TY  - BOOK
AU  - Penny, Frances
AU  - Brownell,Elizabeth
AU  - Judge, Michelle
AU  - Marshall-Crim, Mary
AU  - Cartagena, Diana
AU  - McGrath, Jacqueline
TI  - Use of a supplemental feeding tube device and breastfeeding at 4 weeks
KW  - Baby-friendly hospital initiative
KW  - Bottle-feeding
KW  - Breastfeeding
KW  - Breastfeeding exclusive
KW  - Exclusive breastfeeding
KW  - Human milk
KW  - Lactation
N1  - Abstract

Background: Mothers having difficulty breastfeeding their infants may use alternative supportive feeding methods. Although a supplemental feeding tube device is commonly used, efficacy for supporting sustained breastfeeding remains unknown. 

Purpose:
To describe supplemental feeding tube device use by breastfeeding mothers as an alternative feeding method through exploration of associations between supplemental feeding tube device use and continued breastfeeding at 4 weeks of infant's age. 

Method: Forty mothers participated. They were interviewed during the birth hospitalization and at 4 weeks postpartum. Questions addressed use of supplemental feeding tube devices, breastfeeding issues, and continued breastfeeding relationships. We examined the relationship between LATCH scores at 2 to 3 days of life. 

Results: Breastfeeding mothers who chose to supplement with bottle-feeding instead of use of a supplemental feeding tube device were 30% less likely to continue breastfeeding at a medium/high/exclusive level.

Conclusion: Use of the supplemental feeding tube device may help avoid the potentially detrimental effect of bottle-feeding on continued breastfeeding
ER  -