Abstract
IntroductionExclusive human milk feeding improves outcome in preterm infants however implementation is inadequate. MethodsThis randomized controlled trial was conducted in a tertiary care hospital (6 months) to assess the effect of antenatal and postnatal individualized counseling on exclusive human milk feeding in preterm infants. In intervention counseling regarding benefits of exclusive human-milk feeding and demonstration of expression of milk. Outcomes were proportion of infants on exclusive human-milk feeding,type of milk and method of feeding during hospital stay and at discharge. ResultsAt discharge, (97%) were on exclusive human-milk in intervention group as compared to (6%) in control group (p < 0.001). By day 21, in intervention group, (100%) were on exclusive human-milk as compared to (33.3%) in control group (p < 0.001). In intervention group (53%) and in control group (5%), (p < 0.001) were discharged on direct breastfeeding + spoon feeding. ConclusionIndividualized counseling improves exclusive human-milk feeding in preterm infants.
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