Does opening a milk bank in a neonatal unit change infant feeding practices? A before and after study.
Subject: Bottle feeding (Research)
Breast feeding (Research)
Milk consumption (Research)
Author: Peters, Cate
Pub Date: 03/01/2011
Publication: Name: Breastfeeding Review Publisher: Australian Breastfeeding Association Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2011 Australian Breastfeeding Association ISSN: 0729-2759
Issue: Date: March, 2011 Source Volume: 19 Source Issue: 1
Topic: Event Code: 310 Science & research
Geographic: Geographic Scope: Spain Geographic Code: 4EUSP Spain
Accession Number: 256365955
Full Text: Artificial feeding can increase morbidity and mortality, especially among premature infants. Therefore, when a mother's milk supply is insufficient, donor milk banks provide the best alternative for feeding.

This Spanish study compared the proportion of infants [less than or equal to] 1500g or <32 weeks gestation receiving exclusive breastmilk at discharge before the opening of the human milk bank (2006) and after it was fully in operation (2008). It also compared other feeding variables such as the age enteral feeding could be commenced.

The study included 50 infants born in 2006 and 54 born in 2008. In 2006 and 2008 respectively, 27 (54%) and 30 (56%) infants received exclusive breastmilk 48 hours prior to discharge (p=0.87) while 43 (86%) and 42 (78%) received 'any breastmilk' upon discharge (p=0.27). The use of donor milk has reduced the age of commencing enteral feeding by 16 hours compared to the 2006 group (p=0.00). The researchers state that this probably leads to a reduction in the number of hours infants have central venous catheters, and a possible reduction in risk of infection.

The number of days infants 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).

The authors conclude that the opening of a donor milk bank in a neonatal unit did not reduce the proportion of infants fed exclusively with breastmilk at discharge, but did reduce the proportion of infants receiving infant formula in the first four weeks of life and enabled earlier commencement of enteral feeding.

Isabel M, Torres U, Lopez C, Roman S, Diaz C, Cruz-Rojo J, Cooke E, Alonso C 2010, Int Breastfeed J 5:4.

CP: Cate Peters BSpPath Cert IV Breastfeeding Education (Counselling)
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