Correlates of Lactation in Mothers of Very Low Birth Weight Infants
Furman L, Minich N, Hack M. Pediatrics 2002; 109(4): e57
URL: www.pediatrics.org/cgi/content/full/109/4/e57 

  
•Prospective observational study of 87 mothers who intended to breastfeed 
their preterm infants 
–Mean B Wt: 1056 g and mean Gestational Age: 28 wks 
–Interviews at 3 wks after delivery, 35 wks CA, 40 wks CA, 4 mo CA 
•Results: 
–At Corrected Age (CA) of 40 wks: 34% still lactating 
–At CA 4 months: 16% still lactating and 14 % breastfeeding 
–After controlling for maternal age, race, marital status, maternal 
education, 5 factors associated with lactation beyond term: 
•-Initiation of breast pumping before 6 hrs postpartum 
•-Pumping milk  ³ 5 times per day 
•-Kangaroo care 
•-Higher mean vol. of milk pumped at initial interview  and 35 wks 
•-Putting the infant to breast by 35 wks CA 

Nancy
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist, Sharp Mary Birch Hospital for Women and Children's Hospital
Medical Director, Sharp HealthCare Lactation Services
San Diego, CA
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