Presence of human milk bank is associated with elevated rate of exclusive breastfeeding in VLBW infants

Arslanoğlu, Sertaç; Moro, Guido; Bellù, Roberto; Turoli, Daniela; Nisi, Giuseppe; Tonetto, Paola; Bertino, Enrico

doi:10.1515/jpm-2012-0196

Cited by 108 publications

(95 citation statements)

References 8 publications

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“…12 There has been debate about whether access to DHM could lead to decreased breastfeeding, the idea being that the availability of an alternate human milk source could lead to attenuated efforts to promote lactation among mothers of preterm infants. 13 A study by the Italian Association of Human Milk Banks showed that access to DHM was actually associated with an increased rate of exclusive breastfeeding in VLBW infants, 13 but data from US NICUs have been lacking. Data from human milk banks in the United States are not standardized, and there is a lack of a central depository.…”

Section: What This Study Addsmentioning

confidence: 99%

“…A study of 83 NICUs in Italy found that breastfeeding at discharge tended to be higher in NICUs that had DHM available to them (60.4% vs 52.8%). 13 A single-center study conducted in the Connecticut Children's Medical Center's level-4 NICU that examined data from 154 infants found that the introduction of a DHM policy was associated with a significant increase in the proportion of human milk in the infants' diet. 16 A systematic review and metaanalysis conducted in 2003 based on 4 small trials that are now >30 years old found that infants who received DHM were 3 times less likely to develop NEC than infants who received formula.…”

Section: Figurementioning

confidence: 99%

“…However, as the investigators of the Italian study suggested, 13 DHM availability could foster a breastfeeding-friendly environment in which mothers may be more encouraged to attempt to provide their own milk. This situation appeared to be the case in the current cohort, with an increase in breastfeeding at discharge among the California NICUs that had DHM available.…”

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confidence: 99%

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Impact of Donor Milk Availability on Breast Milk Use and Necrotizing Enterocolitis Rates

et al. 2016

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To examine the availability of donor human milk (DHM) in a population-based cohort and assess whether the availability of DHM was associated with rates of breast milk feeding at NICU discharge and rates of necrotizing enterocolitis (NEC). METHODS:Individual patient clinical data for very low birth weight infants from the California Perinatal Quality Care Collaborative were linked to hospital-level data on DHM availability from the Mothers' Milk Bank of San José for 2007 to 2013. Trends of DHM availability were examined by level of NICU care. Hospitals that transitioned from not having DHM to having DHM availability during the study period were examined to assess changes in rates of breast milk feeding at NICU discharge and NEC. RESULTS:The availability of DHM increased from 27 to 55 hospitals during the study period. The availability increased for all levels of care including regional, community, and intermediate NICUs, with the highest increase occurring in regional NICUs. By 2013, 81.3% of premature infants cared for in regional NICUs had access to DHM. Of the 22 hospitals that had a clear transition to having availability of DHM, there was a 10% increase in breast milk feeding at NICU discharge and a concomitant 2.6% decrease in NEC rates. CONCLUSIONS:The availability of DHM has increased over time and has been associated with positive changes including increased breast milk feeding at NICU discharge and decrease in NEC rates.

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Section: What This Study Addsmentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

mentioning

confidence: 99%

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Impact of Donor Milk Availability on Breast Milk Use and Necrotizing Enterocolitis Rates

et al. 2016

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“…The main reason probably, is that the early parenteral and, or enteral administration of large amounts of macronutrients and energy is still considered by many neonatologists to be insecure [9][10][11][12][13][14] .…”

Section: Introductionmentioning

confidence: 99%

Human Milk Banking: a bridge between the preterm mother and infant; the experience from a Greek Public Perinatal Center

Dritsakou

Liosis

Valsami

et al. 2015

J Adv Nutr Hum Metab

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Globally increasing scientific knowledge has acclaimed the treating of preterm infants with mother's own raw milk as well as the practice of donor human milk feeding, combined with the early initiation of breastfeeding, as a basic nutritional policy for preterm infants in Greece. Nowadays, donor human milk banking is being promoted and underpinned as the most basic element of the Greek national breastfeeding policy for preterm infants in Neonatal Intensive Care Units (NICU). Donor Human Milk Banks, besides gathering, screening, and pasteurizing donor's human milk consist a bridge between the preterm mother and infant, especially during the first days of lactation, that preterm mother's milk cannot completely fulfill her infants' needs. Human milk banking represents an advantageous tool for breastfeeding promotion. As found in recently conducted studies, preterm neonates treated only with an absolute human milk diet, including both raw maternal and donor banked milk, even from the first minutes of life, are able to initiate breastfeeding earlier compared to those infants, who are fed mainly with a preterm formula, that achieve later on time to initiate bottle-feeding. The policy of early aggressive nutrition even from the first hour of life with the minimal enteric feeding, is now practiced, by most neonatologists, in our country too, while early nutrition is also thought to be safe in terms of lifelong biological effects. For all the infants, both terms and preterms, human milk imposes a positive immune protection and enhances the emotional relationship between mother-newborn. Nonetheless, the nutritional value of preterm mother's milk is not completely defined as various analogies of macronutrients (protein, fat and carbohydrates), as well as energy have been analyzed in several studies. Reinforced bovine human milk fortifiers supplement with extra macronutrients and energy the raw and donor banked human milk, while the practice of performing targeted fortification, results in short-term improvements at hospital discharge, in neonatal anthropometric characteristics, feeding tolerance and length of stay in NICU.Keywords: baby friendly hospital; donor human milk bank; breastfeeding; preterm infants To cite this article: Kalliopi Dritsakou, et al. Human milk banking: a bridge between the preterm mother and infant; the experience from a greek public perinatal center. J Adv Nutr Hum Metab 2015; 2: e978.

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“…Certainly the initial concern that providing donor milk in the NICU would reduce rates of breastfeeding has been debunked. 1,7 However, it is widely appreciated that initiating and sustaining lactation remains a great challenge to mothers of VLBW infants. A systematic review identifying effective methods of breastfeeding promotion in NICUs offers food for thought: skin-to-skin…”

mentioning

confidence: 99%

Donor Milk Availability in the Neonatal ICU: Surrogate for Change?

Furman

2016

Pediatrics

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Presence of human milk bank is associated with elevated rate of exclusive breastfeeding in VLBW infants

Cited by 108 publications

References 8 publications

Impact of Donor Milk Availability on Breast Milk Use and Necrotizing Enterocolitis Rates

Impact of Donor Milk Availability on Breast Milk Use and Necrotizing Enterocolitis Rates

Human Milk Banking: a bridge between the preterm mother and infant; the experience from a Greek Public Perinatal Center

Donor Milk Availability in the Neonatal ICU: Surrogate for Change?

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