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The MILC Study – Exploring the prevalence and outcomes associated with breast milk expressing: a prospective cohort study

by Helene M. Johns, Midwife, IBCLC, PhD Candidate
  • Duration: 60 Mins
  • Credits: 0.5 CERP, 0.5 L-CERP
  • Learning Format: Webinar
  • Handout: Yes
  • Origin: Lactation 2014

During the MILC study we recruited 1003 postpartum mothers of term healthy infants who intended to breastfeed to explore the prevalence and outcomes of breast milk expression, and whether feeding other than directly from the breast prior to hospital discharge decreased the proportion of these infants receiving any breast milk at six months. Data were collected between June 2009 and November 2011, at recruitment 24-48 hours after birth and by telephone interview at three and six months postpartum. At recruitment, 48% of infants had been fully breastfeeding at the breast, 47% had received at least some expressed breast milk. Only 36% of primiparas had been fully feeding at the breast. At six months, infants who had fed only at the breast at recruitment were more likely fed breast milk (76% vs. 59%; OR 1.8, 95% CI 1.27, 2.46; adjusted for parity, type of birth, breastfeeding intention, perceived breastfeeding problems at recruitment and education).

Learning Objectives:

Objective 1: Be familiar with current practices of expressing and use of breast pumps
Objective 2: Recognise the relationship between feeding method in hospital and duration of breastfeeding.
Objective 3: Be able to list the common determinants of breastfeeding in Australia.