{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:37:46Z","timestamp":1773275866316,"version":"3.50.1"},"reference-count":47,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T00:00:00Z","timestamp":1601424000000},"content-version":"vor","delay-in-days":29,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Many interventions have been designed to increase breast milk (BM) consumption among preterm and critical\u2010term infants in neonatal units. The aim of this study was to determine the trends in the usage of BM in a neonatal unit and the risk factors for insufficient breast\u2010milk feeding at discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study included newborn infants who hospitalized in the neonatal unit during two periods in different years, a 15\u2010month period in 2012\u20132013 and in 2017\u20132018. The primary outcomes were the availability of BM within 24\u00a0h after delivery and the status of infant feeding at discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During two periods of the study, a total of 3,018 infants were included in the study. The rate of BM expression within the first 24\u00a0h after delivery was 92.9%, and it was found that the first period of the study, caesarean section delivery, very low birth weight, being first\u2010time mother, and young maternal age were each independently associated with the delayed initiation of BM expression (<jats:italic>P <\/jats:italic>&lt; 0.05). At discharge, 87.6% of the infants had been feeding with BM. Multiple births, the delayed initiation of BM expression, and the length of hospital stay were associated with inadequate BM feeding at discharge (<jats:italic>P <\/jats:italic>&lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study showed that interventions supporting BM feeding, which have recently been carried out, made improvements to the initiation of BM expression among mothers whose babies were admitted to the neonatal unit, and in the rate of BM feeding among infants at discharge.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.14263","type":"journal-article","created":{"date-parts":[[2020,4,21]],"date-time":"2020-04-21T19:54:23Z","timestamp":1587498863000},"page":"1064-1072","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The trends in the usage of breast milk in neonatal intensive care setting"],"prefix":"10.1111","volume":"62","author":[{"given":"K\u0131ymet","family":"\u00c7elik","sequence":"first","affiliation":[{"name":"Division of Neonatology Department of Pediatrics University of Health Science Gaziya\u015fargil Education and Research Hospital Diyarbakir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammed","family":"Asena","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Health Science Gaziya\u015fargil Education and Research Hospital Diyarbakir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet \u015eah","family":"\u0130pek","sequence":"additional","affiliation":[{"name":"Division of Neonatology Department of Pediatrics Memorial Dicle Hospital Diyarbakir Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01024-7"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3552"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0180722"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2010.01.013"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.109.4.e57"},{"key":"e_1_2_8_7_1","volume-title":"International Code of Marketing of Breast\u2010Milk Substitutes","author":"World Health Organization","year":"1981"},{"key":"e_1_2_8_8_1","volume-title":"Guide to the UNICEF UK Baby Friendly Initiative Standards","author":"UNICEF","year":"2017"},{"key":"e_1_2_8_9_1","volume-title":"15th Anniversary of the Innocenti Declaration on the protection, promotion and support of breastfeeding report","author":"UNICEF","year":"2005"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-S3-S24"},{"key":"e_1_2_8_11_1","first-page":"32","article-title":"Breastfeeding promotion and baby\u2010friendly health facilities in Turkey: A systematic approach to scale up the program","volume":"1","author":"\u00c7aylan N","year":"2019","journal-title":"Ankara. 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