“Liquid Gold” Lactation Bundle and Breastfeeding Rates in Racially Diverse Mothers of Extremely Low-Birth-Weight Infants

Obaid, Maria; Igawa, Teryn; Maxwell, Abigael; Murray, Yuanyi L.; Rahman, Amanda; Aboudi, David; Olivo, Karina; Roeder, Tina; Valdes-Greene, Rhonda; Brumberg, Heather L.; Alpan, Gad; Parvez, Boriana

doi:10.1089/bfm.2020.0322

Cited by 5 publications

(10 citation statements)

References 39 publications

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“…Yet, even in situations where there are strong initial sociocultural barriers circumscribing acceptance of PDHM, research has found that patient-centered counseling and education about the importance of EHM feeding and PDHM positively influence maternal lactation outcomes and PDHM uptake, even among women who are reportedly less likely to find breastfeeding and PDHM acceptable. 47 , 69 , 74 , 75 …”

Section: Discussionmentioning

confidence: 99%

Racial Disparities in Donor Human Milk Feedings: A Study Using Electronic Medical Records

et al. 2022

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Introduction: The aim of this study was to evaluate differences in the use of pasteurized donor human milk (PDHM) by maternal race–ethnicity during postpartum hospitalization using electronic medical records (EMRs). Materials and Methods: A retrospective cohort study of all live-born infants at our academic research institution from July 1, 2014, to June 30, 2016, was conducted. EMR data were used to determine whether each infant received mother's own milk (MOM), PDHM, or formula. These data were stratified based on whether the infant received treatment in the Neonatal Critical Care Center. Generalized estimating equation models were used to calculate the odds of receiving PDHM by maternal race–ethnicity, adjusting for gestational age, birth weight, insurance, preferred language, nulliparity, and mode of delivery. Results: Infant feeding data were available for 7097 infants, of whom 49% were fed only MOM during their postpartum hospitalization. Among the 15.9% of infants admitted to neonatal critical care, infants of non-Hispanic Black (odds ratio [OR] 0.47, 95% confidence interval [CI] 0.31–0.72), Hispanic (OR 0.65, 95% CI 0.36–1019), and Other (OR 0.63, 95% CI 0.32–1.26) mothers had lower rates of PDHM feedings than infants of non-Hispanic White mothers in the adjusted models. Among well infants, the use of PDHM was lower among non-Hispanic Black and Hispanic mothers (OR 0.25, 95% CI 0.18–0.36, and OR 0.38, 95% CI 0.26–0.56) compared with non-Hispanic White mothers. Conclusions: Inequities in exclusive human milk feeding and use of PDHM by maternal race–ethnicity were identified. Antiracist interventions are needed to promote equitable access to skilled lactation support and counseling for PDHM use.

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Section: Discussionmentioning

confidence: 99%

Racial Disparities in Donor Human Milk Feedings: A Study Using Electronic Medical Records

et al. 2022

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“…It protects infants from the risk of late onset sepsis, and other complications related to premature delivery (2). Therefore, colostrum is regarded as "liquid gold" (8), is as important as drugs and provides great protection to VLBWI/ELBWI (9). Furthermore, mothers of VLBWI/ELBWI face unique obstacles in expressing breast milk, such as maternal and infant health complications, stress related to the NICU environment, delay in normal physiological adaptation, separation of mother and infant, and delay in lactation, which may hinder them from successfully starting and maintaining breastfeeding (8).…”

Section: Introductionmentioning

confidence: 99%

“…Colostrum is the breast milk produced by the mammary glands within 5 days of child birth and is rich in immunoprotective agents ( 7 ). It protects infants from the risk of late onset sepsis, and other complications related to premature delivery ( 2 ). Therefore, colostrum is regarded as “liquid gold” ( 8 ), is as important as drugs and provides great protection to VLBWI/ELBWI ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, colostrum is regarded as “liquid gold” ( 8 ), is as important as drugs and provides great protection to VLBWI/ELBWI ( 9 ). Furthermore, mothers of VLBWI/ELBWI face unique obstacles in expressing breast milk, such as maternal and infant health complications, stress related to the NICU environment, delay in normal physiological adaptation, separation of mother and infant, and delay in lactation, which may hinder them from successfully starting and maintaining breastfeeding ( 8 ). The current approach is that in addition to early micro tube feeding, medical institutions worldwide have begun to administer infants with colostrum orally.…”

Section: Introductionmentioning

confidence: 99%

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Study on improving collection feeding safety and quality of colostrum for very (extremely) low birth weight infants

Wang

Li²,

Xu³

et al. 2023

Front. Pediatr.

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ObjectiveThis study aims to explore the difficulties related to fresh colostrum feeding for very (extremely) low birth weight infants (VLBWI/ELBWI) and optimize the colostrum administration process.MethodsThe VLBWI/ELBWI who were admitted in the neonatal intensive care unit from January to December 2021, were enrolled as the experimental group, and an optimized colostrum feeding process was adopted. The VLBWI/ELBWI admitted from January to December 2020 were enrolled as the control group, and a conventional feeding process was adopted. The general situation of colostrum supply, number of adverse feeding events, maternal breastfeeding rate at the critical time points.ResultsThere were no significant differences between the baseline charatcteristics of the 2 groups. In the experimental group, compared with the control group, the time to first colostrum collection was significantly shorter (64.8% vs. 57.8% p < 0.05), and the rates of colostrum feeding (44.1% vs. 70.5% p < 0.001), and of maternal breastfeeding at 2 weeks after birth (56.1% vs. 46.7%, p < 0.05) and on the day of discharge (46.2% vs. 37.8%, p < 0.05) were significantly higher. Before and after process optimization, the average total time required for the time for nurses to receive the colostrum in the NICU reduced from 7.5 min/time to 2 min/time, and no feeding-related adverse events occurred.ConclusionFresh colostrum feeding process optimization for VLBWI/ELBWI, improves the colostrum feeding rate, shortens the time to first colostrum collection, saves the working time of nurses, and improves the maternal breastfeeding rate at key time points.

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“…Previous studies have shown that quality improvement initiatives reduce racial and sex disparities among Medicare patients undergoing hemodialysis and racial and ethnic disparities in breastfeeding. 13,14 Among surgical patients, selective referral of medically high-risk patients to high-quality hospitals has been shown to improve disparities in outcomes. [15][16][17][18] In addition, improved surgical quality has been shown to lower costs.…”

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confidence: 99%

Association of Dual Medicare and Medicaid Eligibility With Outcomes and Spending for Cancer Surgery in High-Quality Hospitals

et al. 2022

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IMPORTANCEAlthough dual eligibility (DE) status for Medicare and Medicaid has been used for social risk stratification in value-based payment programs, little is known about the interplay between hospital quality and disparities in outcomes and spending by social risk. OBJECTIVE To assess whether treatment at high-quality hospitals mitigates DE-associated disparities in outcomes and spending for cancer surgery.

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“Liquid Gold” Lactation Bundle and Breastfeeding Rates in Racially Diverse Mothers of Extremely Low-Birth-Weight Infants

Cited by 5 publications

References 39 publications

Racial Disparities in Donor Human Milk Feedings: A Study Using Electronic Medical Records

Racial Disparities in Donor Human Milk Feedings: A Study Using Electronic Medical Records

Study on improving collection feeding safety and quality of colostrum for very (extremely) low birth weight infants

Association of Dual Medicare and Medicaid Eligibility With Outcomes and Spending for Cancer Surgery in High-Quality Hospitals

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