THE BREAST MILK BANK AS A COMMUNITY PROJECT

PEDIATRICS ◽  
1955 ◽  
Vol 16 (2) ◽  
pp. 264-269
Author(s):  
E. Robbins Kimball ◽  
Elizabeth Jones ◽  
Myrtle E. Lewis ◽  
Ethel R. Kolb
Keyword(s):  
Breast Milk ◽  
Hospital Stay ◽  
Breast Feeding ◽  
Premature Infants ◽  
Length Of Hospital Stay ◽  
Community Project ◽  
Milk Bank

1. The management of breast feeding is outlined. 2. The organization of our breast milk bank as operated by Evanston Hospital and Junior League volunteers is described. 3. The establishment of a breast milk bank has enabled us to increase the number of premature infants fed breast milk threefold. Their weights and length of hospital stay are presented.

scholarly journals Might the Mothers of Premature Babies Feed Them and Devote Some Milk to the Milk Bank?

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Pasqua Anna Quitadamo ◽  
Giuseppina Palumbo ◽  
Liliana Cianti ◽  
Matteo Luigi Napolitano ◽  
Ciro Coviello ◽  
...  
Keyword(s):  
Breast Milk ◽  
Premature Infants ◽  
Gestational Age ◽  
Psychological Trauma ◽  
Premature Baby ◽  
Single Donor ◽  
Premature Babies ◽  
Milk Bank ◽  
Starting Point ◽  
Healthy Growth

The breast milk is the gold standard food for the feeding of the premature baby: it is the natural way to provide excellent nutritional, immunological, and biological nutriment so as to facilitate a healthy growth and the development of the infants. When the breast milk is not available, the alternative is represented by the donated milk. The mothers of premature infants are important opportunity if we consider the fact that they could devote some milk both because they provide a food which is closer to the needs of the vulnerable category of newborns and because it is, for the mothers, a way to overcome the detachment and the psychological trauma of a premature birth. There are no data on this kind of donation. The aim of the study is to evaluate the contribution of the milk donation to the HMB of CSS by women who gave birth to premature infants of gestational age <35 weeks and to analyze the macronutrient composition of the “preterm” donated milk. The CSS HMB has recruited 659 donors totalling 2236 liters of donated milk over a period of 7 years. 38 donors (5.7%) gave birth to a gestational age <35 weeks. Almost 20% of the donated milk comes from mothers of premature babies and this is a very important fact because it shows the huge potential belonging to this category of mothers. Taking into account the parameter regarding the birth weight, it was found that VLBW mothers contributed for 56% to preterm donation while ELBW mothers contributed for 41%. By evaluating the variable gestational age, about 40% of the average total donation derives from mothers who gave birth before the 25 weeks, while a contribution of 46% is attributable to the category of newborns with a GA between 25 and 32 weeks. Besides, some other exceptional examples can be outlined. Regarding the correlation analysis DM resulted in negative correlation with GA weeks (r=-0.31, p=0.058) and with BW g (r=-0.30, p=0.068) achieving values which are very close to the significance. The comparison between the donor volume averages of the preterm and full-term groups is statistically significant. The composition data are in line with the literature: there is an increase by 18 % in the protein component of the milk deriving from the mothers of the premature infants; the gap in carbohydrates is less significant (5-6%) and the gap in calories is similarly low being only 2% higher than the single donor milk and 11% more than the pooled milk. The data on the lipids line up to single donor term milk, while it grows by 24% compared to the pooled one. The study shows that even at very low or extreme gestational age it is possible to obtain an appropriate production of breast milk. This awareness becomes a fundamental starting point for the activation in a standardized way of all the strategies of promotion and support of food that have proven effective with the HM in NICU.

The effect of non-nutritive sucking combined with oral motor stimulation and oral support on feeding performance in premature infants: A single-blind randomized–clinical trial

2021 ◽  
Vol 14 (3) ◽  
pp. 379-387
Author(s):  
Alireza Alidad ◽  
Maryam Tarameshlu ◽  
Leila Ghelichi ◽  
Hamid Haghani
Keyword(s):  
Hospital Stay ◽  
Premature Infants ◽  
Length Of Hospital Stay ◽  
Oral Feeding ◽  
Feeding Problems ◽  
Feeding Performance ◽  
Oral Motor ◽  
Nutritive Sucking ◽  
Combined Intervention ◽  
Single Blind

PURPOSE: Feeding problems are common in premature infants (PIs) and may lead to negative consequences such as malnutrition, dehydration, excessive weight loss, as well as developmental and psychological deficits. Moreover, they are associated with increased length of hospital stay/cost. There is not enough evidence on how feeding problems should be treated in PIs. The goal of this study was to investigate the effects of non-nutritive sucking combined with oral motor stimulation and oral support on feeding performance in PIs. METHODS: A single-blind randomized clinical trial was performed on 44 PIs with feeding problems. Patients were randomly categorized into two groups: (1) combined intervention (CI) and (2) non-nutritive sucking (NNS). The CI group received NNS, oral motor stimulation and oral support simultaneously. Infants in both groups received 14 treatment sessions for 14 consecutive days. The Preterm Oral Feeding Readiness Assessment Scale (POFRAS) was used as the primary outcome measure. Weight, volume of milk intake, time to achieve full oral feeding, and length of hospital stay were secondary outcome measures. All measures were assessed before treatment, after the 7th session, after the 14th session, and after 7 days after the end of treatment. RESULTS: Both groups improved in all outcome measures across time (P < 0.001). The improvements in the POFRAS, volume of milk intake, and time to achieve full oral feeding were significantly greater in the CI group than the NNS group (P < 0.001). The improvements attained in weight and length of hospital stay were not significantly different between the CI and NNS groups (P > 0.05). Large effect sizes were found for POFRAS score in both CI (d = 3.98) and NNS (d = 2.19) groups. CONCLUSION: The current study showed that the combined intervention including NNS, oral motor stimulation, and oral support significantly improved the feeding performance in PIs.

scholarly journals Evaluation of Breast-Feeding Promotion Policy in Cipto Mangunkusumo Hospital Jakarta

2018 ◽  
Vol 35 (3-4) ◽  
pp. 84-93
Author(s):  
Rulina Suradi ◽  
Dewi Anggraeni Wisnumurti
Keyword(s):  
Cohort Study ◽  
Breast Milk ◽  
Hospital Stay ◽  
Breast Feeding ◽  
Prospective Cohort ◽  
Family Income ◽  
Food Supplement ◽  
Prelacteal Feeding ◽  
Supplementary Food ◽  
Promotion Policy

The purpose of this prospective cohort study was to evaluate the breastfeeding promotion program m Dr. C1pto Mangunkusumo general hospital which we started m 1991. The study was done from July 1992 until March 1993. During that time. We could follow 249 mother-infant pairs every month for 4 months. Results: 1. Babies who received only breast milk during hospital stay did not lose more weight if compared to babies who got some formula. 2. Not a single baby lost weight more ~10% during hospital stay· Prelacteal feeding delayed the adequacy of breastmilk; 4. Though prelacteal feeding once or twice by spoon did not interfere with full breast feeding at the age of 4 months, yet mothers whose babies were given prelacteal feeding started to give supplementary food earlier; 5. Family income places a role in the decision to give early food supplement.

scholarly journals The Effect of Breast Milk Odor on Transition Time From Gavage to Oral Feeding and Hospital Stay in Premature Infants

2014 ◽  
Vol 7 (1) ◽  
pp. 5-11
Author(s):  
Sedigheh Iranmanesh ◽  
Atefeh Shamsi ◽  
Batool pour Aboli ◽  
Zeinab Movahedi
Keyword(s):  
Breast Milk ◽  
Hospital Stay ◽  
Premature Infants ◽  
Oral Feeding ◽  
Transition Time

scholarly journals Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (Under 37 Weeks) at the Hospital Universitario del Valle 2018–2020

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2187
Author(s):  
Javier Torres-Muñoz ◽  
Carlos Alberto Jimenez-Fernandez ◽  
Jennifer Murillo-Alvarado ◽  
Sofia Torres-Figueroa ◽  
Juan Pablo Castro
Keyword(s):  
Breast Milk ◽  
Human Milk ◽  
Premature Infants ◽  
Odds Ratio ◽  
Neonatal Intensive Care ◽  
Clinical Results ◽  
Human Breast Milk ◽  
Milk Bank ◽  
Exploratory Data ◽  
Milk Banks

Breast milk is widely recognized as the best source of nutrition for both full term and premature babies. We aimed to identify clinical results of the implementation of a breast milk bank for premature infants under 37 weeks in a level III hospital. 722 neonates under 37 weeks, hospitalized in the Neonatal intensive care unit (ICU), who received human breast milk from the institution’s milk bank 57% (n = 412) vs. mixed or artificial 32% (n = 229), at day 7 of life. An exploratory data analysis was carried out. Measures of central tendency and dispersion were used, strength of association of odds ratio (OR) and its confidence intervals (95% confidence interval (CI)). 88.5% had already received human milk before day 7 of life. Those who received human milk, due to their clinical condition, had 4 times a greater chance of being intubated (OR 4.05; 95% CI 1.80–9.11). Starting before day 7 of life decreases the opportunity to develop necrotizing enterocolitis by 82% (adjusted odds ratio (ORa) 0.18; 95% CI 0.03–0.97), intraventricular hemorrhage by 85% (ORa 0.15; 95% CI 0.06–0.45) and sepsis by 77% (ORa 0.23; 95% CI 0.15–0.33). Receiving human milk reduces the probability of complications related to prematurity, evidencing the importance that breast milk banks play in clinical practice.

scholarly journals Characteristics of Surgical Necrotizing Enterocolitis: Is It Different from Medical Necrotizing Enterocolitis? A Single-Center Retrospective Study

2021 ◽  
Author(s):  
Ara Cho ◽  
Dayoung Ko ◽  
JoongKee Youn ◽  
Hee-Beom Yang ◽  
Hyun-Young Kim
Keyword(s):  
Breast Milk ◽  
Hospital Stay ◽  
Necrotizing Enterocolitis ◽  
Length Of Hospital Stay ◽  
Antibiotic Use ◽  
Lower Percentage ◽  
Logistic Analysis ◽  
Hospital Stays ◽  
Multivariate Logistic Analysis ◽  
Milk Feeding

Background: Necrotizing enterocolitis (NEC) is one of the leading causes of death in newborns, however, little is understood of which patients can be treated medically or require surgery. The purpose of our study is to analyze the associated factors of surgically treated patients compared to patients requiring only medical treatment. Methods: Patients diagnosed with necrotizing enterocolitis over a period of 14 years in a single children&rsquo;s hospital were retrospectively enrolled. Demographics and clinical data patients were collected and analyzed. Results: A total of 189 patients with NEC were included. Surgically treated patients had a lower gestational age (P = .018), body weight at birth (P = .034), and percentage of exclusive breast milk feeding (P= .001). They had increased comorbidity with respiratory distress syndrome (RDS) (P = .005), number of days of antibiotic use (P = .014), and length of hospital stay (P = .000). In multivariate logistic analysis, a lower percentage of exclusive breast milk feeding (OR = 0.366, 95% CI: 0.164-0.817) and a longer hospital stay (OR = 1.010, 95% CI: 1.001- 1.019) was associated with surgical NEC. Conclusion: Comparing medical and surgical NEC, a significantly lower percentage of surgical NEC patients were exclusively fed breast milk and their hospital stays were longer.

The Effect of Breast Milk Odor on First Breast Feeding Time and Weight Gain in Premature Infants

2015 ◽  
Vol 5 (3) ◽  
pp. 27-34
Author(s):  
Batool Pouraboli ◽  
◽  
Atefeh Shamsi ◽  
Sedigheh Iranmanesh ◽  
◽  
...  
Keyword(s):  
Weight Gain ◽  
Breast Milk ◽  
Breast Feeding ◽  
Premature Infants ◽  
Feeding Time

scholarly journals The FEED1 Trial: Protocol for a Randomised Controlled Trial of Full Milk Feeds Versus Intravenous Fluids with Gradual Feeding for Preterm Infants (30-33 Weeks Gestational Age)

2021 ◽  
Author(s):  
Eleanor Jane Mitchell ◽  
Garry Meakin ◽  
Josie Anderson ◽  
Jon Dorling ◽  
Chris Gale ◽  
...  
Keyword(s):  
Breast Milk ◽  
Hospital Stay ◽  
Preterm Infants ◽  
Gestational Age ◽  
Controlled Trial ◽  
Length Of Hospital Stay ◽  
Multiple Births ◽  
Primary Analysis ◽  
First Choice ◽  
Randomised Controlled

Abstract BackgroundIn the UK, approximately 8% of live births are preterm (before 37 weeks gestation), more than 90% of whom are born between 30 and 36 weeks, forming the largest proportion of a neonatal units’ workload. Neonatologists are cautious in initiating full milk feeds for preterm infants due to fears of necrotising enterocolitis (NEC). There is now evidence to dispute this fear. Small studies have shown that feeding preterm infants full milk feeds enterally from birth could result in a shorter length of hospital stay, which is important to parents, clinicians and NHS services without increasing the risk of NEC. This trial aims to investigate whether full milk feeds initiated in the first 24 hours after birth reduces the length of hospital stay in comparison to introduction of gradual milk feeding with IV fluids.MethodsFEED1 is a multi-centre, open, parallel group, randomised, controlled superiority trial of full milk feeds initiated on the day of birth versus gradual milk feeds for infants born at 30+0 to 32+6 (inclusive) weeks gestation. Recruitment will take place in around 40 UK neonatal units. Mothers will be randomised 1:1 to full milk feeds, starting at 60 ml/kg day, or gradual feeds, as per usual local practice. Mother’s expressed breast milk will always be the first choice of milk, though will likely be supplemented with formula or donor breast milk in the first few days. Feeding data will be collected until full milk feeds are achieved (>140 ml/kg/day for 3 consecutive days). The primary outcome is length of infant hospital stay. Additional data will be collected 6 weeks post-discharge. Follow-up at 2 years (corrected gestational age) is planned. The sample size is 2088 infants to detect a between group difference in length of stay of two days. Accounting for multiple births, this requires 1700 women to be recruited. Primary analysis will compare the length of hospital stay between groups, adjusting for minimisation variables and accounting for multiple births.DiscussionThis trial will provide high-quality evidence on feeding practices for preterm infants. Full milk feeds from day of birth could result in infants being discharged sooner.Trial RegistrationISRCTN, ISRCTN89654042 prospectively registered on 23 September 2019; http://www.isrctn.com/ISRCTN89654042

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