{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T21:18:26Z","timestamp":1791839906393,"version":"4.3.4"},"reference-count":18,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2007,1,2]],"date-time":"2007-01-02T00:00:00Z","timestamp":1167696000000},"content-version":"vor","delay-in-days":2253,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2000,11]]},"abstract":"<jats:p>The aim of the present study was to determine if earlier discharge of preterm infants (&lt;37 wk) from hospital is safe and if it affects breastfeeding rates. In a pilot observational study, premature infants received full oral (sucking) feeds for a mean (SD) 7.7 \u00b1 7.9 d before discharge. In the main study, 308 preterm infants were randomly assigned to either Early Discharge (148 infants) when fully orally fed but not yet gaining weight or Routine Discharge (160 infants) when fully orally fed and also gaining weight before discharge. A further 122 mothers declined randomization. The Early Discharge group was followed by Visiting Nurse Specialists who were available 24 h a day, while the Routine group was followed by the Home Care Nurses available on week days. There were no significant differences between the groups in birthweight or gestational age. The Early Discharge group were discharged 2.5 \u00b1 2 d after full oral feeding compared to 4.4 \u00b1 2.7 d for the Routine group <jats:italic>(p<\/jats:italic> &lt; 0.001) and 6.1 \u00b1 5 d for those who declined. However, there was no significant difference between the Early and Routine groups for breastfeeding either at discharge (80 vs 83%), or 6 wk (55 vs 60%) or 6 mo after discharge (36 vs 36%), or for weight gain, or rates of re\u2010hospitalization (8.8% vs 11.9% at 6 wk, <jats:italic>p =<\/jats:italic> 0.37).<\/jats:p><jats:p> <jats:italic>Conclusion:<\/jats:italic> Early discharge from hospital once a preterm infant can take full oral feeds does not alter later breastfeeding rates when adequate visiting nursing support is available.<\/jats:p>","DOI":"10.1111\/j.1651-2227.2000.tb00765.x","type":"journal-article","created":{"date-parts":[[2010,8,7]],"date-time":"2010-08-07T01:41:03Z","timestamp":1281145263000},"page":"1358-1363","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Does early hospital discharge with home support of families with preterm infants affect breastfeeding success? A randomized trial"],"prefix":"10.1111","volume":"89","author":[{"given":"TR","family":"Gunn","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JMD","family":"Thompson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Jackson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"McKnight","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Buckthought","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AJ","family":"Gunn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,1,2]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"411","article-title":"American Academy of Pediatrics. Committee on Fetus and Newborn","volume":"102","author":"Hospital discharge of the high\u2010risk neonate\u2014proposed guidelines.","year":"1998","journal-title":"Pediatrics"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(79)91386-2"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198610093151505"},{"key":"e_1_2_1_5_1","first-page":"128","article-title":"Earlier discharge with community\u2010based intervention for low birth weight infants: a randomized trial","volume":"92","author":"Casiro OG","year":"1993","journal-title":"Pediatrics"},{"key":"e_1_2_1_6_1","first-page":"29","article-title":"Early hospital discharge of preterm very low birth weight infants","volume":"17","author":"Cruz H","year":"1997","journal-title":"J Perinatal"},{"key":"e_1_2_1_7_1","first-page":"S17","article-title":"Accelerated discharge of low birth weight infants from neonatal intensive care: a randomized, controlled trial. The Early Discharge Study Group","volume":"18","author":"Gibson E","year":"1998","journal-title":"J Perinatal"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/000992287101000820"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.284.6311.233"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(97)70351-2"},{"key":"e_1_2_1_11_1","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1542\/peds.94.6.804","article-title":"Rey\u2013Martinez Kangaroo Mother Program: an alternative way of caring for low birth weight infants? One year mortality in a two cohort study","volume":"94","author":"Charpak N","year":"1994","journal-title":"Pediatrics"},{"key":"e_1_2_1_12_1","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1542\/peds.96.4.716","article-title":"Problems associated with early discharge of newborn infants. Early discharge of newborns and mothers: a critical review of the literature","volume":"96","author":"Braveman P","year":"1995","journal-title":"Pediatrics"},{"key":"e_1_2_1_13_1","first-page":"360","article-title":"The incidence of breast feeding and reasons for weaning","volume":"97","author":"Gunn TR.","year":"1984","journal-title":"NZ Med J"},{"key":"e_1_2_1_14_1","first-page":"59","article-title":"Infant feeding patterns in Canterbury","volume":"108","author":"Ford RP","year":"1995","journal-title":"NZ Med J"},{"key":"e_1_2_1_15_1","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1542\/peds.61.4.629","article-title":"Antecedents of child abuse and neglect in premature infants: a prospective study in a newborn intensive care unit","volume":"61","author":"Hunter RS","year":"1978","journal-title":"Pediatrics"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.1979.tb01626.x"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.55.6.846"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.1995.tb02909.x"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.296.6628.1043"}],"container-title":["Acta Paediatrica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1651-2227.2000.tb00765.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1651-2227.2000.tb00765.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,29]],"date-time":"2023-10-29T11:45:16Z","timestamp":1698579916000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1651-2227.2000.tb00765.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,11]]},"references-count":18,"aliases":["10.1080\/080352500300002570"],"journal-issue":{"issue":"11","published-print":{"date-parts":[[2000,11]]}},"alternative-id":["10.1111\/j.1651-2227.2000.tb00765.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1651-2227.2000.tb00765.x","archive":["Portico"],"relation":{},"ISSN":["0803-5253","1651-2227"],"issn-type":[{"value":"0803-5253","type":"print"},{"value":"1651-2227","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,11]]},"assertion":[{"value":"2007-01-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}