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Journal of Human Lactation
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Predictors of Preterm Infant Feeding Methods and Perceived Insufficient Milk Supply at Week 12 Postpartum

Pamela D. Hill, PhD, RN, CBE, FAAN

College of Nursing, Maternal Child Nursing, at the University of Illinois at Chicago

Jean C. Aldag, PhD

Preventive Medicine in Medicine and Clinical Pharmacology at the University of Illinois College of Medicine at Peoria

Michael Zinaman, MD

Loyola University Medical Center, Division of Reproductive Endocrinology & Fertility, Maywood, Illinois

Robert T. Chatterton, PhD

Obstetrics & Gynecology Department at Northwestern University, Chicago, Illinois

As part of a large, nonexperimental, prospective, longitudinal study, 94 pump-dependent mothers of a nonnursing preterm infant were queried via telephone at weeks 8 to 12 post-partum about their infant feeding method. At week 12, 44.6% provided own mother’s milk, 26.6% provided own mother’s milk + artificial milk, and 28.7% provided artificial milk only. Logistic regression analyses identified the following predictors for risk of artificial milk at week 12 postpartum: multiple birth, week 6 inadequate milk supply, maternal age younger than 29 years, and intended length of lactation less than 34 weeks. Predictors for risk of maternal perceived insufficient milk supply for weeks 8 to 12 postpartum included week 6 inadequate milk supply, unemployment, and infant hospital discharge after postpartum day 42. Further research is needed to assist pump-dependent mothers of preterm infants with sustaining their milk supply.

Key Words: lactation • preterm • nutrition • insufficient milk

Journal of Human Lactation, Vol. 23, No. 1, 32-38 (2007)
DOI: 10.1177/0890334406297277
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