Consumption of Mother's Own Milk by Infants Born Extremely Preterm Following Implementation of a Donor Human Milk Program: A Retrospective Cohort Study.
OBJECTIVE
To compare mothers' own milk (MOM) consumption by infants born extremely preterm before and after implementation of a donor human milk (DHM) program and determine healthcare provider's knowledge and practices regarding DHM.


STUDY DESIGN
One hundred fifty-seven infants born at <30 weeks of gestation were enrolled during 3 time-periods. Group 1: before DHM program implementation, Group 2: the year following implementation, and Group 3: the second year after implementation. The proportion of feeds consisting of MOM for 6 weeks following birth was analyzed using a generalized linear mixed model. The study's second phase surveyed healthcare providers regarding knowledge and practices concerning DHM.


RESULTS
Group 1 consumed feeds with a greater proportion of MOM than Group 3 during weeks 1 (P < .001) and 3 (P = .007) and more than both Group 2 (P = .033) and 3 (P = .021) in week 4. During the first 14 days, Group 1 consumed feeds with 23.6% more MOM than Group 3 (P = .002) and had a greater odds of consuming feeds with > 90% MOM (P < .001) than Group 3. During days 1-28, Group 1 consumed feeds with 22% more MOM than Group 3 (P = .003) and had greater odds of consuming feeds with >90% MOM than Group 2 (P = .020) and 3 (P = .004). Knowledge regarding DHM was inconsistent among providers and they were unlikely to communicate potential risks and benefits of DHM to mothers.


CONCLUSIONS
Following implementation of a DHM program, MOM consumption decreased over 2 years. Strategies focused on lactation success are necessary to increase MOM consumption.
['Parker|Leslie A|LA|', 'Cacho|Nicole|N|', 'Engelmann|Clara|C|', 'Benedict|Jaime|J|', 'Wymer|Susan|S|', 'Michael|Weaver|W|', 'Neu|Josef|J|']
D001942:Breast Feeding D005260:Female D006801:Humans D007227:Infant Nutritional Physiological Phenomena D062071:Infant, Extremely Premature D007231:Infant, Newborn D019102:Infant, Very Low Birth Weight D007363:Intensive Care Units, Neonatal D015931:Intensive Care, Neonatal D007774:Lactation D016014:Linear Models D008297:Male D017784:Milk Banks D008895:Milk, Human D009035:Mothers D012189:Retrospective Studies D012306:Risk
human milk breast milk neonatal intensive care unit premature very low birth weight