Research Article

Effects of Breastfeeding and Perinatal Factors on Development of Retinopathy of Prematurity

Volume: 46 Number: 1 March 3, 2019
  • Sabit Kimyon
  • Alper Mete *

Effects of Breastfeeding and Perinatal Factors on Development of Retinopathy of Prematurity

Abstract

Objective: Breastfeeding is very important for the development and well-being of an infant. Other perinatal factors also influence the well-being of the infant like the method of conception, delivery method and multiple pregnancy. Our aim in this study is to investigate the effects of these factors on the development of retinopathy of prematurity (ROP).

Methods: The records of premature infants who were screened for ROP between 2015 and 2018. Gestational age (GA), birth weight (BW), sex, time spent in neonatal intensive care unit (NICU), assisted reproduction method, method of delivery, breastfeeding and multiple births were noted. The presence of ROP, stage and zone of the disease, treatment for ROP were recorded.

Results: GA and BW were significantly lower and time spent in NICU was significantly longer in infants with ROP (p<0.001). Only breastfed patients had a lower rate of ROP than other groups, however they had significantly higher GA, BW and lower time in NICU. Assisted conception significantly decreased the presence of any stage ROP (p=0.037). Delivery method and multiple pregnancy didn’t have an effect on the presence of ROP.

Conclusion: Low GA, low BW and more time spent in NICU are the major risk factors for development of ROP. The relation between ROP and breastfeeding is not reliable because of the significant difference of BW, GA and time spent in NICU that exists between the only breastfed group and others. Assisted reproductive techniques decreased the incidence of ROP which might be due to the advances in the assisted reproduction methods.

Keywords

References

  1. 1. Goldman AS. Evolution of immune functions of the mammary gland and protection of the infant. Breastfeeding Medicine. 2012; 7: 132–42.
  2. 2. Newburg DS, Walker WA. Protection of the neonate by the innate immune system of developing gut and of human milk. Pediatric Research. 2007; 61: 2–8.
  3. 3. Savino F, Liguori SA. Update on breast milk hormones: leptin, ghrelin and adiponectin. Clinical Nutrition. 2008; 27: 42–7.
  4. 4. Dieterich CM, Felice JP, O'Sullivan E, Rasmussen KM. Breastfeeding and health outcomes for the mother-infant dyad. Pediatr Clin North Am. 2013; 60: 31-48.
  5. 5. Chien PF, Howie PW. Breast milk and the risk of opportunistic infection in infancy in industrialized and non-industrialized settings. Advances in Nutritional Research. 2001; 10: 69–104.
  6. 6. Kramer MS, Aboud F, Mironova E, et all. Breastfeeding and child cognitive development: new evidence from a large randomized trial. Arch Gen Psychiatry. 2008; 65: 578–84.
  7. 7. Hauck FR, Thompson JM, Tanabe KO, Moon RY, Vennemann MM. Breastfeeding and reduced risk of sudden infant death syndrome: a meta-analysis. Pediatrics. 2011; 128: 103–10.
  8. 8. Kwan M, Buffler P, Abrams B, Kiley VA. Breastfeeding and the risk of childhood leukemia: a meta-analysis. Public Health Rep. 2004; 119: 521–35.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Publication Date

March 3, 2019

Submission Date

September 8, 2018

Acceptance Date

January 4, 2019

Published in Issue

Year 2019 Volume: 46 Number: 1

APA
Kimyon, S., & Mete, A. (2019). Effects of Breastfeeding and Perinatal Factors on Development of Retinopathy of Prematurity. Dicle Medical Journal, 46(1), 91-96. https://doi.org/10.5798/dicletip.534838
AMA
1.Kimyon S, Mete A. Effects of Breastfeeding and Perinatal Factors on Development of Retinopathy of Prematurity. Dicle Medical Journal. 2019;46(1):91-96. doi:10.5798/dicletip.534838
Chicago
Kimyon, Sabit, and Alper Mete. 2019. “Effects of Breastfeeding and Perinatal Factors on Development of Retinopathy of Prematurity”. Dicle Medical Journal 46 (1): 91-96. https://doi.org/10.5798/dicletip.534838.
EndNote
Kimyon S, Mete A (March 1, 2019) Effects of Breastfeeding and Perinatal Factors on Development of Retinopathy of Prematurity. Dicle Medical Journal 46 1 91–96.
IEEE
[1]S. Kimyon and A. Mete, “Effects of Breastfeeding and Perinatal Factors on Development of Retinopathy of Prematurity”, Dicle Medical Journal, vol. 46, no. 1, pp. 91–96, Mar. 2019, doi: 10.5798/dicletip.534838.
ISNAD
Kimyon, Sabit - Mete, Alper. “Effects of Breastfeeding and Perinatal Factors on Development of Retinopathy of Prematurity”. Dicle Medical Journal 46/1 (March 1, 2019): 91-96. https://doi.org/10.5798/dicletip.534838.
JAMA
1.Kimyon S, Mete A. Effects of Breastfeeding and Perinatal Factors on Development of Retinopathy of Prematurity. Dicle Medical Journal. 2019;46:91–96.
MLA
Kimyon, Sabit, and Alper Mete. “Effects of Breastfeeding and Perinatal Factors on Development of Retinopathy of Prematurity”. Dicle Medical Journal, vol. 46, no. 1, Mar. 2019, pp. 91-96, doi:10.5798/dicletip.534838.
Vancouver
1.Sabit Kimyon, Alper Mete. Effects of Breastfeeding and Perinatal Factors on Development of Retinopathy of Prematurity. Dicle Medical Journal. 2019 Mar. 1;46(1):91-6. doi:10.5798/dicletip.534838