{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T17:07:20Z","timestamp":1784394440591,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,5,13]],"date-time":"2023-05-13T00:00:00Z","timestamp":1683936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>We compared milk volumes, skin\u2010to\u2010skin contact and breastfeeding by the mothers of very preterm twins and singleton infants born at 28\u201332\u2009weeks of gestation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This Norwegian longitudinal prospective comparative study was carried out in two neonatal intensive care units: one with single family rooms and one open bay unit. It comprised 49 singleton infants, 28 twins and their mothers. The mothers' milk volume and direct breastfeeding were recorded from birth until 4 months' of corrected age. They also answered the breastfeeding self\u2010efficacy scale and skin\u2010to\u2010skin contact was recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mothers of preterm twins produced doubled the volume of expressed milk at day 14, compared to the mothers of singletons (mean 816\u2009\u00b1\u2009430\u2009mL vs. 482\u2009\u00b1\u2009372\u2009mL, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) and this difference was still sustained at 34\u2009+\u20090\u2009weeks\/days (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.02). Mothers of twins had their first breastfeeding attempt later than mothers of singletons (median of 133\u2009h compared to 56 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.002). Preterm twins received less daily skin\u2010to\u2010skin contact (mean 157\u2009\u00b1\u200966\u2009min each vs. 244\u2009\u00b1\u2009109) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). There were no differences in receiving mother's own milk, exclusively direct breastfeeding or perceived breastfeeding self\u2010efficacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Breastfeeding was initiated as successfully in preterm twins as singletons as the mothers' milk production doubled.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.16811","type":"journal-article","created":{"date-parts":[[2023,5,8]],"date-time":"2023-05-08T07:29:26Z","timestamp":1683530966000},"page":"1689-1695","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Prospective longitudinal comparative study showed that breastfeeding outcomes were comparable in preterm twins and singleton infants"],"prefix":"10.1111","volume":"112","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1183-4532","authenticated-orcid":false,"given":"Bente Silnes","family":"Tandberg","sequence":"first","affiliation":[{"name":"Department of Paediatric and Adolescent Medicine Drammen Hospital, Vestre Viken Hospital Trust  Drammen Norway"},{"name":"Lovisenberg Diaconal University College  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hege","family":"Grundt","sequence":"additional","affiliation":[{"name":"Department of Neonatology Haukeland University Hospital  Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2585-5887","authenticated-orcid":false,"given":"Atle","family":"Moen","sequence":"additional","affiliation":[{"name":"Department of Neonatology Oslo University Hospital  Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannakaisa","family":"Niela\u2010Vil\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Nursing Science University of Turku  Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4013-1553","authenticated-orcid":false,"given":"Ren\u00e9e","family":"Flacking","sequence":"additional","affiliation":[{"name":"School of Health and Welfare Dalarna University  Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-1264"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4353"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2019.06.006"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2009.179564"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12485"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334420962709"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.116.144279"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.15596"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334415586406"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-019-0206-0"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.14754"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-021-00435-8"},{"key":"e_1_2_10_14_1","volume-title":"Breastfeeding e\u2010Book: a Guide for the Medical Professional","author":"Lawrence RA","year":"2010"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0089077"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000455"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.02.064"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12199-008-0028-y"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334418767382"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11092191"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13093099"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-021-00447-4"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0224488"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.14746"},{"key":"e_1_2_10_25_1","unstructured":"The World Health Organization's infant feeding recommendation.https:\/\/apps.who.int\/nutrition\/topics\/infantfeeding_recommendation\/en\/index.ttml"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884217503258459"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334415599533"},{"key":"e_1_2_10_28_1","unstructured":"HagaSM.Identifying risk factors for postpartum depressive symptoms: the importance of social support self\u2010efficacy and emotion regulation. 2012. 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