Gregory Valentine1,2, Steven Ford3, Joseph Hagan4, Heeju Yang4, Jeffery Chen5, Nancy Hurst4, Kjersti Aagaard6, Amy Hair4. 1. Department of Pediatrics, Division of Neonatology, University of Washington, Seattle, WA, USA. gcvalent@uw.edu. 2. Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA. gcvalent@uw.edu. 3. Department of Pediatrics, Division of Neonatology, University of South Florida, Tampa, FL, USA. 4. Department of Pediatrics, Section of Neonatology, Baylor College of Medicine, Houston, TX, USA. 5. Baylor College of Medicine School of Medicine, Houston, TX, USA. 6. Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA.
Abstract
INTRODUCTION: No studies have determined if there is a threshold whereby use of mother's own milk (MOM) during hospitalization predicts exclusive MOM feeding at discharge. METHODS: Among 113 very low birthweight neonates, the ratio of MOM to enteral feeds was measured in the first 14 days, 28 days, and overall hospital stay. The primary outcome was exclusive MOM feeding at discharge. RESULTS: For every 1% increase in MOM consumption in the first 14 and 28 days, the odds of being discharge home on an exclusive MOM diet increased nearly 7-fold (OR 7.01, 95% CI: 2.09-23.50) and 17-fold (OR 17.46, 95% CI 4.67-63.31), respectively. A threshold of >50%, >83%, and >85% MOM consumption compared to overall enteral feeds in the first 14 days, 28 days, and throughout hospitalization, respectively, is recommended. CONCLUSIONS: Promotion of MOM consumption in the first 2-4 weeks is of paramount importance, with negligible impact of increasing MOM consumption after 28 days.
INTRODUCTION: No studies have determined if there is a threshold whereby use of mother's own milk (MOM) during hospitalization predicts exclusive MOM feeding at discharge. METHODS: Among 113 very low birthweight neonates, the ratio of MOM to enteral feeds was measured in the first 14 days, 28 days, and overall hospital stay. The primary outcome was exclusive MOM feeding at discharge. RESULTS: For every 1% increase in MOM consumption in the first 14 and 28 days, the odds of being discharge home on an exclusive MOM diet increased nearly 7-fold (OR 7.01, 95% CI: 2.09-23.50) and 17-fold (OR 17.46, 95% CI 4.67-63.31), respectively. A threshold of >50%, >83%, and >85% MOM consumption compared to overall enteral feeds in the first 14 days, 28 days, and throughout hospitalization, respectively, is recommended. CONCLUSIONS: Promotion of MOM consumption in the first 2-4 weeks is of paramount importance, with negligible impact of increasing MOM consumption after 28 days.
Authors: Nadia Raquel García-Lara; Diana Escuder-Vieco; Oscar García-Algar; Javier De la Cruz; David Lora; Carmen Pallás-Alonso Journal: Breastfeed Med Date: 2011-11-02 Impact factor: 1.817
Authors: Andrew R Barclay; Richard K Russell; Michelle L Wilson; W Harper Gilmour; Jack Satsangi; David C Wilson Journal: J Pediatr Date: 2009-05-22 Impact factor: 4.406
Authors: Lawrence M Gartner; Jane Morton; Ruth A Lawrence; Audrey J Naylor; Donna O'Hare; Richard J Schanler; Arthur I Eidelman Journal: Pediatrics Date: 2005-02 Impact factor: 7.124
Authors: Anne Zutavern; Inken Brockow; Beate Schaaf; Gabriele Bolte; Andrea von Berg; Ulrike Diez; Michael Borte; Olf Herbarth; H-Erich Wichmann; Joachim Heinrich Journal: Pediatrics Date: 2006-02 Impact factor: 7.124
Authors: Nadia Raquel García-Lara; Diana Escuder Vieco; Javier De la Cruz-Bértolo; David Lora-Pablos; Noelia Ureta Velasco; Carmen Rosa Pallás-Alonso Journal: J Pediatr Gastroenterol Nutr Date: 2013-09 Impact factor: 2.839