3 results on '"Natalie S. Shenker"'
Search Results
2. Understanding the current and future usage of donor human milk in hospitals: An online survey of UK neonatal units
- Author
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Natalie S. Shenker, Samantha Griffin, Jonathan Hamill‐Keays, Merran Thomson, Judith Simpson, and Gillian Weaver
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donor human milk ,equity ,neonatal unit ,operational planning ,service planning ,Pediatrics ,RJ1-570 ,Gynecology and obstetrics ,RG1-991 ,Nutritional diseases. Deficiency diseases ,RC620-627 - Abstract
Abstract The use of donor human milk (DHM) where there is a shortfall of maternal milk can benefit both infant and maternal outcomes but DHM supply is not always assured. This study aimed to understand current DHM usage in UK neonatal units and potential future demand to inform service planning. An online survey was disseminated to all UK neonatal units using Smart Survey or by telephone between February and April 2022 after development alongside neonatal unit teams. Surveys were completed by 55.4% of units (108/195) from all 13 Operational Delivery Networks. Only four units reported not using DHM, and another two units only if infants are transferred on DHM feeds. There was marked diversity in DHM implementation and usage and unit protocols varied greatly. Five of six units with their own milk bank had needed to source milk from an external milk bank in the last year. Ninety units (84.9%) considered DHM was sometimes (n = 35) or always (n = 55) supportive of maternal breastfeeding, and three units (2.9%) responded that DHM was rarely supportive of breastfeeding. Usage was predicted to increase by 37 units (34.9%), and this drive was principally a result of parental preference, clinical trials and improved evidence. These findings support the assumption that UK hospital DHM demand will increase after updated recommendations from the World Health Organization (WHO) and the British Association of Perinatal Medicine. These data will assist service delivery planning, underpinned by an ongoing programme of implementation science and training development, to ensure future equity of access to DHM nationally.
- Published
- 2023
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3. Breastfeeding and the origins of health: Interdisciplinary perspectives and priorities
- Author
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Daniel Munblit, Meredith Brockway, Christina D. Chambers, Nathan C. Nickel, Amy Brown, Aloka L. Patel, Natalie S. Shenker, Bridget E. Young, Michelle K. McGuire, Luisa Zuccolo, Rafael Pérez-Escamilla, Camie Goldhammer, Meghan B. Azad, Lars Bode, Kathleen M. Rasmussen, and Katie Hinde
- Subjects
0301 basic medicine ,infant feeding ,Research areas ,breastfeeding ,conflict of interest ,Breastfeeding ,breastmilk ,Population health ,lactation ,lcsh:Gynecology and obstetrics ,Denialism ,03 medical and health sciences ,0302 clinical medicine ,Multidisciplinary approach ,Knowledge translation ,Medicine ,research methodology ,Humans ,030212 general & internal medicine ,lcsh:RC620-627 ,lcsh:RG1-991 ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Nutrition & Dietetics ,Milk, Human ,business.industry ,Public Health, Environmental and Occupational Health ,Conflict of interest ,lcsh:RJ1-570 ,Obstetrics and Gynecology ,Infant ,human milk ,lcsh:Pediatrics ,Public relations ,lcsh:Nutritional diseases. Deficiency diseases ,Milk ,Breast Feeding ,Action plan ,Pediatrics, Perinatology and Child Health ,Perspective ,Female ,business ,Human ,Perspectives - Abstract
Breastfeeding and human milk (HM) are critically important to maternal, infant and population health. This paper summarizes the proceedings of a workshop that convened a multidisciplinary panel of researchers to identify key priorities and anticipated breakthroughs in breastfeeding and HM research, discuss perceived barriers and challenges to achieving these breakthroughs and propose a constructive action plan to maximize the impact of future research in this field. Priority research areas identified were as follows: (1) addressing low breastfeeding rates and inequities using mixed methods, community partnerships and implementation science approaches; (2) improving awareness of evidence‐based benefits, challenges and complexities of breastfeeding and HM among health practitioners and the public; (3) identifying differential impacts of alternative modes of HM feeding including expressed/pumped milk, donor milk and shared milk; and (4) developing a mechanistic understanding of the health effects of breastfeeding and the contributors to HM composition and variability. Key barriers and challenges included (1) overcoming methodological limitations of epidemiological breastfeeding research and mechanistic HM research; (2) counteracting ‘breastfeeding denialism’ arising from negative personal breastfeeding experiences; (3) distinguishing and aligning research and advocacy efforts; and (4) managing real and perceived conflicts of interest. To advance research on breastfeeding and HM and maximize the reach and impact of this research, larger investments are needed, interdisciplinary collaboration is essential, and the scientific community must engage families and other stakeholders in research planning and knowledge translation.
- Published
- 2021
- Full Text
- View/download PDF
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