Janette Corallo1,2, Amy Bieda3, Marianne Garland4, Donna Dowling5, Paula Timoney6, David A Bateman4. 1. Morgan Stanley Children's Hospital of New York Presbyterian, New York, NY, USA. jac9077@nyp.org. 2. Francis Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA. jac9077@nyp.org. 3. College of Public Health, Department of Nursing, Temple University, Philadelphia, PA, USA. 4. Columbia University, Department of Pediatrics, New York, NY, USA. 5. Francis Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA. 6. Stony Brook School of Nursing, Stony Brook University, Stony Brook, NY, USA.
Abstract
OBJECTIVE: Examine the effect of a donor human milk (DHM) program on mothers' own milk feedings at discharge for very low birth weight (VLBW) infants. STUDY DESIGN: A single center retrospective analysis of feeding outcomes in preterm infants. Data were assigned as: (1) pre DHM era (2) Bridge DHM era (3) Full DHM era. Each era was divided into infants <1500 g (n = 724) or ≥1500 g (n = 784). RESULTS: Both the percentage of mothers' own milk feeds and percent of infants exclusively receiving mothers' own milk at discharge were increased in the <1500 g (p = 0.003, p = 0.002) and the ≥1500 g group (p = 0.007, p = 0.004) respectively, following the introduction of DHM for VLBW infants. CONCLUSION: Practice changes that accompany a donor milk program likely play a prominent role in the provision of mothers' own milk and exclusivity of breast milk feedings at discharge for very low birth weight infants.
OBJECTIVE: Examine the effect of a donor human milk (DHM) program on mothers' own milk feedings at discharge for very low birth weight (VLBW) infants. STUDY DESIGN: A single center retrospective analysis of feeding outcomes in preterm infants. Data were assigned as: (1) pre DHM era (2) Bridge DHM era (3) Full DHM era. Each era was divided into infants <1500 g (n = 724) or ≥1500 g (n = 784). RESULTS: Both the percentage of mothers' own milk feeds and percent of infants exclusively receiving mothers' own milk at discharge were increased in the <1500 g (p = 0.003, p = 0.002) and the ≥1500 g group (p = 0.007, p = 0.004) respectively, following the introduction of DHM for VLBW infants. CONCLUSION: Practice changes that accompany a donor milk program likely play a prominent role in the provision of mothers' own milk and exclusivity of breast milk feedings at discharge for very low birth weight infants.
Authors: Leslie A Parker; Nicole Cacho; Clara Engelmann; Jaime Benedict; Susan Wymer; Weaver Michael; Josef Neu Journal: J Pediatr Date: 2019-05-03 Impact factor: 4.406
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