Prevalence of use of human milk in U.S. advanced care neonatal units

Details

• Alternative Title:
  Pediatrics
• Personal Author:
  Perrine, Cria G. ; Scanlon, Kelley S.
• Description:
  Background ; The American Academy of Pediatrics recommends all preterm infants receive human milk. ; Objective ; To describe the use of human milk in advanced care neonatal units of U.S. maternity hospitals. ; Methods ; We used CDC’s national Maternity Practices in Infant Nutrition and Care (mPINC) survey from 2007, 2009, and 2011 to analyze 2 questions to describe the prevalence of U.S. advanced care (special/level 2 or intensive/level 3) neonatal units routinely providing human milk to infants, and the use of any donor milk in these units. ; Results ; In 2011, 30.8% of maternity hospitals reported that most infants (≥90%) were routinely provided human milk in advanced care units, compared to 26.7% in 2009 and 21.2% in 2007 (trend p<0.001). States in the northwest and northeast had a higher prevalence of hospitals routinely providing human milk to ≥90% of infants in advanced care units. In 2011, 22.0% of maternity hospitals providing advanced care used banked donor milk, compared to 14.4% in 2009 and 11.5% in 2007 (trend p<0.001). Most of this increase occurred in intensive care units (25.1% 2007 vs. 45.2% 2011; trend p<0.001). There was substantial geographic variation in the prevalence of advanced care units using donor milk; generally the prevalence was higher in the west and in states with a milk bank in the state or neighboring state. ; Conclusion ; The use of human milk in U.S. advanced care neonatal units is increasing; however, only one-third of these units are routinely providing human milk to most infants.
• Keywords:
  • special care
  • intensive care
  • NICU
  • hospital
  • human milk
  • donor milk
  • Feeding Behavior
  • Hospitals, Maternity
  • Humans
  • Infant, Newborn
  More +
• Source:
  Pediatrics. 131(6):1066-1071
• Pubmed ID:
  23669517
• Pubmed Central ID:
  PMC4535053
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; T32 DK007734/DK/NIDDK NIH HHSUnited States/
• Volume:
  131
• Issue:
  6
• Download URL:
  https://stacks.cdc.gov/view/cdc/32858/cdc_32858_DS1.pdf
• File Type:
  [PDF - 355.50 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:4d433e6b2fcda9108d46f0ab5b079b07daf921abed24525748006c7af63f4dca