Mother's breast milk supplemented with donor milk reduces hospital and health service usage costs in low-birthweight infants

Dritsakou, Kalliopi; Liosis, Georgios; Valsami, Georgia; Polychronopoulos, Evangelos; Souliotis, Kyriakos; Skouroliakou, Maria

doi:10.1016/j.midw.2016.06.015

Cited by 18 publications

(33 citation statements)

References 44 publications

(45 reference statements)

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“…These benefits are described in recently published studies, where the authors list many of the economic savings that breastfeeding contributes to healthcare by improving newborns’ health (Ma, Brewer-Asling & Magnus, 2013; Pokhrel et al, 2015). Breastfeeding can be a treatment for some economically important diseases in the hospital environment (Colaizy et al, 2016; Dritsakou et al, 2016; Ganapathy, Hay & Kim, 2012; Johnson, Patel, Bigger, Engstrom & Meier, 2015; Mahon, Claxton & Wood, 2016) and the benefits extend to the mothers, as well as to the families themselves (Brown, 2017; Smith & Forrester, 2013; Bartick et al, 2013; Bobrow, 2013).…”

Section: Introductionmentioning

confidence: 99%

The Economic Influence of Breastfeeding on the Health Cost of Newborns

et al. 2018

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Background: Breastfeeding provides health benefits for women and newborns. However, few studies have explored how these health benefits translate into economic savings. Research aim: This study aimed to estimate the healthcare costs savings generated by exclusive breastfeeding for healthy newborns. Methods: We designed a longitudinal two-group observational study that included healthy women and newborns (N = 236) in Toledo, Spain. Over the first 6-months of the infants’ lives, we reviewed their clinical histories to determine their consumption of healthcare resources and the type of nutrition provided. The sample was categorized into two groups: exclusive breastfeeding (n = 46) and non-exclusive breastfeeding for 6 months (n = 190). Two-part regression models were applied to determine whether there were differences in healthcare costs between the groups. Results: The average age of the women was 32 (SD: 5.3). The average birth weight of the newborns was 3.3 kg. (SD: 0.38). At 6 months, 19.5% (n = 46) of the women breastfed exclusively, 28.4% (n = 67) combined breastfeeding with formula, and 45.8% (n = 108) used formula only. Healthcare costs during follow-up reached €785.58 (44% for specialized care, 42% for primary care, 9.8% for medical emergencies, 3% for medications and approximately 1% for medical tests). The statistical analysis estimated a lower healthcare cost of between €454.40 and €503.50 for exclusively breastfed newborns. Conclusion: Breastfeeding generated savings in healthcare costs; therefore, it could be a cost-efficient option compared with alternatives. Researchers who evaluate the efficiency of strategies that promote breastfeeding can contribute to the sustainability of health services.

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Section: Introductionmentioning

confidence: 99%

The Economic Influence of Breastfeeding on the Health Cost of Newborns

et al. 2018

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“…Furthermore, in nutrition management of premature infants early after birth, there is less need for artificial milk and the risk of NEC is considered to be lower if there are sufficient milk banks . A previous study showed that the use of DM lowered the incidence of viral infection, decreased visits to clinics after discharge from NICU and reduced medical costs …”

Section: Discussionmentioning

confidence: 99%

“…10 A previous study showed that the use of DM lowered the incidence of viral infection, decreased visits to clinics after discharge from NICU and reduced medical costs. 11 Many respondents answered that they start to increase the volume of EN by 10-20 mL/kg/day per day. A study comparing a group with a higher daily increase rate of EN (15-20 mL/kg/day) with a group with a lower rate of increase (30-40 mL/kg/day) did not show any significant difference in the onset of NEC between these groups and suggested that a faster increase is more beneficial as full feeding is achieved earlier.…”

Section: Discussionmentioning

confidence: 99%

Survey of a nutrition management method for very low birthweight infants: Status before wide use of breast milk banks in Japan

Oikawa

Sakurai

Murakawa

et al. 2020

Pediatrics International

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Background The importance of breast‐feeding for very low birthweight (VLBW) infants has been pointed out. Some overseas studies suggested that the standardization of enteral nutrition (EN) leads to improved prognosis in VLBW infants. In Japan, however, physicians in charge of infants are responsible for making nutrition management decisions on an individual basis. We conducted an online survey to clarify the course of nutrition management of VLBW infants currently implemented in Japan. Methods We mailed a notice to 300 representative neonatologists throughout Japan requesting their participation in the online survey. On the survey website, neonatologists responded to questions regarding the nutritional strategy for five birthweight groups (less than 500 g, 500–749 g, 750–999 g, 1,000–1,249 g and 1,250–1,499 g). Results Responses were recieved from 137 neonatologists. The first choice for EN up to 1 week after birth was breast milk regardless of birthweight (92.0% for 1,250–1,499 g to 95.6% for 500–999 g). More than 30% of the respondents answered that they fast infants who weigh <750 g at birth or feed them with other mothers’ breast milk until their own mother’s milk becomes available. The lower the birthweight, the later EN is started, and the greater the number of days to establish EN. Conclusion The lower the birthweight, the more difficult it is to feed infants their own mother’s milk and the later the EN is started. If donor milk is supplied in a stable manner, it takes fewer days to establish EN.

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“…Differential increased use of pasteurized DHM for white infants and those from higher socioeconomic backgrounds may widen health disparities in a number of ways. If DHM supplementation rather than formula leads mothers to resuming exclusive breastfeeding and to breastfeed for a longer duration or it has direct benefits on infant health, as has been seen in preterm infants (Dritsakou et al, 2016; Mannel & Peck, 2018), then nonwhite infants and/or those with public insurance who are less likely to use DHM than formula are receiving these benefits at lower rates than white mothers and/or those with private insurance. If there are no direct benefits to healthy, term mother–infant dyads from DHM supplementation (Kair et al, 2019), then the money spent on these programs has opportunity costs that must be considered.…”

Section: Discussionmentioning

confidence: 99%

Disparities in Donor Human Milk Supplementation Among Well Newborns

et al. 2019

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Background: Donor human milk supplementation for healthy newborns has increased. Racial-ethnic disparities in supplementation have been described in the neonatal intensive care unit but not in the well newborn setting. Research aim: The aim of this study was to identify maternal characteristics associated with donor human milk versus formula supplementation in the well newborn unit. Methods: This retrospective cohort study includes dyads of well newborns and their mothers ( N = 678) who breastfed and supplemented with formula ( n = 372) or donor human milk ( n = 306) during the birth hospitalization at a single hospital in the midwestern United States. Maternal characteristics and infant feeding type were extracted from medical records. Chi-square and logistic regression were used to examine associations between maternal characteristics and feeding type. Results: Nonwhite women were less likely to use donor human milk. Compared to non-Hispanic white women, the largest disparity was with Hispanic (adjusted odds ratio [OR] = 0.28, 95% CI [0.12, 0.65]), then non-Hispanic black (adjusted OR = 0.32, 95% CI [0.13, 0.76]) and Asian women (adjusted OR = 0.34, 95% CI [0.16, 0.74]). Lower donor human milk use was associated with primary language other than English and public versus private insurance. Conclusion: The goal of improving public health through breastfeeding promotion may be inhibited without targeting donor human milk programs to these groups. Identifying the drivers of these disparities is necessary to inform person-centered interventions that address the needs of women with diverse backgrounds.

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Mother's breast milk supplemented with donor milk reduces hospital and health service usage costs in low-birthweight infants

Cited by 18 publications

References 44 publications

The Economic Influence of Breastfeeding on the Health Cost of Newborns

The Economic Influence of Breastfeeding on the Health Cost of Newborns

Survey of a nutrition management method for very low birthweight infants: Status before wide use of breast milk banks in Japan

Disparities in Donor Human Milk Supplementation Among Well Newborns

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