Introducing Donor Milk in a Neonatal Intensive Care Unit: A Developing Country’s Perspective
| Autor: | Savita Gawali, S R Daga, Nilesh Naktode, Anushree Borade |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Pediatrics Neonatal intensive care unit Birth weight India Breast milk Lower risk 03 medical and health sciences 0302 clinical medicine Interquartile range Intensive Care Units Neonatal 030225 pediatrics Animals Humans Medicine Prospective Studies 030212 general & internal medicine Child Prospective cohort study Developing Countries Milk Human business.industry Obstetrics Infant Newborn Pediatrics Perinatology and Child Health Gestation business Breast feeding Infant Premature |
| Zdroj: | The Indian Journal of Pediatrics. 83:1121-1124 |
| ISSN: | 0973-7693 0019-5456 |
| DOI: | 10.1007/s12098-016-2120-4 |
| Popis: | To replace 75 % of formula feeds by donor human milk (DHM) feeds in the first three days of life in neonates admitted to the neonatal intensive care unit (NICU). It was a prospective observational study in the NICU in a resource-limited set up in India. All neonates admitted during December 2013 and August 2014, were included in the study without any exclusion. Expressed DHM was administered within 2–3 h of manual expression without refrigeration or pasteurization. It was left standing at room temperature in a covered stainless steel container prior to use. Prospective entries of 2 hourly neonatal feeds, for first 3 d of life, (36 entries) were made in the charts. Main outcome was the desired percentage replacement of formula feeds. Total 168 neonates were admitted to the NICU over the study period. Their median [Interquartile range (IQR); Range] gestation and birth weight was 37 (36, 38; 24–42) wk and 2300 (2100, 2700; 500–2950) g respectively. A total of 4136/6027 (68.6 %) charted feeds were of human milk and 1891(31.4 %) were of formula milk. Thus, 68.6 % of formula feeds were replaced by DHM. Neonates weighing ≤2 kg were at a lower risk of getting >25 % formula feeds. A simple low cost method was effective in replacing a significant proportion of formula feeds by DHM in the first three days of life for neonates in a resource poor set up. |
| Databáze: | OpenAIRE |
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