Agata Kantorowska1, Julia C Wei2, Ronald S Cohen3, Ruth A Lawrence4, Jeffrey B Gould5, Henry C Lee6. 1. University of Rochester School of Medicine and Dentistry, Rochester, New York; 2. Berkeley School of Public Health, University of California, Berkeley, California; 3. Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California; and. 4. Division of Neonatology, Department of Pediatrics. 5. Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California; and California Perinatal Quality Care Collaborative, Stanford, California. 6. Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California; and California Perinatal Quality Care Collaborative, Stanford, California hclee@stanford.edu.
Abstract
OBJECTIVES: To examine the availability of donor human milk (DHM) in a population-based cohort and assess whether the availability of DHM was associated with rates of breast milk feeding at NICU discharge and rates of necrotizing enterocolitis (NEC). METHODS: Individual patient clinical data for very low birth weight infants from the California Perinatal Quality Care Collaborative were linked to hospital-level data on DHM availability from the Mothers' Milk Bank of San José for 2007 to 2013. Trends of DHM availability were examined by level of NICU care. Hospitals that transitioned from not having DHM to having DHM availability during the study period were examined to assess changes in rates of breast milk feeding at NICU discharge and NEC. RESULTS: The availability of DHM increased from 27 to 55 hospitals during the study period. The availability increased for all levels of care including regional, community, and intermediate NICUs, with the highest increase occurring in regional NICUs. By 2013, 81.3% of premature infants cared for in regional NICUs had access to DHM. Of the 22 hospitals that had a clear transition to having availability of DHM, there was a 10% increase in breast milk feeding at NICU discharge and a concomitant 2.6% decrease in NEC rates. CONCLUSIONS: The availability of DHM has increased over time and has been associated with positive changes including increased breast milk feeding at NICU discharge and decrease in NEC rates.
OBJECTIVES: To examine the availability of donorhuman milk (DHM) in a population-based cohort and assess whether the availability of DHM was associated with rates of breast milk feeding at NICU discharge and rates of necrotizing enterocolitis (NEC). METHODS: Individual patient clinical data for very low birth weight infants from the California Perinatal Quality Care Collaborative were linked to hospital-level data on DHM availability from the Mothers' Milk Bank of San José for 2007 to 2013. Trends of DHM availability were examined by level of NICU care. Hospitals that transitioned from not having DHM to having DHM availability during the study period were examined to assess changes in rates of breast milk feeding at NICU discharge and NEC. RESULTS: The availability of DHM increased from 27 to 55 hospitals during the study period. The availability increased for all levels of care including regional, community, and intermediate NICUs, with the highest increase occurring in regional NICUs. By 2013, 81.3% of premature infants cared for in regional NICUs had access to DHM. Of the 22 hospitals that had a clear transition to having availability of DHM, there was a 10% increase in breast milk feeding at NICU discharge and a concomitant 2.6% decrease in NEC rates. CONCLUSIONS: The availability of DHM has increased over time and has been associated with positive changes including increased breast milk feeding at NICU discharge and decrease in NEC rates.
Authors: N M Delfosse; L Ward; A J Lagomarcino; C Auer; C Smith; J Meinzen-Derr; C Valentine; K R Schibler; A L Morrow Journal: J Perinatol Date: 2012-12-20 Impact factor: 2.521
Authors: Elizabeth A Cristofalo; Richard J Schanler; Cynthia L Blanco; Sandra Sullivan; Rudolf Trawoeger; Ursula Kiechl-Kohlendorfer; Golde Dudell; David J Rechtman; Martin L Lee; Alan Lucas; Steven Abrams Journal: J Pediatr Date: 2013-08-20 Impact factor: 4.406
Authors: Margaret G K Parker; Alejandra Barrero-Castillero; Brian K Corwin; Patricia L Kavanagh; Mandy B Belfort; C Jason Wang Journal: J Hum Lact Date: 2013-06-13 Impact factor: 2.219
Authors: Elizabeth A Brownell; Mary M Lussier; Victor C Herson; James I Hagadorn; Kathleen A Marinelli Journal: J Hum Lact Date: 2013-10-28 Impact factor: 2.219
Authors: Sandra Sullivan; Richard J Schanler; Jae H Kim; Aloka L Patel; Rudolf Trawöger; Ursula Kiechl-Kohlendorfer; Gary M Chan; Cynthia L Blanco; Steven Abrams; C Michael Cotten; Nirupama Laroia; Richard A Ehrenkranz; Golde Dudell; Elizabeth A Cristofalo; Paula Meier; Martin L Lee; David J Rechtman; Alan Lucas Journal: J Pediatr Date: 2009-12-29 Impact factor: 4.406
Authors: Rebecca L Morgan; Geoffrey A Preidis; Purna C Kashyap; Adam V Weizman; Behnam Sadeghirad Journal: Gastroenterology Date: 2020-06-24 Impact factor: 22.682
Authors: Kelley L Baumgartel; Maureen W Groer; Susan M Cohen; Dianxu Ren; Diane L Spatz; Yvette P Conley Journal: Biol Res Nurs Date: 2016-09-20 Impact factor: 2.522
Authors: Jessica Liu; Margaret G Parker; Tianyao Lu; Shannon M Conroy; John Oehlert; Henry C Lee; Scarlett Lin Gomez; Salma Shariff-Marco; Jochen Profit Journal: J Pediatr Date: 2019-12-13 Impact factor: 4.406
Authors: Gregory P Goldstein; Vidya V Pai; Jessica Liu; Krista Sigurdson; Lelis B Vernon; Henry C Lee; Karl G Sylvester; Gary M Shaw; Jochen Profit Journal: Pediatr Res Date: 2020-08 Impact factor: 3.756