NEC Society, PO Box 72271, Davis, CA 95617, USA.
Baylor College of Medicine, Texas Children's Hospital, Houston, TX 77030, USA.
Nutrients. 2020 Mar 9;12(3):720. doi: 10.3390/nu12030720.
In the critical care of preterm infants, feeding is complex and potentially harmful to an immature gastrointestinal system. Parents have expressed the desire to be fully informed about what is being fed to their child, as this places them in the best position to nurture their child's health. In the parent-engaged setting of the Necrotizing Enterocolitis Symposium, NICU parents expressed concern and confusion about how cow's milk product and donor human milk product both carry the label "Human Milk Fortifier" (HMF). Accordingly, two online surveys were developed to characterize how the label HMF is used and interpreted in the NICU by parents and providers. Of 774 United States participants, only 21.9% of providers reported consistently describing the source of HMF to parents, and only 20.6% of parents whose child received an HMF product report knowing the source. Parents expressed that they were "not given information" regarding HMF, while both parents and healthcare providers expressed that "the label (HMF) is misleading". This study documents the ambiguity around the label HMF as well as the need for more specific language and clearer communication.
在早产儿的重症监护中，喂养是复杂的，可能对未成熟的胃肠道系统有害。父母表示希望充分了解给孩子喂食的内容，因为这使他们能够最好地培养孩子的健康。在坏死性小肠结肠炎研讨会的父母参与式环境中，NICU 父母对如何牛乳制品和捐赠人乳产品都带有“人乳强化剂”（HMF）标签表示担忧和困惑。因此，开发了两项在线调查来描述父母和提供者如何在 NICU 中使用和解释标签 HMF。在 774 名美国参与者中，只有 21.9%的提供者报告始终向父母描述 HMF 的来源，只有 20.6%接受 HMF 产品的父母报告知道来源。父母表示他们没有得到关于 HMF 的信息，而父母和医疗保健提供者都表示“标签（HMF）具有误导性”。这项研究记录了 HMF 标签的模糊性，以及需要更具体的语言和更清晰的沟通。
