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Supplementation Practices and Donor Milk Use in US Well-Newborn Nurseries
- Source :
- Hosp Pediatr, Hospital pediatrics, vol 10, iss 9
- Publication Year :
- 2020
-
Abstract
- BACKGROUND AND OBJECTIVES: Guidelines encourage exclusive breastfeeding for healthy newborns but lack specificity regarding criteria for medically indicated supplementation, including type, timing, and best practices. We set out to describe practice patterns and provider perspectives regarding medically indicated supplementation of breastfeeding newborns across the United States. METHODS: From 2017 to 2018, we surveyed the Better Outcomes through Research for Newborns representative from each Better Outcomes through Research for Newborns hospital regarding practices related to medically indicated supplementation. We used descriptive statistics to compare practices between subgroups defined by breastfeeding prevalence and used qualitative methods and an inductive approach to describe provider opinions. RESULTS: Of 96 providers representing discrete hospitals eligible for the study, 71 participated (74% response rate). Practices related to criteria for supplementation and pumping and to type and caloric density of supplements varied widely between hospitals, especially for late preterm infants, whereas practices related to lactation consultant availability and hand expression education were more consistent. The most commonly reported criterion for initiating supplementation was weight loss of ≥10% from birth weight, and bottle-feeding was the most commonly reported method; however, practices varied widely. Donor milk use was reported at 20 (44%) hospitals with ≥81% breastfeeding initiation and 1 (4%) hospital with CONCLUSIONS: Strategies related to supplementation vary among US hospitals. Donor milk availability is concentrated in hospitals with the highest prevalence of breastfeeding. Implementation of evidence-based management of supplementation among US hospitals has the potential to improve the care of term and late preterm newborns.
- Subjects :
- Lactation consultant
Birth weight
Nurseries
Clinical Sciences
MEDLINE
Breastfeeding
Reproductive health and childbirth
Low Birth Weight and Health of the Newborn
Pediatrics
Article
03 medical and health sciences
0302 clinical medicine
Weight loss
Preterm
Clinical Research
030225 pediatrics
Environmental health
Infant Mortality
Medicine
Humans
030212 general & internal medicine
Premature
Nutrition
Response rate (survey)
Pediatric
Descriptive statistics
Milk, Human
business.industry
Prevention
Infant, Newborn
Infant
General Medicine
Perinatal Period - Conditions Originating in Perinatal Period
Newborn
Infant Formula
United States
Milk
Breast Feeding
Pediatrics, Perinatology and Child Health
Dietary Supplements
Public Health and Health Services
Female
medicine.symptom
business
Nurseries, Infant
Infant, Premature
Qualitative research
Human
Subjects
Details
- ISSN :
- 21541671
- Volume :
- 10
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Hospital pediatrics
- Accession number :
- edsair.doi.dedup.....7a7b9b0906523cead22a0422b3514393