捐赠人乳计划对极低出生体重儿出院时提供母亲自己的奶的影响。
The impact of a Donor Human Milk Program on the provision of mothers' own milk at discharge in very low birth weight infants.
机构信息
Morgan Stanley Children's Hospital of New York Presbyterian, New York, NY, USA.
Francis Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.
出版信息
J Perinatol. 2022 Nov;42(11):1473-1479. doi: 10.1038/s41372-022-01439-w. Epub 2022 Jul 21.
OBJECTIVE
Examine the effect of a donor human milk (DHM) program on mothers' own milk feedings at discharge for very low birth weight (VLBW) infants.
STUDY DESIGN
A single center retrospective analysis of feeding outcomes in preterm infants. Data were assigned as: (1) pre DHM era (2) Bridge DHM era (3) Full DHM era. Each era was divided into infants <1500 g (n = 724) or ≥1500 g (n = 784).
RESULTS
Both the percentage of mothers' own milk feeds and percent of infants exclusively receiving mothers' own milk at discharge were increased in the <1500 g (p = 0.003, p = 0.002) and the ≥1500 g group (p = 0.007, p = 0.004) respectively, following the introduction of DHM for VLBW infants.
CONCLUSION
Practice changes that accompany a donor milk program likely play a prominent role in the provision of mothers' own milk and exclusivity of breast milk feedings at discharge for very low birth weight infants.
目的
研究供体人乳（DHM）计划对极低出生体重（VLBW）婴儿出院时母亲母乳喂养的影响。
研究设计
对早产儿喂养结果的单中心回顾性分析。数据分配如下：（1）DHM 前时代；（2）桥接 DHM 时代；（3）全 DHM 时代。每个时代又分为<1500g（n=724）或≥1500g（n=784）的婴儿。
结果
在引入 DHM 后，<1500g 组（p=0.003，p=0.002）和≥1500g 组（p=0.007，p=0.004）中，母亲自己的母乳喂养百分比和出院时婴儿完全接受母亲自己的母乳喂养的百分比均增加。
结论
伴随供乳计划的实践改变可能在极低出生体重儿提供母亲自己的母乳和母乳喂养的排他性方面发挥突出作用。
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