{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T17:01:46Z","timestamp":1791910906489,"version":"4.3.4"},"reference-count":48,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2018,5,3]],"date-time":"2018-05-03T00:00:00Z","timestamp":1525305600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Preterm mother-infant dyads often face many obstacles to breastfeeding. Preterm infants are at highest risk for low rates of exclusive breastfeeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Aim:<\/jats:title>\n                    <jats:p>To determine the prevalence of breastfeeding at 6 months among preterm infants and to identify factors that influenced mothers\u2019 breastfeeding practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A longitudinal observational study was conducted in a metropolitan hospital in Beijing, China. Mothers ( N = 270) and their preterm infants ( N = 280) were included in the study. Characteristics of preterm mothers and their perceptions of breastfeeding self-efficacy, knowledge, social support, and postpartum depression symptoms were measured at the discharge of neonatal intensive care. Breastfeeding data were collected by phone interview at 6 months corrected age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>At discharge, mothers of very preterm infants perceived a lower level of breastfeeding self-efficacy (measured with the Breastfeeding Self-Efficacy Scale\u2013Short Form) and had a higher level of depression symptoms (measured with the Edinburgh Postnatal Depression Scale [EPDS]) than mothers of moderate and late preterm infants ( p &lt; .05-.01). Nearly half of all mothers had an elevated EPDS score, considered to be symptomatic of postpartum depression. At 6 months, only 22.5% of all infants were exclusively breastfeeding. Factors associated with exclusive breastfeeding, including younger maternal age, previous breastfeeding experience, shorter mother-infant separation time during intensive care, older infant gestational age, and a higher level of breastfeeding self-efficacy, significantly predicted exclusive breastfeeding practice ( p &lt; .05-.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The prevalence of breastfeeding at 6 months for preterm infants in this sample was low. Strategies to improve breastfeeding duration for preterm infants are needed, including support and education of mothers while in the hospital.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334418771307","type":"journal-article","created":{"date-parts":[[2018,5,3]],"date-time":"2018-05-03T17:52:23Z","timestamp":1525369943000},"page":"80-89","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":69,"title":["Factors Affecting Breastfeeding Outcomes at Six Months in Preterm Infants"],"prefix":"10.1177","volume":"35","author":[{"given":"Ying","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Neonatal Intensive Care Unit, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie-Ellen","family":"Briere","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Massachusetts Amherst, Amherst, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanli","family":"Xu","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Connecticut, Storrs, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaomei","family":"Cong","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Connecticut, Storrs, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,5,3]]},"reference":[{"key":"bibr1-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1177\/0890334416664071"},{"key":"bibr2-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-10-S1-S2"},{"key":"bibr3-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3552"},{"key":"bibr4-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1111\/1552-6909.12536"},{"key":"bibr5-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1177\/0890334415581798"},{"key":"bibr6-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2016.04.004"},{"key":"bibr7-0890334418771307","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S91559"},{"key":"bibr8-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1097\/NNR.0000000000000208"},{"key":"bibr9-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1016\/S1526-9523(03)00283-6"},{"key":"bibr10-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1177\/0884217503258459"},{"key":"bibr11-0890334418771307","doi-asserted-by":"publisher","DOI":"10.3390\/nu10020249"},{"key":"bibr12-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-012900"},{"key":"bibr13-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2011.01226.x"},{"key":"bibr14-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1111\/1552-6909.12563"},{"key":"bibr15-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1258\/td.2010.090513"},{"key":"bibr16-0890334418771307","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.12.111310"},{"key":"bibr17-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2015.0122"},{"key":"bibr18-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-015-1152-9"},{"key":"bibr19-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12971"},{"key":"bibr20-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1177\/0890334416658014"},{"key":"bibr21-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1002\/nur.21493"},{"key":"bibr22-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003517.pub2"},{"key":"bibr23-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2010.02.005"},{"key":"bibr24-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2016.11.004"},{"key":"bibr25-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1177\/0890334413477240"},{"key":"bibr26-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1111\/1552-6909.12250"},{"issue":"10","key":"bibr27-0890334418771307","first-page":"731","volume":"36","author":"Lu H.","year":"2001","journal-title":"Chinese Journal of Nursing"},{"key":"bibr28-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2015.01.003"},{"key":"bibr29-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1177\/0890334413482184"},{"key":"bibr30-0890334418771307","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2013.07.014"},{"key":"bibr31-0890334418771307","unstructured":"Ministry of Health, Maternal and Child Health Division, People\u2019s Republic of China. 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