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Clinical Obstetrics

Poster Session 4

(990) The impact of pregnancy, maternal and neonatal complications on breastfeeding at the time of discharge

Wednesday, February 14, 2024
1:00 PM – 2:30 PM  
Location: Prince George's Exhibit Hall CDE, Lower Atrium Level

    Primary & Presenting Author(s)

  • Yael Eliner, MD, MPH

    Lenox Hill Hospital, Northwell Health
    New York, NY, United States

    • Coauthor(s)

  • Moti Gulersen, MD,MSc

    Assistant Professor, Obstetrics and Gynecology
    Sidney Kimmel Medical College at Thomas Jefferson University Hospital
    Philadelphia, PA, United States

  • JE

    Jordan Eisenberg, MD

    Lenox Hill Hospital, Northwell Health
    New York, NY, United States

  • MH

    Marlee Hirsch, MD

    Zucker School of Medicine at Hofstra of Northwell
    New York, NY, United States

  • EL

    Erez Lenchner, PhD

    Biostatistics and Data Management
    New York University Rory Meyers College of Nursing
    New York, NY, United States

  • AG

    Amos Grunebaum, MD

    Zucker School of Medicine at Hofstra of Northwell
    New York, NY, United States

  • FC

    Frank A. Chervenak, MD

    Zucker School of Medicine at Hofstra of Northwell
    New York, NY, United States

  • Eran Bornstein, MD

    Vice Chair of Obstetrics
    Lenox Hill Hospital
    New York, NY, United States

Objective:

Breastfeeding has been associated with significant benefits for both the infant and the mother. Such benefits include, for example, lower risk of childhood infections, obesity, and SIDS, for the infant, and lower risk of developing type 2 diabetes, breast cancer, and ovarian cancer for the mother. We aimed to assess the impact of different pregnancy, maternal and neonatal complications on the prevalence of breastfeeding at the time of hospital discharge.

Study Design:

A retrospective analysis of the Centers for Disease Control and Prevention, Natality Live Birth database (2019-2021). We compared the prevalence of breastfeeding at the time of hospital discharge between birthing individuals who had a specific pregnancy, maternal or neonatal complication and those who did not using Pearson’s chi-square test. We then conducted a multivariate regression analysis to account for potential confounding variables. The results are presented as adjusted odds ratios (aOR) and 95% confidence intervals (CI), with the statistical significance set to 0.05.

Results:

A total of 9,104,236 live births were analyzed. The overall prevalence of breastfeeding at the time of discharge from the hospital was 83.3%. The prevalence of breastfeeding and the aORs for different maternal, neonatal and pregnancy complications are displayed in the table.

Conclusion: As expected, most pregnancy, maternal and neonatal complications were associated with a decreased prevalence of breastfeeding. Specifically, preterm delivery, pre-gestational diabetes, chronic hypertension, gestational hypertension, eclampsia, cesarean delivery, blood transfusion, unplanned hysterectomy, maternal ICU admission, 5-min Apgar score, neonatal ICU admission, suspected neonatal sepsis, neonatal seizures and congenital anomalies were all associated with decreased prevalence of breastfeeding. These findings may help in guiding hospital and obstetric providers on allocating resources, such as lactation consultants, to this high-risk population.