Improving the Process of Enteral Nutrition Preparation With Milk Technicians

Brock, Whitney W.; Cunningham, Craig A.; Brandon, Debra; Hoehn, Valerie; Carter, Brigit

doi:10.1097/anc.0000000000000253

Cited by 6 publications

(3 citation statements)

References 13 publications

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“…The preparer of the fortified HM may prepare for a single infant, several infants in their care, or all the infants receiving HM in the hospital. 12,13 Manufacturers recommend a ratio of one packet or vial (5 ml) of HMF to 25 ml of HM to achieve 30 ml of 24 calories/ounce prepared HM. [14][15][16] Unlike DHM, MOM is typically expressed and stored in varying volumes and NICU patients may not receive enteral volumes that match predetermined recipes.…”

Section: Discussionmentioning

confidence: 99%

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Perceptions of the impact of a multidose human‐milk fortifier on human‐milk preparation practices in United States neonatal intensive care units: A survey of nutrition care team members

et al. 2022

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Background In 2020, a multidose human‐milk fortifier (MDHMF) was designed to improve the process of human‐milk (HM) fortification. The bottle of MDHMF (5.5 oz, 163 ml) allows aseptic removal of HMF in a precise measure. This survey aimed to examine the experience of nutrition care team (NCT) members who used the MDHMF in a hospital setting. Methods A survey link (Qualtrics XM) was sent to NCT leaders (N = 108) at hospitals who participated in an evaluation of the MDHMF from June 1, 2020, through April 30, 2021. The NCT leaders sent the survey to members at their prospective hospitals (n = 344). The investigators did not know the identities of the recipients of the survey and collected no identifying information on respondents. Respondents were asked to evaluate their experience with the MDHMF compared with their previous practice. Results The majority of respondents (n = 63, 72%) reported that the MDHMF improved their HM preparation practices and was better than their previous practice for reducing the time to prepare (n = 33, 71.7%), ensuring the accuracy of fortified HM (n = 32, 69.6%), ensuring aseptic preparation (n = 24, 52.2%), reducing HM waste (n = 27, 58.7%), and being easy to use (n = 30, 65.2%). Those responsible for evaluating nutrition status answered that the MDHMF was the same for feeding tolerance (n = 41, 58.6%), weight gain (n = 47, 67.1%), head growth (n = 56, 81.2%), and length growth (n = 53, 76.8%). Conclusion US neonatal intensive care unit NCT members perceived that the MDHMF resulted in improved HM preparation practices while maintaining growth and tolerance.

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Section: Discussionmentioning

confidence: 99%

“…For an individual infant, fortified HM may be prepared in bulk (prepared once and dosed for 12 or 24 h) or for individual feedings (6–8 per day). The preparer of the fortified HM may prepare for a single infant, several infants in their care, or all the infants receiving HM in the hospital 12,13 …”

Section: Introductionmentioning

confidence: 99%

Perceptions of the impact of a multidose human‐milk fortifier on human‐milk preparation practices in United States neonatal intensive care units: A survey of nutrition care team members

et al. 2022

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“…However, more NICUs have been preparing and dispensing both formula and human milk feedings from a central milk preparation room in recent years [3,4]. In addition to the goal of preventing contamination, other reasons for creating these rooms have been to initiate individualized, targeted fortification of human milk [3], and overall cost savings from a centralized process [5].…”

Section: Introduction and Overview Of Nicu Practices And Implications...mentioning

confidence: 99%

Fresh Parent’s Own Milk for Preterm Infants: Barriers and Future Opportunities

Briere,

Gomez

2024

Nutrients

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While direct at-the-breast feeding is biologically optimal, Neonatal Intensive Care Unit (NICU) admission due to infant immaturity or illness often necessitates the expression and storage of parent’s milk. The provision of freshly expressed (never stored) parent’s own milk to preterm infants is not widely prioritized, and this article provides an exploration of NICU practices and their implications for feeding premature or ill infants with parent’s own milk. In this article, we discuss the potential biological benefits of fresh parent’s own milk, highlighting its dynamic components and the changes incurred during storage. Research suggests that fresh milk may offer health advantages over stored milk. The authors advocate for further research, emphasizing the need for standardized definitions. Research is needed on the biological impact of fresh milk, both short- and long-term, as well as defining and understanding healthcare economics when using fresh milk.

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