and medically indicated preterm birth","volume":"25","author":"J J Henderson","year":"2012","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"103.e1","DOI":"10.1016\/j.ajog.2016.01.004","article-title":"Preterm neonatal morbidity and mortality by gestational age: a contemporary cohort","volume":"215","author":"T A Manuck","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/j.jpeds.2018.08.008","article-title":"Factors associated with breastfeeding initiation and continuation: a meta-analysis","volume":"203","author":"S S Cohen","year":"2018","journal-title":"J Pediatr"},{"issue":"04","key":"ref18","doi-asserted-by":"crossref","first-page":"e57","DOI":"10.1542\/peds.109.4.e57","article-title":"Correlates of lactation in mothers of very low birth weight infants","volume":"109","author":"L Furman","year":"2002","journal-title":"Pediatrics"},{"issue":"09","key":"ref19","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1089\/bfm.2018.0079","article-title":"Factors that modify the association of maternal postpartum smoking and exclusive breastfeeding rates","volume":"13","author":"R Tanda","year":"2018","journal-title":"Breastfeed Med"},{"issue":"02","key":"ref20","doi-asserted-by":"crossref","first-page":"309","DOI":"10.2105\/AJPH.2004.060798","article-title":"Breastfeeding duration and perinatal cigarette smoking in a population-based cohort","volume":"96","author":"J Liu","year":"2006","journal-title":"Am J Public Health"},{"issue":"08","key":"ref21","doi-asserted-by":"crossref","first-page":"1274","DOI":"10.1111\/j.1651-2227.2009.01335.x","article-title":"Which mothers wean their babies prematurely from full breastfeeding? An Australian cohort study","volume":"98","author":"J Baxter","year":"2009","journal-title":"Acta Paediatr"},{"issue":"06","key":"ref22","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1097\/ANC.0000000000000678","article-title":"Predictors of mother's own milk feeding at discharge in preterm infants","volume":"19","author":"M M Lussier","year":"2019","journal-title":"Adv Neonatal Care"},{"issue":"08","key":"ref23","doi-asserted-by":"crossref","first-page":"1076","DOI":"10.1038\/s41372-021-01275-4","article-title":"Barriers to optimal breast milk provision in the neonatal intensive care unit","volume":"42","author":"M N Sankar","year":"2022","journal-title":"J Perinatol"},{"issue":"07","key":"ref24","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1111\/apa.13431","article-title":"Skin-to-skin contact is associated with earlier breastfeeding attainment in preterm infants","volume":"105","author":"P Oras","year":"2016","journal-title":"Acta Paediatr"},{"issue":"02","key":"ref25","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1097\/JPN.0000000000000307","article-title":"Effectiveness of centering pregnancy on breastfeeding initiation among African Americans: a systematic review and meta-analysis","volume":"32","author":"K Robinson","year":"2018","journal-title":"J Perinat Neonatal Nurs"},{"issue":"01","key":"ref26","doi-asserted-by":"crossref","first-page":"e67","DOI":"10.1542\/peds.2005-0267","article-title":"Lactation counseling for mothers of very low birth weight infants: effect on maternal anxiety and infant intake of human milk","volume":"117","author":"P M Sisk","year":"2006","journal-title":"Pediatrics"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"S503","DOI":"10.1016\/j.ajog.2020.12.832","article-title":"809 Pregnancy latency among patients with preterm prelabor rupture of membranes attending inpatient centering groups","volume":"224","author":"A Darling","year":"2021","journal-title":"Am J Obstet Gynecol"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2211-1787.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T13:48:14Z","timestamp":1730814494000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2211-1787"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,15]]},"references-count":27,"journal-issue":{"issue":"S 01","published-online":{"date-parts":[[2024,5,13]]},"published-print":{"date-parts":[[2024,5]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2211-1787","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,11,15]]},"published":{"date-parts":[[2023,11,15]]}}}