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Objective <p>Describe nutrition type/route at the first oral feed (FOF) for infants with critical congenital heart disease (CCHD); identify supportive/limiting factors.</p> Study design <p>Retrospective cohort; adjusted regression estimated associations between parental/clinical factors and human milk or breastfeeding at the FOF.</p> Result <p>For 1355 infants across 15 sites, human milk was used in 78.5% of FOFs, with 34.5% breastfeeding. Human milk was associated with parent presence (OR: 5.32, <i>p</i> &lt; 0.001) and with feeding/lactation consults (2.49, <i>p</i> &lt; 0.001). Private insurance predicted human milk (1.87, <i>p</i> &lt; 0.001) and breastfeeding (1.82, <i>p</i> &lt; 0.001). Younger age (&lt;2 days; 2.23, <i>p</i> &lt; 0.001) and preoperative status (3.66, <i>p</i> &lt; 0.001) were associated with breastfeeding.</p> Conclusion <p>This is the first description of human milk/breastfeeding at the FOF in CCHD. Parent presence and feeding/lactation support were potentially modifiable factors.</p>

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Human milk and breastfeeding at the first oral feed for infants with critical congenital heart disease: a multi-institutional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月26日

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  • Kristin M. Elgersma,
  • Caelah Clark,
  • Nancy L. Slater,
  • Kimberly M. Morris,
  • Mallory Moor,
  • Adam Kortis,
  • Chetna Pande,
  • Karli A. Negrin,
  • Samantha C. Butler

摘要

Objective

Describe nutrition type/route at the first oral feed (FOF) for infants with critical congenital heart disease (CCHD); identify supportive/limiting factors.

Study design

Retrospective cohort; adjusted regression estimated associations between parental/clinical factors and human milk or breastfeeding at the FOF.

Result

For 1355 infants across 15 sites, human milk was used in 78.5% of FOFs, with 34.5% breastfeeding. Human milk was associated with parent presence (OR: 5.32, p < 0.001) and with feeding/lactation consults (2.49, p < 0.001). Private insurance predicted human milk (1.87, p < 0.001) and breastfeeding (1.82, p < 0.001). Younger age (<2 days; 2.23, p < 0.001) and preoperative status (3.66, p < 0.001) were associated with breastfeeding.

Conclusion

This is the first description of human milk/breastfeeding at the FOF in CCHD. Parent presence and feeding/lactation support were potentially modifiable factors.