Margaret G Parker1, Laura A Burnham2, Stephen Kerr3, Mandy B Belfort4, Maryanne Perrin5, Michael Corwin2,3, Timothy Heeren6. 1. Department of Pediatrics, Boston Medical Center, 88 East Newton St. Vose Hall, 3rd Floor, Boston, MA, USA. Margaret.parker@bmc.org. 2. Department of Pediatrics, Boston Medical Center, 88 East Newton St. Vose Hall, 3rd Floor, Boston, MA, USA. 3. Slone Epidemiology Center, Boston University, Boston, MA, USA. 4. Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. 5. Department of Nutrition, University of North Carolina Greensboro, Greensboro, NC, USA. 6. Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA.
Abstract
OBJECTIVE: (1) Determine national prevalence and predictors of donor milk programs among levels 2-4 advanced neonatal care facilities; (2) describe characteristics of donor milk programs. STUDY DESIGN: We randomly selected 120 U.S. hospitals with levels 2-4 advanced neonatal care facilities among each of four U.S. regions and surveyed the medical directors from July 2017 to November 2017 regarding donor milk use. We weighted responses according to the number of birthing hospitals in each region. RESULTS: Response rate was 213/480 (44%). Twenty-eight percent of level 2 and 88% of levels 3 and 4 neonatal care facilities had donor milk programs. Donor milk programs occurred more often in the South vs. Northeast (aOR 3.7 [1.1, 12.5] and less often in safety-net hospitals (≥75% Medicaid patients) vs. nonsafety-net hospitals (aOR 0.3 [0.1, 0.8]). CONCLUSION: In 2017, the vast majority of levels 3 and 4 neonatal care facilities had donor milk programs but disparities existed according to the safety-net hospital status and region.
OBJECTIVE: (1) Determine national prevalence and predictors of donor milk programs among levels 2-4 advanced neonatal care facilities; (2) describe characteristics of donor milk programs. STUDY DESIGN: We randomly selected 120 U.S. hospitals with levels 2-4 advanced neonatal care facilities among each of four U.S. regions and surveyed the medical directors from July 2017 to November 2017 regarding donor milk use. We weighted responses according to the number of birthing hospitals in each region. RESULTS: Response rate was 213/480 (44%). Twenty-eight percent of level 2 and 88% of levels 3 and 4 neonatal care facilities had donor milk programs. Donor milk programs occurred more often in the South vs. Northeast (aOR 3.7 [1.1, 12.5] and less often in safety-net hospitals (≥75% Medicaid patients) vs. nonsafety-net hospitals (aOR 0.3 [0.1, 0.8]). CONCLUSION: In 2017, the vast majority of levels 3 and 4 neonatal care facilities had donor milk programs but disparities existed according to the safety-net hospital status and region.
Authors: Paula M Sisk; Tinisha M Lambeth; Mario A Rojas; Teisha Lightbourne; Maria Barahona; Evelyn Anthony; Sam T Auringer Journal: Am J Perinatol Date: 2016-12-09 Impact factor: 1.862