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Infants were classified as formula\u2010fed, donor milk\u2010fed or mother's milk\u2010fed at their first enteral feed and separately, at hospital discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The percentage of infants receiving mother's own milk differed between centres both at first feed (79% to 100%), and at hospital discharge (47.1% to 71.6%). Aboriginal, Torres Strait Islander and Southeast Asian heritage, drug use and smoking were associated with lower rates of fully breastmilk feeding at hospital discharge. There was no significant difference in growth outcomes, length of stay and feeding tolerance between feeding groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Achieving high breastmilk feeding rates at hospital discharge for all preterm infants born &lt;29\u2009weeks' gestational age at hospital discharge is possible; however, targeted support for mothers who are Indigenous, Southeast Asian and\/or using recreational drugs and\/or smoking and\/or experiencing social disadvantage may be needed. A better understanding and shared knowledge of practice variations within neonatal units with high breastfeeding rates could improve breastmilk access and equity for preterm infants.<\/jats:p><jats:p>Australian New Zealand Clinical Trials Registry: ACTRN12612000503820.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16656","type":"journal-article","created":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T06:48:42Z","timestamp":1725518922000},"page":"684-690","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Breastmilk use in preterm infants &lt;29\u2009weeks' gestational age in <scp>Australia<\/scp>, <scp>New Zealand<\/scp> and <scp>Singapore<\/scp>"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4548-987X","authenticated-orcid":false,"given":"Cathie","family":"Hilditch","sequence":"first","affiliation":[{"name":"SAHMRI Women and Kids, South Australian Health and Medical Research Institute  Adelaide South Australia Australia"},{"name":"Adelaide Medical School, The University of Adelaide  Adelaide South Australia Australia"},{"name":"Robinson Research Institute, The University of Adelaide  Adelaide South Australia Australia"},{"name":"Women's and Children's Health Network  North Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmel T","family":"Collins","sequence":"additional","affiliation":[{"name":"SAHMRI Women and Kids, South Australian Health and Medical Research Institute  Adelaide South Australia Australia"},{"name":"Adelaide Medical School, The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Rumbold","sequence":"additional","affiliation":[{"name":"SAHMRI Women and Kids, South Australian Health and Medical Research Institute  Adelaide South Australia Australia"},{"name":"Adelaide Medical School, The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Gomersall","sequence":"additional","affiliation":[{"name":"School of Public Health, The University of Adelaide  North Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippa","family":"Middleton","sequence":"additional","affiliation":[{"name":"SAHMRI Women and Kids, South Australian Health and Medical Research Institute  Adelaide South Australia Australia"},{"name":"Adelaide Medical School, The University of Adelaide  Adelaide South Australia Australia"},{"name":"Robinson Research Institute, The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1692-5676","authenticated-orcid":false,"given":"Amy","family":"Keir","sequence":"additional","affiliation":[{"name":"SAHMRI Women and Kids, South Australian Health and Medical Research Institute  Adelaide South Australia Australia"},{"name":"Adelaide Medical School, The University of Adelaide  Adelaide South Australia Australia"},{"name":"Robinson Research Institute, The University of Adelaide  Adelaide South Australia Australia"},{"name":"Women's and Children's Health Network  North Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the N\u20103 fatty acids for improvement in Respiratory Outcomes (N3RO) Trial Investigators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,4]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"208","article-title":"Breastfeeding in the \u201cglobal strategy for infant and young child feeding","volume":"58","author":"Arena AJ","year":"2003","journal-title":"An. 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