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

Donor human milk largely replaces formula-feeding of preterm infants in two urban hospitals.
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DOI:
10.1038/jp.2012.153
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发表时间:
2013-06
影响因子:
2.9
通讯作者:
Morrow, A. L.
Morrow, A. L.
中科院分区:
医学3区
文献类型:
--
作者:
Delfosse, N. M.;Ward, L.;Lagomarcino, A. J.;Auer, C.;Smith, C.;Meinzen-Derr, J.;Valentine, C.;Schibler, K. R.;Morrow, A. L.

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为了解供者母乳(DM)是否可用于喂养早产儿,以及提供DM是否会改变母乳喂养。婴儿喂养数据收集自2006-2011年间在俄亥俄州辛辛那提两家医院III级新生儿重症监护病房(NICU)登记的650名极早产儿的医疗记录。这项研究是在一项提供14天DM的计划实施期间进行的。从2006年到2011年,婴儿中DM的使用量从8%增加到77%,很大程度上取代了出生后头两周的配方奶粉;MM的供应没有变化。如果婴儿从未接受过MM或出生体重为1000克,则更有可能在出生后的头两周服用DM,但DM的使用没有因社会人口因素而异。提供DM显著增加了母乳喂养,减少了配方奶粉的使用,但没有改变MM在医院的喂养。
To determine acceptance of donor human milk (DM) for feeding preterm infants and whether offering DM, alters mothers’ milk (MM) feeding. 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. 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. Offering DM dramatically increased human milk feeding and decreased formula use, but did not alter MM feeding in hospital.
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