Outcomes in very preterm infants receiving an exclusive human milk diet, or their own mother's milk supplemented with preterm formula

Chehrazi, Mohammad; Lanoue, Julia; Ougham, Kayleigh; Moss, Becky; Uthaya, Sabita; Modi, Neena

doi:10.1016/j.earlhumdev.2023.105880

Cited by 6 publications

(3 citation statements)

References 23 publications

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“…Her own analysis study from UK population data 6 , which she relies on heavily for this assumption, has been criticized by other authors for concerns about the integrity of the data and the methods of analysis. 7 Although the jury is still out on the neurodevelopmental outcomes between infants fed DHM versus formula feeds there is considerable evidence that feeding preterm infants with DHM is associated with a decreased risk of NEC, most evident when data are meta-analyzed or systematically reviewed. [8][9][10][11][12] Additionally, a recently published RCT of a study conducted in the US (the MILK trial) has confirmed this evidence.…”

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confidence: 99%

“…Italian Association of Donated Human Milk Banks (AIBLUD); Biomedia, Via Libero Temolo No 4, 20126 Milan, Italy 6. National Human Milk Bank, Department of Neonatology, Lady Hardinge Medical College & Kalawati Saran Children's Hospital, New Delhi 110001, India 7. Department of Neonatology, Hôpital de la Croix-Rousse, Hospices civils de Lyon, and Head of French Human Milk Bank Association, Lyon, France 8.…”

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confidence: 99%

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Response to “Repeating the errors of the past: the hazards of a commercial human milk industry” Modi (2024) from the Global Alliance of Milk Banks and Associations

Coutsoudis,

Ascherl,

Bertino

et al. 2024

Pediatr Res

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Mother's own milk is the first choice in preterm infant feeding. When mother's milk is not available or is insufficient, donor human milk (DHM) from a well-established Human Milk Bank (HMB) is recommended by scientific organizations including the World Health Organisation (WHO), the American Academy of Pediatrics (https://www.aap.org/), and the European Society of Pediatric Gastroenterology Hepatology and Nutrition (http:// www.espghan.org/).As the Global Alliance of Human Milk Banks and Associations (GAMBA), a global collaborative network, we would like to concur with the following points made by Professor Modi in her commentary of the harms of human milk commercialization: 1 Pediatric Research

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confidence: 99%

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confidence: 99%

Response to “Repeating the errors of the past: the hazards of a commercial human milk industry” Modi (2024) from the Global Alliance of Milk Banks and Associations

Coutsoudis,

Ascherl,

Bertino

et al. 2024

Pediatr Res

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“…Analyses based on large numbers will often produce statistically significant results, which may be meaningless in practice, or even misleading. When unexpected or highly improbable results are obtained, verifying the veracity of the underlying data should be the first priority [29,30]. Because plausible results may be derived from erroneous data, plausibility is an insufficient criterion for data quality.…”

Section: Data Quality Considerationsmentioning

confidence: 99%

A Multifunctional, Low Cost and Sustainable Neonatal Database System

Pinheiro,

Fisher,

Munshi

et al. 2024

Children

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Continuous improvement in the clinical performance of neonatal intensive care units (NICU) depends on the use of locally relevant, reliable data. However, neonatal databases with these characteristics are typically unavailable in NICUs using paper-based records, while in those using electronic records, the inaccuracy of data and the inability to customize commercial data systems limit their usability for quality improvement or research purposes. We describe the characteristics and uses of a simple, neonatologist-centered data system that has been successfully maintained for 30 years, with minimal resources and serving multiple purposes, including quality improvement, administrative, research support and educational functions. Structurally, our system comprises customized paper and electronic components, while key functional aspects include the attending-based recording of diagnoses, integration into clinical workflows, multilevel data accuracy and validation checks, and periodic reporting on both data quality and NICU performance results. We provide examples of data validation methods and trends observed over three decades, and discuss essential elements for the successful implementation of this system. This database is reliable and easily maintained; it can be developed from simple paper-based forms or used to supplement the functionality and end-user customizability of existing electronic medical records. This system should be readily adaptable to NICUs in either high- or limited-resource environments.

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