Impacto en la práctica clínica de la apertura de un banco de leche en una unidad neonatal

Vázquez-Román, S.; Bustos-Lozano, G.; López‐Maestro, María; Rodrı́guez-López, Jesús; Orbea-Gallardo, C.; Samaniego-Fernández, M.; Pallás‐Alonso, Carmen Rosa

doi:10.1016/j.anpedi.2013.11.011

Cited by 6 publications

(5 citation statements)

References 22 publications

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“…Similarly, another study in India showed that the MBFI+ model increased exclusive human milk feeding during hospital stay from 60.5% to 80.7% among very low birthweight neonates (Mondkar et al, 2022 ). Two small quasi‐experimental studies in Spain reported a nonsignificant increase in the proportion of exclusively breastfed infants at discharge after the introduction of an HMB (Torres et al, 2010 ; Vazquez‐Roman et al, 2014 ). The increases were accompanied by reduced exposure to formula milk.…”

Section: Discussionmentioning

confidence: 99%

Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya

Wilunda,

Israel‐Ballard,

Wanjohi

et al. 2023

Maternal & Child Nutrition

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We assessed the potential effectiveness of human milk banking and lactation support on provision of human milk to neonates admitted in the newborn unit (NBU) at Pumwani Maternity Hospital, Kenya. This pre–post intervention study collected data from mothers/caregivers and their vulnerable neonates or term babies who lacked sufficient mother's milk for several reasons admitted in the NBU. The intervention included establishing a human milk bank and strengthening lactation support. Preintervention data were collected between 5 October 2018 and 11 November 2018, whereas postintervention data were collected between 4 September 2019 and 6 October 2019. Propensity score‐matched analysis was performed to assess the effect of the intervention on exclusive use of human milk, use of human milk as the first feed, feeding intolerance and duration of NBU stay. The surveys included 123 and 116 newborns at preintervention and postintervention, respectively, with 160 newborns (80 in each group) being included in propensity score matched analysis. The proportion of neonates who exclusively used human milk during NBU stay increased from 41.3% preintervention to 63.8% postintervention (adjusted odds ratio [OR]: 2.68; 95% confidence interval [CI]: 1.31, 5.53) and those whose first feed was human milk increased from 55.0% preintervention to 83.3% postintervention (adjusted OR: 5.09; 95% CI: 2.18, 11.88). The mean duration of NBU stay was 27% (95% CI: 5.8%, 44.0%) lower in the postintervention group than in the preintervention group. The intervention did not affect feeding intolerance. Integrating human milk banking and lactation support may improve exclusive use of human milk among vulnerable neonates in a resource limited setting.

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Section: Discussionmentioning

confidence: 99%

Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya

Wilunda,

Israel‐Ballard,

Wanjohi

et al. 2023

Maternal & Child Nutrition

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“…This finding is consistent with the Short-term Outcomes of Launching Mother's Milk Bank findings of Vazquez-Roman and colleagues who reported the clinical effect of inauguration of a human milk bank in a NICU in 2014. 19 They presented a before and after survey of the inauguration of a human milk bank, and two groups of preterm infants ≤ 32 weeks of gestational age were studied. They reported that after launching the mother's milk bank, none of the preterm infants initiated feeding with preterm formula.…”

Section: Discussionmentioning

confidence: 99%

“…In the study by Vazquez-Roman et al, disposal to formula in the prime of 15 days of life was diminished from 50% to 16.6%, and its use during the first 28 days of life was significantly decreased after launching the mother's milk bank. 19 After launching the human milk bank, we did not use formula totally until discharge from hospital because of the availability of donor milk and family preference. We did not record the starting time of feeding with mother's milk in the unit; however, after launching the human milk bank in the study by Vazquez-Roman et al, enteral nutrition was started 31 hours earlier (P < 0.001), enteral feeding of 100 mL/kg/d was achieved 59.5 hours sooner (P < 0.001) and volume of 150 mL/kg/d 52 hours earlier (P = 0.002).…”

Section: Discussionmentioning

confidence: 99%

“…Based on a study by Vazquez-Roman et al, 19 the sample size was calculated using the formula to estimate the difference between two proportions [α = 0.05, ß = 0.15, p1 = 8.3% (proportion of NEC before operation of the human milk bank), p2 = 2% (proportion of NEC after operation of the human milk bank)]. It was calculated equal to 176 individuals; by estimating a drop-out rate of 3%, the final size was calculated at 181 infants for each group.…”

Section: Designmentioning

confidence: 99%

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Short-term Outcomes of Launching Mother’s Milk Bank in Neonatal Intensive Care Unit: A Retrospective Study

et al. 2021

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Background: The WHO and UNICEF have suggested pasteurized donor milk (PDM) as the best alternative for infants who do not receive enough milk from their mothers. Objective: This study aimed to assess the short-term outcomes of launching the first mother's milk bank in North-West of Iran. Methods: The present retrospective study included 366 premature infants (181 pre-launch and 185 post-launch) who were hospitalized in Al-Zahra Hospital of Tabriz, Iran. The study included infants with birth weight ˂2000 g and/or gestation age ˂32 weeks who were born before and after the launch of mother's milk bank. Frequency of necrotizing enterocolitis (NEC), retinopathy of prematurity (ROP), late onset sepsis (LOS) and mortality rate were compared. Data were analyzed using SPSS 23 with the chisquare test, Fisher exact test, independent t test, and logistic regression test. Results: In total, NEC grade ≥ 2 was reported in 9 cases; 8 cases (4.41%) in pre-launch and one case (0.54%) in post-launch (adjusted OR = 0.091; 95% CI = 0.010 to 0.849, P = 0.035). ROP was reported in 21 cases in two groups. Nineteen cases (10.5%) belonged to the pre-launch group and 2 cases (3.7%) to the post-launch group (adjusted OR = 0.105; 95% CI = 0.022 to 0.488, P = 0.004). LOS was also found in 17 cases (9.39%) in the pre-launch group and 4 cases (2.16%) in the post-launch period, suggesting a significant difference between the two groups (adjusted OR = 0.297; 95%CI = 0.089 to 0.995, P = 0.049). There was no significant difference in mortality of infants during hospitalization between the two groups (P = 0.789); however, it was decreased from 15 to 8. Conclusion: Launching the human milk bank significantly improved the outcomes of premature infants.

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“…Puede actuar como un puente y una forma de lograr una dieta exclusiva a base de leche humana hasta que la leche de la madre esté disponible (103). Proporcionar leche humana de donantes a los recién nacidos vulnerables sin acceso a la leche de su madre puede salvar vidas y concientizar sobre el valor de la lactancia natural y de la leche humana en la comunidad (15,(104)(105)(106)(107)(108).…”

Section: Leche Humana De Donantesunclassified

Protección, promoción y apoyo de la lactancia natural. Iniciativa “Hospital Amigo del Niño” para recién nacidos pequeños, enfermos y prematuros

2023

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Se estima que más de 820 000 muertes de menores de 5 años podrían prevenirse en todo el mundo cada año gracias a la lactancia natural. Esta promueve el desarrollo del cerebro, reduce el riesgo de obesidad y protege a las madres contra el cáncer de mama y de ovario y la diabetes. Esta guía describe los pasos prácticos que los países deben tomar para proteger, promover y apoyar la lactancia materna en las salas de neonatología que brindan servicios a recién nacidos con peso bajo al nacer, enfermos o prematuros y a sus madres. La guía enfatiza la importancia de aplicar los Diez pasos hacia una feliz lactancia natural en todos establecimientos, puesto que aumenta significativamente las tasas de lactancia natural y aporta beneficios demostrados a los recién nacidos.

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Impacto en la práctica clínica de la apertura de un banco de leche en una unidad neonatal

Cited by 6 publications

References 22 publications

Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya

Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya

Short-term Outcomes of Launching Mother’s Milk Bank in Neonatal Intensive Care Unit: A Retrospective Study

Protección, promoción y apoyo de la lactancia natural. Iniciativa “Hospital Amigo del Niño” para recién nacidos pequeños, enfermos y prematuros

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