Donor Milk Policies for Level 1 Newborn Care: A Descriptive Analysis

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
Kaitlin DrouinMandy Brown Belfort

Abstract

Background and Objectives: Providing pasteurized donor human milk (DHM) to healthy newborns is an emerging practice. The content of hospital policies that govern this practice is unknown. Materials and Methods: We collected policies from 15 Northeast U.S. hospitals through (1) a 2017 survey on DHM use and (2) an e-mail listserv of levels 1 and 2 newborn care staff maintained by a regional milk bank. Two authors reviewed each policy and identified how they addressed three predetermined themes: who is eligible to receive DHM, how DHM is used and described, and how lactation is supported. Responses were compared, discussed, and reconciled. Level 1 newborn care was defined as basic care for healthy newborns ≥35 weeks' gestation. Results: Thirteen of 15 policies stated criteria for DHM eligibility, most commonly as a bridge until mother's supply comes in (73%) or for infant medical conditions (67%). All required consent for DHM. Most did not limit number of days infants could receive DHM (60%). Nine specified that DHM be discarded 24 hours after thaw, whereas five recommended discarding at 48 hours. Although many (53%) policies endorsed human milk as the preferred diet for newborns, only 27% specifically endorsed DHM as the pre...Continue Reading

References

Mar 10, 2001·Pediatric Clinics of North America·M C Neville
Oct 10, 2008·Pediatrics·Ann M DiGirolamoSara B Fein
Jan 8, 2009·Pediatric Research·Rangmar GoelzMartin Elmlinger
Apr 16, 2009·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Peter B UntalanArmond S Goldman
Sep 25, 2010·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Sertac ArslanogluGuido E Moro
Feb 19, 2011·Journal of Perinatology : Official Journal of the California Perinatal Association·J B EwaschukC J Field
May 20, 2011·Early Human Development·Alan Araujo VieiraMaria Elisabeth Lopes Moreira
Mar 1, 2012·Pediatrics·UNKNOWN Section on Breastfeeding
Jun 15, 2013·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Margaret G K ParkerC Jason Wang
Mar 15, 2015·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Amy Manning VickersDavid S Newburg
Oct 19, 2016·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Ting MengApril D Fogleman
Oct 25, 2016·The Journal of Pediatrics·Paula MeierAnita Esquerra-Zwiers
Dec 21, 2016·Pediatrics·UNKNOWN COMMITTEE ON NUTRITIONUNKNOWN COMMITTEE ON FETUS AND NEWBORN
Aug 8, 2017·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Laura R Kair, Valerie J Flaherman
Oct 25, 2017·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Mandy Brown BelfortSarbattama Sen
Oct 27, 2017·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Sarbattama SenMandy Brown Belfort
Nov 22, 2017·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Sheilajane C LewisBarbara L Philipp
Dec 30, 2017·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Rebecca Mannel, Jennifer D Peck
Mar 19, 2019·MCN. the American Journal of Maternal Child Nursing·Debi FerrarelloDiane L Spatz

❮ Previous
Next ❯

Citations

Jun 4, 2020·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Aleksandra WesolowskaDominik Golicki
Nov 26, 2020·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Sydney McCune, Maryanne T Perrin
Nov 5, 2020·Hospital Pediatrics·Margaret G ParkerTimothy C Heeren
Jan 27, 2021·Seminars in Perinatology·Katherine E ChettaCarol L Wagner
Jul 13, 2021·Journal of Midwifery & Women's Health·Yeon Bai, Jennifer Kuscin

❮ Previous
Next ❯

Software Mentioned

HBMANA
Research Electronic Data Capture ( REDCap )
REDCap Data Comparison Tool

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
Mandy Brown BelfortSarbattama Sen
Journal of Human Lactation : Official Journal of International Lactation Consultant Association
Anita Esquerra-ZwiersAloka Patel
Journal of Human Lactation : Official Journal of International Lactation Consultant Association
Margaret G K ParkerC Jason Wang
© 2021 Meta ULC. All rights reserved