论文部分内容阅读
Objective: To determine the effect of artificial teats (bottle and dummy) and cups on breast feeding in pretern infants. Design: Randomised controlled trial. Setting:Two large tertiary hospitals, 54 peripheral hospitals. Participants:319 preterm infants (born at 23-33 weeks’gestation) randomly assigned to one of four groups:cup/no dummy (n = 89), cup/dummy (n = 72), bottle/no dummy (n = 73), bottle/dummy (n = 85). Women with singleton or twin infants< 34 weeks’gestation who wanted to breastfeed were eligible to participate. Interventions: Cup or bottle feeding occurred when the mother was unable to be present to breast feed. Infants randomised to the dummy groups received a dummy on entry into the trial.Main outcome measures Full breast feeding (compared with partial and none) and any breast feeding (compared with none) on discharge home. Secondary outcomes:prevalence of breast feeding at three and six months after discharge and length of hospital stay. Results: 303 infants(and 278 mothers) were included in the intention to treat analysis. There were no significant differences for any of the study outcomes according to use of a dummy. Infants randomised to cup feeds were more likely to be fully breast fed on discharge home (odds ratio 1.73, 95%confidenceinterval 1.04 to 2.88, P = 0.03), but had a longer length of stay (hazard ratio 0.71, 0.55 to 0.92, P = 0.01). Conclusions:Dummies do not affect breast feeding in preterm infants. Cup feeding significantly increases the likelihood that the baby will be fully breast fed at discharge home,but has no effect on any breast feeding and increases the length of hospital stay.
Objective: To determine the effect of artificial teats (bottle and dummy) and cups on breast feeding in pretern infants. Design: Randomized controlled trial. Setting: Two large tertiary hospitals, 54 peripheral hospitals. Participants: 319 preterm infants (born at 23- Cup / dummy (n = 72), bottle / no dummy (n = 73), bottle / dummy (n = 85) Women with singleton or twin infants <34 weeks’gestation who wanted to breastfeed were eligible to participate. Interventions: Cup or bottle feeding occurred when the mother was unable to be present to breast feed. Infants randomized to the dummy groups received a dummy on entry into the trial. Main outcome measures Full breast feeding (compared with partial and none) and any breast feeding (compared with none) on discharge home. Secondary outcomes: prevalence of breast feeding at three and six months after discharge and length of hospital stay Results: 303 infants (and 278 There were no significant differences for any of the study outcomes according to the use of a dummy. Infants randomized to cup feeds were more likely to be fully breast fed on discharge home (odds ratio 1.73, 95% confidenceinterval 1.04 to 2.88, P = 0.03), but had a longer length of stay (hazard ratio 0.71, 0.55 to 0.92, P = 0.01). Conclusions: Dummies do not affect breast feeding in preterm infants. likelihood that the baby will be fully breast fed at discharge home, but has no effect on any breast feeding and increases the length of hospital stay.