Pescador-Chamorro María Isabel, Caballero-Martín Sylvia, Rodríguez-Corrales Elena, Vigil-Vázquez Sara, Sánchez-Luna Manuel
Neonatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Breastfeed Med. 2025 Apr;20(4):277-283. doi: 10.1089/bfm.2024.0233. Epub 2025 Jan 2.
Pasteurized donor human milk must be provided when mother's own milk (MOM) is not available for preterm infants. There are concerns that human milk banks (HMBs) and the use of donor milk may potentially reduce breastfeeding rates. To compare feeding during hospitalization and at discharge before and after the opening of a HMB and to evaluate the proportion of milk provided by mothers of premature babies, comparing the intake of MOM in infants born of donor and no donor mothers. Retrospective observational cohort study. Data on milk intake and feeding at discharge of newborns <1,500 grams and/or 32 weeks gestational age. There were significant differences in the intake of preterm formula (PF) between the two groups in the first 28 days of life (87.8% versus 54.2%; = 0.000) and at discharge (34% versus 18.2%; = 0.000). The intake of MOM during hospitalization (90.5% versus 100%; = 0.008) and exclusive breastfeeding at discharge (18.7% versus 61.8%; = 0.000) increased and the intake of PF (71.4% versus 33.8%; = 0.000) and exclusive PF (EPF) at discharge decreased (27.5% versus 7,3%; = 0.000) for babies whose mothers were or were not donors. Mothers of preterm babies donated 57.6% of the total milk received by the milk bank. After the opening of a HMB, there was a decrease in PF intake during hospitalization and an increase in MOM intake at discharge in preterm babies, especially for those whose mothers were milk donors.
当无法获得母亲自身的母乳（MOM）时，必须为早产儿提供巴氏杀菌的捐赠人乳。有人担心母乳库（HMBs）和捐赠母乳的使用可能会降低母乳喂养率。为了比较母乳库开放前后住院期间和出院时的喂养情况，并评估早产婴儿母亲提供的母乳比例，比较有捐赠母乳母亲和无捐赠母乳母亲所生婴儿的MOM摄入量。进行回顾性观察队列研究。收集出生体重<1500克和/或胎龄32周的新生儿的母乳摄入量和出院时喂养情况的数据。两组在出生后前28天（87.8%对54.2%；P=0.000）和出院时（34%对18.2%；P=0.000）的早产儿配方奶（PF）摄入量存在显著差异。母亲为捐赠者或非捐赠者的婴儿，住院期间MOM的摄入量（90.5%对本100%；P=0.008）和出院时纯母乳喂养率（18.7%对61.8%；P=0.000）有所增加，出院时PF摄入量（71.4%对33.8%；P=0.000）和纯PF（EPF）摄入量（27.5%对7.3%；P=0.000）有所下降。早产婴儿的母亲捐赠了母乳库收到的总母乳量的57.6%。母乳库开放后，早产儿住院期间PF摄入量减少，出院时MOM摄入量增加，尤其是母亲为母乳捐赠者的婴儿。
