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Table 2 Benefits of feeding at-breast as opposed to bottle feeding expressed breast milk (EBM)

From: Benefits and challenges of transitioning preterm infants to at-breast feedings

Benefits to infant

Improved oxygenation and temperature regulation during feedings

• Higher oxygen saturation

• Better coordinated sucking, swallowing, breathing pattern

• Increased body temperature

• Fewer episodes of apnea and bradycardia

Advantages of skin-to-skin contact

• Increased breast milk volume

• Greater production of maternal milk antibodies to pathogens in infant's environment

Enhanced nutritional and immunological properties of breast milk

• Superior nutritional content lost by freezing, thawing and reheating EBM

• Lower risk of bacterial contamination and growth due to handling

Better oral development

• Optimal mandibular development

• Strengthening of the jaw muscles

• Increased nasal cavity space

• Improved future teeth alignment and decrease in malocclusions

• Greater breathing efficiency

More efficient emptying of the breast

• Greater milk volume in same amount of time as breast pump

• Increase in milk volume over time

Benefits to mother

Reduced risk of breast trauma

• Less risk of mastitis with ineffective emptying of breast

• Lower risk of damage to nipple from breast pump

Reduced risks to mothers' health

• Decreased incidence of type 2 diabetes

• Reduced risk of breast cancer

Psychological effects

• Potential reduction in perceived stress and negative mood after feedings

Practical advantages

• Less time in preparing EBM for feeding and cleaning of supplies

• Breast milk at optimal temperature without preparation

• Cost savings in not renting or buying an electric breast pump