Pasteurized Donor Human Milk Should Not Replace Mother's Own Milk in Preterm Neonates: A Quality Initiative Toward Decreasing the “PDHM Dependency”

Bagga, Nitasha; Kurian, Simi; Mohamed, Ashik; Pradeep, Reddy; Chirla, Dinesh

doi:10.1089/bfm.2021.0155

Cited by 4 publications

(2 citation statements)

References 20 publications

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“…In contrast, a NICU hospital in India identi ed a reduction in mother's own milk use following the establishment of a milk bank. After implementing a quality improvement project focused on strategies to address lactation barriers and improve mother's own milk feeds, there was a signi cant increase in mother's own milk feeds and decrease in donor milk use (45). Future research could further explore the effect of hospital characteristics such as ANCU level and other factors on the relationship between donor milk availability and use and receipt of mother's own milk.…”

Section: Discussionmentioning

confidence: 99%

Maternity Care Practices Supportive of Breastfeeding in U.S. Advanced Neonatal Care Units, United States, 2022

Anstey,

Noiman,

Boundy

et al. 2024

Preprint

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Objective: To describe breastfeeding-supportive practices in U.S. maternity hospitals with advanced neonatal care units (ANCU). Study Design: Using 2022 mPINC data, we calculated the percent of hospitals reporting 1) breastfeeding-supportive practices for “most” (≥80%) mother-baby dyads in ANCUs, by hospital demographic characteristics and 2) infant receipt of mother’s own milk or donor milk at any time while in the ANCU, by ANCU level. Results: More than 90% of hospitals reported that “most” mothers (≥80%) were advised on some breastfeeding-supportive practices. Fewer hospitals reported that “most” mothers expressed milk within one hour of birth (37%) or that kangaroo care was practiced for “most” eligible newborns (63%). Receipt of mother’s own milk varied by unit level and state. Conclusion: Breastfeeding-supportive practices requiring the technical competency of healthcare providers (e.g., early milk expression, kangaroo care) are less likely to be implemented in ANCU settings compared to practices centered around providing advice or education.

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Section: Discussionmentioning

confidence: 99%

Maternity Care Practices Supportive of Breastfeeding in U.S. Advanced Neonatal Care Units, United States, 2022

Anstey,

Noiman,

Boundy

et al. 2024

Preprint

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“…As part of its global work to strengthen newborn nutrition, PATH developed the Mother‐Baby Friendly Initiative Plus (MBFI+) model, which focuses on increasing access to and intake of human milk in a comprehensive approach that integrates skilled lactation support, kangaroo mother care (KMC) and provision of safe DHM, when needed (DeMarchis et al, 2017 ; PATH, 2019 ). This model, inspired by the comprehensive approach utilized by Brazil's nationalized HMB program (Soares, 2020 ), positions the use of DHM as a bridge to a mother's own milk, while her milk supply is being established, used only when needed and only as a replacement of formula feeds, not of mothers’ own milk (Bagga et al, 2022 ). With technical support from PATH, Kenya's Ministry of Health established the country's first HMB at Pumwani Maternity Hospital, Nairobi, as an integrated MBFI+ approach to promote equitable access to human milk through the protection, promotion, and support of breastfeeding and the provision of DHM only when necessary through an appropriately established HMB (PATH, 2019 ).…”

Section: Introductionmentioning

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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Spendermilchbanken senken die Stillmotivation

2022

Neonatologie Scan

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Die beste Ernährung für Frühgeborene ist die Milch der eigenen Mutter. Pasteurisierte Spendermilch ist nur die zweitbeste Option, da ihre Qualität aufgrund der Verarbeitungsprozesse leidet. In einer Klinik in Hyderabad/Indien beobachteten Neonatologinnen und Neonatologen, dass nach dem Aufbau einer Spendermilchbank die Motivation der Mütter zum Abpumpen sank. Mit einer Qualitätsinitiative gelang es ihnen jedoch, diesen Trend umzukehren.

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Pasteurized Donor Human Milk Should Not Replace Mother's Own Milk in Preterm Neonates: A Quality Initiative Toward Decreasing the “PDHM Dependency”

Cited by 4 publications

References 20 publications

Maternity Care Practices Supportive of Breastfeeding in U.S. Advanced Neonatal Care Units, United States, 2022

Maternity Care Practices Supportive of Breastfeeding in U.S. Advanced Neonatal Care Units, United States, 2022

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

Spendermilchbanken senken die Stillmotivation

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