{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T12:08:24Z","timestamp":1784290104080,"version":"3.55.0"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Late preterm infants are at increased risk of breastfeeding difficulties compared to term infants. However, data on breastfeeding outcomes and specific risk factors for non-exclusive breastfeeding remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Aims:<\/jats:title>\n                    <jats:p>To determine the exclusive breastfeeding rate among late preterm infants at one month of age and to identify factors associated with non-exclusive breastfeeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This secondary analysis used data from a randomized clinical trial conducted at Da Nang Hospital for Women and Children between August 2023 and May 2024. A total of 288 infants were included and stratified into late preterm (34-36\n                      <jats:sup>6\/7<\/jats:sup>\n                      \u2009weeks) and full-term (\u2265 37\u2009weeks) groups. Feeding practices were assessed from birth to one month. Multivariable logistic regression was performed to identify independent factors associated with non-exclusive breastfeeding.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Late preterm infants more frequently required intravenous fluids and experienced longer times to achieve full enteral feeding and direct breastfeeding than term infants. They also required donor milk for a longer duration (1.73 vs. 1.19\u2009days,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.002). Despite these early challenges, the exclusive breastfeeding rate at one month among late preterm infants was high (84.84%) and comparable to that of full-term infants (84.65%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.96). In multivariable analysis, prolonged duration of donor milk use was the only independent factor for non-exclusive breastfeeding (adjusted OR\u2009=\u20091.33; 95% CI [1.04, 1.70]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>With appropriate support, late preterm infants can achieve exclusive breastfeeding rates comparable to term infants. Prolonged use of donor milk may serve as an early marker for mother-infant dyads requiring intensified lactation support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344261452908","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T08:49:23Z","timestamp":1784105363000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exclusive Breastfeeding in Late Preterm Infants: Rates and Risk Factors for Non-Exclusivity at One Month of Age in a Vietnamese Tertiary Hospital"],"prefix":"10.1177","author":[{"given":"Chau Hoang Minh","family":"Le","sequence":"first","affiliation":[{"name":"Danang University of Medical Technology and Pharmacy, Da Nang, Vietnam"},{"name":"Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoang Thi","family":"Tran","sequence":"additional","affiliation":[{"name":"Danang University of Medical Technology and Pharmacy, Da Nang, Vietnam"},{"name":"Danang Hospital for Women and Children, Da Nang, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3641-7436","authenticated-orcid":false,"given":"Surasith","family":"Chaithongwongwatthana","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Chiang K. V. Sharma A. J. Nelson J. M. Olson C. K. Perrine C. G. (2019). Receipt of breast milk by gestational age\u2014United States 2017. Morbidity and Mortality Weekly Report 68(22) 489\u2013493. https:\/\/doi.org\/10.15585\/mmwr.mm6822a1","DOI":"10.15585\/mmwr.mm6822a1"},{"key":"e_1_3_3_3_1","doi-asserted-by":"crossref","unstructured":"Crippa B. L. Colombo L. Morniroli D. Consonni D. Bettinelli M. E. Spreafico I. Vercesi G. Sannino P. Mauri P. A. Zanotta L. Canziani A. Roggero P. Plevani L. Bertoli D. Zorzan S. Giann\u00ec M. L. Mosca F. (2019). Do a few weeks matter? Late preterm infants and breastfeeding issues. Nutrients 11(2) 312. https:\/\/doi.org\/10.3390\/nu11020312","DOI":"10.3390\/nu11020312"},{"key":"e_1_3_3_4_1","doi-asserted-by":"crossref","unstructured":"Davidoff M. J. Dias T. Damus K. Russell R. Bettegowda V. R. Dolan S. Schwarz R. H. Green N. S. Petrini J. (2006). Changes in the gestational age distribution among U.S. singleton births: Impact on rates of late preterm birth 1992 to 2002. Seminars in Perinatology 30(1) 8\u201315. https:\/\/doi.org\/10.1053\/j.semperi.2006.01.009","DOI":"10.1053\/j.semperi.2006.01.009"},{"key":"e_1_3_3_5_1","doi-asserted-by":"crossref","unstructured":"Fenton T. R. Kim J. H. (2013). A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants. BMC Pediatrics 13 59. https:\/\/doi.org\/10.1186\/1471-2431-13-59","DOI":"10.1186\/1471-2431-13-59"},{"key":"e_1_3_3_6_1","doi-asserted-by":"crossref","unstructured":"Gerhardsson E. Hildingsson I. Mattsson E. Funkquist E. L. (2018). Prospective questionnaire study showed that higher self-efficacy predicted longer exclusive breastfeeding by the mothers of late preterm infants. Acta Paediatrica 107(5) 799\u2013805. https:\/\/doi.org\/10.1111\/apa.14229","DOI":"10.1111\/apa.14229"},{"key":"e_1_3_3_7_1","doi-asserted-by":"crossref","unstructured":"Granger C. L. Embleton N. D. Palmer J. M. Lamb C. A. Berrington J. E. Stewart C. J. (2021). Maternal breastmilk infant gut microbiome and the impact on preterm infant health. Acta Paediatrica 110(2) 450\u2013457. https:\/\/doi.org\/10.1111\/apa.15534","DOI":"10.1111\/apa.15534"},{"key":"e_1_3_3_8_1","doi-asserted-by":"crossref","unstructured":"Hand I. L. Noble L. (2022). Premature infants and breastfeeding. In Lawrence R. A. Lawrence R. M. (Eds.) Breastfeeding: A guide for the medical profession (9th ed. pp. 502\u2013545). Elsevier. https:\/\/doi.org\/10.1016\/B978-0-323-68013-4.00014-6","DOI":"10.1016\/B978-0-323-68013-4.00014-6"},{"key":"e_1_3_3_9_1","doi-asserted-by":"crossref","unstructured":"Hossain S. Mihrshahi S. (2022). Exclusive breastfeeding and childhood morbidity: A narrative review. International Journal of Environmental Research and Public Health 19(22) 14804. https:\/\/doi.org\/10.3390\/ijerph192214804","DOI":"10.3390\/ijerph192214804"},{"key":"e_1_3_3_10_1","doi-asserted-by":"crossref","unstructured":"Huynh L. T. Tran H. T. Vanhaesebrouck S. (2025). Review of low-cost interventions for reducing neonatal mortality and morbidity in low- and middle-income countries. Acta Paediatrica 114(9) 2124\u20132132. https:\/\/doi.org\/10.1111\/apa.70133","DOI":"10.1111\/apa.70133"},{"key":"e_1_3_3_11_1","doi-asserted-by":"crossref","unstructured":"J\u00f3nsd\u00f3ttir R. B. J\u00f3nsd\u00f3ttir H. Sk\u00falad\u00f3ttir A. Thorkelsson T. Flacking R. (2020). Breastfeeding progression in late preterm infants from birth to one month. Maternal and Child Nutrition 16(1) e12893. https:\/\/doi.org\/10.1111\/mcn.12893","DOI":"10.1111\/mcn.12893"},{"key":"e_1_3_3_12_1","doi-asserted-by":"crossref","unstructured":"Madaj B. Smith H. Mathai M. Roos N. van den Broek N. (2017). 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Tabatabaii S. A. Farahbakhsh N. (2021). Late preterm: A new high risk group in neonatology. Journal of Maternal-Fetal & Neonatal Medicine 34(16) 2717\u20132730. https:\/\/doi.org\/10.1080\/14767058.2019.1670796","DOI":"10.1080\/14767058.2019.1670796"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1542\/9781610022255-09"},{"key":"e_1_3_3_17_1","doi-asserted-by":"crossref","unstructured":"Tran H. T. Nguyen T. T. Nguyen O. T. X. Huynh L. T. Mathisen R. (2024). Factors associated with the prolonged use of donor human milk at the Da Nang Hospital for Women and Children in Vietnam. Nutrients 16(24) 4402. https:\/\/doi.org\/10.3390\/nu16244402","DOI":"10.3390\/nu16244402"},{"key":"e_1_3_3_18_1","unstructured":"World Health Organization (WHO). (2021). 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