دورية أكاديمية
Supplementation Practices and Donor Milk Use in US Well-Newborn Nurseries.
| العنوان: | Supplementation Practices and Donor Milk Use in US Well-Newborn Nurseries. |
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| المؤلفون: | Kair LR; Department of Pediatrics, School of Medicine, University of California, Davis, Sacramento, California; lrkair@ucdavis.edu., Phillipi CA; Department of Pediatrics, School of Medicine, Oregon Health & Science University, Portland, Oregon., Lloyd-McLennan AM; Department of Pediatrics, University of California, San Francisco, Benioff Children's Hospital Oakland, Oakland, California., Ngo KM; Department of Pediatrics, School of Medicine, University of California, Davis, Sacramento, California., Sipsma HL; Department of Public Health, College of Education and Health Services, Benedictine University, Lisle, Illinois., King BA; Academic Pediatric Association, McLean, Virginia; and., Flaherman VJ; Departments of Pediatrics and Epidemiology & Biostatistics, University of California, San Francisco, San Francisco, California. |
| المصدر: | Hospital pediatrics [Hosp Pediatr] 2020 Sep; Vol. 10 (9), pp. 767-773. Date of Electronic Publication: 2020 Aug 10. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Academy of Pediatrics Country of Publication: United States NLM ID: 101585349 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2154-1671 (Electronic) Linking ISSN: 21541671 NLM ISO Abbreviation: Hosp Pediatr Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: July 2011- : Elk Grove Village : American Academy of Pediatrics Original Publication: Elk Grove Village, IL : American Academy of Pediatrics/Section on Hospital Medicine |
| مواضيع طبية MeSH: | Nurseries, Infant*, Breast Feeding ; Dietary Supplements ; Female ; Humans ; Infant ; Infant Formula ; Infant, Newborn ; Infant, Premature ; Milk, Human ; United States |
| مستخلص: | Background and Objectives: Guidelines encourage exclusive breastfeeding for healthy newborns but lack specificity regarding criteria for medically indicated supplementation, including type, timing, and best practices. We set out to describe practice patterns and provider perspectives regarding medically indicated supplementation of breastfeeding newborns across the United States. Methods: From 2017 to 2018, we surveyed the Better Outcomes through Research for Newborns representative from each Better Outcomes through Research for Newborns hospital regarding practices related to medically indicated supplementation. We used descriptive statistics to compare practices between subgroups defined by breastfeeding prevalence and used qualitative methods and an inductive approach to describe provider opinions. Results: Of 96 providers representing discrete hospitals eligible for the study, 71 participated (74% response rate). Practices related to criteria for supplementation and pumping and to type and caloric density of supplements varied widely between hospitals, especially for late preterm infants, whereas practices related to lactation consultant availability and hand expression education were more consistent. The most commonly reported criterion for initiating supplementation was weight loss of ≥10% from birth weight, and bottle-feeding was the most commonly reported method; however, practices varied widely. Donor milk use was reported at 20 (44%) hospitals with ≥81% breastfeeding initiation and 1 (4%) hospital with <80% breastfeeding initiation ( P = .001). Conclusions: Strategies related to supplementation vary among US hospitals. Donor milk availability is concentrated in hospitals with the highest prevalence of breastfeeding. Implementation of evidence-based management of supplementation among US hospitals has the potential to improve the care of term and late preterm newborns. Competing Interests: POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose. (Copyright © 2020 by the American Academy of Pediatrics.) |
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| معلومات مُعتمدة: | K12 AR084220 United States AR NIAMS NIH HHS; K12 HD051958 United States HD NICHD NIH HHS; UL1 TR001860 United States TR NCATS NIH HHS |
| تواريخ الأحداث: | Date Created: 20200812 Date Completed: 20210818 Latest Revision: 20240121 |
| رمز التحديث: | 20240121 |
| مُعرف محوري في PubMed: | PMC7842181 |
| DOI: | 10.1542/hpeds.2020-0037 |
| PMID: | 32778567 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2154-1671 |
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| DOI: | 10.1542/hpeds.2020-0037 |