{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:35:00Z","timestamp":1792787700466,"version":"4.5.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Scientific Research Fund of Zhejiang Provincial Education Department","award":["Y202454811"],"award-info":[{"award-number":["Y202454811"]}]},{"name":"Zhejiang Provincial Hospital Sustainable Development Yangtze River Research Project","award":["2024ZHA-YZJ211"],"award-info":[{"award-number":["2024ZHA-YZJ211"]}]},{"name":"Zhejiang Provincial Disease Control Science and Technology Plan","award":["2025JK223"],"award-info":[{"award-number":["2025JK223"]}]},{"name":"Open Research Fund of Zhejiang Key Laboratory of Maternal and Infant Health, Women\u2019s Hospital, Zhejiang University School of Medicine","id":[{"id":"https:\/\/ror.org\/00a2xv884","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breastfeeding Medicine"],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to identify factors influencing the frequency of fresh mother\u2019s own milk feeding during the first 7 days of life in very low birth weight infants (VLBWIs), in order to inform evidence-based nursing interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective case-control study was conducted. A total of 917 VLBWIs admitted to the neonatal intensive care unit of a tertiary maternity hospital in Zhejiang Province, China, between January 2020 and December 2023, were enrolled using convenience sampling. Based on the number of adequate fresh mother\u2019s own milk feedings, infants were categorized into three ordinal groups: 0 times, 1\u201313 times, and \u226514 times. Univariate ordinal logistic regression was used to screen for statistically significant variables, which were subsequently included in a multivariate ordinal logistic regression model to adjust for confounders and identify independent factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Multivariate analysis identified multiple gestation (odds ratio [OR] = 0.66, 95% confidence interval [CI]: 0.50\u20130.87) and higher CRIB-II score (OR = 0.90, 95% CI: 0.81\u20130.99) as significant risk factors for reduced feeding frequency. In contrast, several protective factors were confirmed: two or more telephone follow-ups (OR = 1.68, 95% CI: 1.27\u20132.23), parental participation in offline professional educational sessions (OR = 2.78, 95% CI: 1.63\u20134.77), father as primary milk transporter (OR = 1.96, 95% CI: 1.25\u20133.09), higher paternal education level (OR = 3.03, 95% CI: 1.30\u201310.58), and cesarean delivery (OR = 1.96, 95% CI: 1.44\u20132.68).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The frequency of early fresh mother\u2019s own milk feeding in VLBWIs is influenced by a constellation of neonatal, interventional, and familial factors. To effectively promote feeding practices, clinical care should implement an integrated model that encompasses risk assessment (e.g., for multiples and infants with high illness severity), systematic nursing interventions (including structured follow-up and parent education), and enhanced family support, with a particular emphasis on paternal engagement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15568253261468547","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T06:40:51Z","timestamp":1784097651000},"page":"636-645","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Influencing Fresh Mother\u2019s Own Milk Feeding Frequency in Very Low Birth Weight Infants: A Retrospective Study"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-3692-1587","authenticated-orcid":false,"given":"Huanhuan","family":"Ding","sequence":"first","affiliation":[{"name":"Women\u2019s Hospital, School of Medicine, Zhejiang University, Hangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Longfei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Women\u2019s Hospital, School of Medicine, Zhejiang University, Hangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjun","family":"Zhu","sequence":"additional","affiliation":[{"name":"Women\u2019s Hospital, School of Medicine, Zhejiang University, Hangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiufang","family":"Li","sequence":"additional","affiliation":[{"name":"Women\u2019s Hospital, School of Medicine, Zhejiang University, Hangzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.13430"},{"issue":"10","key":"e_1_3_3_3_1","first-page":"863","article-title":"Human milk, more than simple nourishment","volume":"8","author":"Vizzari G","year":"2021","unstructured":"2.Vizzari G, , Morniroli D, , Ceroni F, et al. Human milk, more than simple nourishment. Children (Basel) 2021;8(10):863.","journal-title":"Children (Basel)"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-019-3981-4"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12015-023-10534-0"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/10998004231191728"},{"issue":"1","key":"e_1_3_3_7_1","first-page":"57","article-title":"Adaptation and evaluation of evidence-based guidelines for breastfeeding in neonates in hospital","volume":"53","author":"Piaoyu Y","year":"2018","unstructured":"6.Piaoyu Y, , Shupeng S, , Yuxia Z, et al. Adaptation and evaluation of evidence-based guidelines for breastfeeding in neonates in hospital. Chinese Journal of Nursing 2018;53(1):57\u201364.","journal-title":"Chinese Journal of Nursing"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/19490976.2023.2190305"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu16030362"},{"issue":"22","key":"e_1_3_3_10_1","first-page":"2714","article-title":"Investigation and analysis of factors related to colostrum feeding of premature infants in NICU","volume":"57","author":"Xiaochun C","year":"2022","unstructured":"9.Xiaochun C, , Ying G, , Yuxiao M. Investigation and analysis of factors related to colostrum feeding of premature infants in NICU. Chinese Journal of Nursing 2022;57(22):2714\u20132721.","journal-title":"Chinese Journal of Nursing"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000995360.84994.3b"},{"key":"e_1_3_3_12_1","unstructured":"11.Linna S. Effect of early fresh breast milk feeding on clinicaloutcome of preterm infants with gestational age<34 weeks. 2021."},{"issue":"3","key":"e_1_3_3_13_1","first-page":"169","article-title":"Short-term effects of mother\u2019s own fresh milk feeding on very\/extremely preterm infants","volume":"35","author":"Jing H","year":"2020","unstructured":"12.Jing H, , Xinzhu L, , Zhi Z, et al. Short-term effects of mother\u2019s own fresh milk feeding on very\/extremely preterm infants. Chinese Journal of Neonatology 2020;35(3):169\u2013174.","journal-title":"Chinese Journal of Neonatology"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu17182992"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000652"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-025-00778-6"},{"issue":"07","key":"e_1_3_3_17_1","first-page":"1084","article-title":"Research progress on fresh breastfeeding of premature infants in the neonatal intensive care unit","volume":"024","author":"Huanhuan D","year":"2022","unstructured":"16.Huanhuan D, , Dan L, , Xinfen X. Research progress on fresh breastfeeding of premature infants in the neonatal intensive care unit. Chinese Nursing Management 2022;024(07):1084\u20131089.","journal-title":"Chinese Nursing Management"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-06323-3"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2024.0207"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-06697-4"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-016-0094-5"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.1025867"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu17101669"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2022.0151"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-06910-4"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.14259"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-021-05731-6"},{"issue":"9","key":"e_1_3_3_28_1","first-page":"e44811","article-title":"Postpartum breastfeeding practices and attitudes in parents: A randomized study to evaluate the effects of individual and group breastfeeding education of mothers and fathers","volume":"15","author":"Ye\u015fil Y","year":"2023","unstructured":"27.Ye\u015fil Y, , \u00d6zt\u00fcrk CH. Postpartum breastfeeding practices and attitudes in parents: A randomized study to evaluate the effects of individual and group breastfeeding education of mothers and fathers. Cureus 2023;15(9):e44811.","journal-title":"Cureus"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-023-03616-5"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-022-00507-3"},{"key":"e_1_3_3_31_1","unstructured":"30.Pingping L. Study on current prevalence and influencing factors of breastfeeding for premature infants in NICU. 2021."}],"container-title":["Breastfeeding Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15568253261468547","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15568253261468547","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15568253261468547","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T21:27:10Z","timestamp":1790976430000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15568253261468547"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,14]]},"references-count":30,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11,1]]}},"alternative-id":["10.1177\/15568253261468547"],"URL":"https:\/\/doi.org\/10.1177\/15568253261468547","relation":{},"ISSN":["1556-8253","1556-8342"],"issn-type":[{"value":"1556-8253","type":"print"},{"value":"1556-8342","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,14]]}}}