Donor human milk largely replaces formula-feeding of preterm infants in two urban hospitals

被引:30
作者
Delfosse, N. M. [1 ]
Ward, L. [1 ,2 ,3 ]
Lagomarcino, A. J. [2 ]
Auer, C. [3 ]
Smith, C. [3 ]
Meinzen-Derr, J. [1 ,4 ]
Valentine, C. [1 ,2 ,3 ]
Schibler, K. R. [1 ,2 ,5 ]
Morrow, A. L. [1 ,2 ,4 ]
机构
[1] Univ Cincinnati, Coll Med, Cincinnati, OH USA
[2] Cincinnati Childrens Hosp Med Ctr, Perinatal Inst, Cincinnati, OH 45229 USA
[3] UC Hlth Hosp, Cincinnati, OH USA
[4] Cincinnati Childrens Hosp Med Ctr, Div Biostat & Epidemiol, Cincinnati, OH 45229 USA
[5] Good Samaritan Hosp, Cincinnati, OH USA
关键词
donor human milk; preterm infants; breast milk; MOTHERS OWN MILK; BREAST-MILK; NECROTIZING ENTEROCOLITIS; INITIATION;
D O I
10.1038/jp.2012.153
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: To determine acceptance of donor human milk (DM) for feeding preterm infants and whether offering DM, alters mothers' milk (MM) feeding. STUDY DESIGN: Infant feeding data were collected from medical records of 650 very preterm infants enrolled between 2006-2011 in two hospital level III neonatal intensive care units (NICUs) in Cincinnati, Ohio. The study was conducted during the implementation of a program offering 14 days of DM. RESULT: From 2006-2011, any DM use increased from 8 to 77% of infants, largely replacing formula for the first 2 weeks of life; provision of MM did not change. DM was more likely to be given in the first 2 weeks of life, if infants never received MM or were >1000 g birth weight, but DM use did not differ by sociodemographic factors. CONCLUSION: Offering DM dramatically increased human milk feeding and decreased formula use, but did not alter MM feeding in hospital.
引用
收藏
页码:446 / 451
页数:6
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