Sen Sarbattama, Benjamin Charis, Riley Jennifer, Heleba Abigail, Drouin Kaitlin, Gregory Katherine, Belfort Mandy Brown
1 Department of Pediatric Newborn Medicine, Brigham and Women's Hospital , Boston, Massachusetts.
2 Department of Pediatrics, Harvard Medical School , Boston, Massachusetts.
Breastfeed Med. 2018 Jan/Feb;13(1):28-33. doi: 10.1089/bfm.2017.0096. Epub 2017 Oct 26.
Banked donor milk (BDM) has historically been used as an alternative to formula for preterm infants. Recently, BDM has been endorsed by two national organizations for use in healthy infants. We sought to quantify utilization trends and characteristics of mothers and their healthy newborns who received BDM during their postpartum stay between 2013 and 2016 at a single academic medical center.
In this observational study, we used a clinical log to identify all infants who received BDM in the well-baby nursery between July 2013 and June 2016. From this log, we abstracted data on the numbers of babies who received BDM, the quantity of BDM provided, and indications for usage. We also collected clinical data from the medical records of a subset of corresponding mothers and infants.
BDM utilization increased over time in healthy infants, with 0.04% of infants before July 2014 receiving BDM compared with 4.7% in July 2015 to June 2016. During the same periods, the number of bottles provided per infant also increased, from 0.6 bottles per infant to 4.6 bottles per infant. The most common indications for providing BDM were parent/caregiver request (19%) and excessive weight loss/dehydration (17%).
At our center, the use of BDM for healthy infants increased substantially over the study period. More research is urgently needed to understand the repercussions of this practice on resource utilization as well as short- and long-term breastfeeding and health outcomes.
长期以来，捐赠的储存母乳（BDM）一直被用作早产儿配方奶的替代品。最近，BDM已得到两个国家组织的认可，可用于健康婴儿。我们试图量化2013年至2016年期间在一家学术医疗中心产后住院期间接受BDM的母亲及其健康新生儿的使用趋势和特征。
在这项观察性研究中，我们使用临床日志来识别2013年7月至2016年6月期间在健康婴儿护理室接受BDM的所有婴儿。从该日志中，我们提取了接受BDM的婴儿数量、提供的BDM数量以及使用指征的数据。我们还从相应母亲和婴儿子集的病历中收集了临床数据。
健康婴儿对BDM的使用随时间增加，2014年7月之前0.04%的婴儿接受BDM，而2015年7月至2016年6月为4.7%。在同一时期，每个婴儿提供的奶瓶数量也有所增加，从每个婴儿0.6瓶增加到4.6瓶。提供BDM最常见的指征是家长/照顾者的要求（19%）和体重过度减轻/脱水（17%）。
在我们中心，在研究期间健康婴儿对BDM的使用大幅增加。迫切需要更多研究来了解这种做法对资源利用以及短期和长期母乳喂养及健康结果的影响。
