Does opening a milk bank in a neonatal unit change infant feeding practices? A before and after study

被引：32

作者：

Utrera Torres M.I. ^{[1
]}

Medina López C. ^{[1
]}

Vázquez Román S. ^{[1
]}

Alonso Díaz C. ^{[1
]}

Cruz-Rojo J. ^{[2
]}

Fernández Cooke E. ^{[2
]}

Pallás Alonso C.R. ^{[1
]}

机构：

[1] Service of Neonatology, Hospital Universitario 12 de Octubre, 28041 Madrid, Avenida de Córdoba s/n

[2] Department of Pediatrics, Hospital Universitario 12 de Octubre, 28041 Madrid, Avenida de Córdoba s/n

来源：

International Breastfeeding Journal | / 5卷 / 1期

关键词：

Breast Milk; Human Milk; Infant Formula; Enteral Feeding; Neonatal Unit;

D O I：

10.1186/1746-4358-5-4

中图分类号：

学科分类号：

摘要：

Background: Donor human milk banks are much more than simple centers for collection, storage, processing, and distribution of donor human milk, as they cover other aspects and represent a real opportunity to promote and support breastfeeding. The aim of our study is to assess the impact that opening a human milk bank has had on the proportion of infants receiving exclusive breast milk at discharge and other aspects related to feeding children with birth weight < or = 1500 g or < 32 weeks gestation admitted to the neonatal unit.Methods: The study included babies of < or = 1500 g or < 32 weeks gestation. Fifty infants born from February to July in 2006, before the opening of the human milk bank, and 54 born from February to July in 2008, after its opening, met inclusive criteria. We collected data about days of hospital stay, hours of life when feeding was started, hours of life when full enteral feeding was attained, the type of milk received during admission, and the type of feeding on discharge.Results: Children born in 2008 commenced feeding 16 hours earlier than those born in 2006 (p = 0.00). The proportion of infants receiving exclusive breast milk at discharge was 54% in 2006 and 56% in 2008 (p = 0.87). The number of days they received their mother's own milk during the first 28 days of life was 24.2 days in 2006, compared to 23.7 days in 2008 (p = 0.70). In 2006, 60% of infants received infant formula at least once in the first 28 days of life, compared to 37% in 2008 (p = 0.01).Conclusions: The opening of a donor human milk bank in a neonatal unit did not reduce the proportion of infants exclusively fed with breast milk at discharge, but did reduce the proportion of infants that received infant formula during the first four weeks of life. Also, having donor human milk available enables commencement of enteral feeding earlier. © 2010 Utrera et al; licensee BioMed Central Ltd.

引用

共 23 条

[1]

Global Strategy on Infant and Young Child Feeding. 55th World Health Assembly, Geneva, (2003)

[2]

Lucas A., Cole T.J., Breast milk and neonatal necrotizing enterocolitis, Lancet, 336, pp. 1519-1523, (1990)

[3]

Henderson G., Anthony M.Y., McGuire W., Formula milk versus term human milk for feeding preterm or low birth weight infants, Cochrane Database Syst Rev, 4, (2007)

[4]

Wight N.E., Donor human milk for preterm infants, J Perinatol, 21, 4, pp. 249-254, (2001)

[5]

Gartner L.M., Morton J., Lawrence R.A., Naylor A.J., O'Hare D., Schanler R.J., Eidelman A.I., Breastfeeding and the use of human milk, Pediatrics, 115, 2, pp. 496-506, (2005)

[6]

Aguilar M.T., Aguayo Maldonado J., Breastfeeding. How to promote and support breastfeeding in pediatric practice. Recommendations of the Committee on Breastfeeding of Spanish Association of Pediatrics, An Pediatr, 63, pp. 340-356, (2005)

[7]

Bialoskurski M.A., Cox C.L., Hayes J., The nature of the attachment in a Neonatal Intensive Care Unit, J Perinat Neonatal Nurs, 13, 1, pp. 66-77, (1999)

[8]

Vohr B.R., Poindexter B.B., Dusick A.M., McKinley L.T., Wright L.L., Langer J.C., Poole W.K., Beneficial effects of breast milk in the neonatal intensive care unit on the developmental outcome of extremely low birth weight infants at 18 months of age, Pediatrics, 118, 1, (2006)

[9]

Vohr B.R., Poindexter B.B., Dusick A.M., McKinley L.T., Higgins R.D., Langer J.C., Poole W.K., Persistent beneficial effects of breast milk ingested in the neonatal intensive care unit on outcomes of extremely low birth weight infants at 30 months of age, Pediatrics, 120, 4, (2007)

[10]

Quigley M., Henderson G., Anthony M.Y., McGuire W., Formula milk versus donor breast milk for feeding preterm or low birth weight infants, Cochrane Database Syst Rev, 4, (2007)

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