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American Academy of Pediatrics
Research Articles

National Prevalence of Donor Milk Use Among Level 1 Nurseries

Margaret G. Parker, Laura A. Burnham, Stephen M. Kerr, Mandy B. Belfort, Maryanne T. Perrin, Michael J. Corwin and Timothy C. Heeren
Hospital Pediatrics November 2020, hpeds.2020-001396; DOI: https://doi.org/10.1542/hpeds.2020-001396
Margaret G. Parker
aDepartment of Pediatrics, Boston Medical Center and School of Medicine and
bSlone Epidemiology Center, Boston University, Boston, Massachusetts;
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Laura A. Burnham
aDepartment of Pediatrics, Boston Medical Center and School of Medicine and
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Stephen M. Kerr
bSlone Epidemiology Center, Boston University, Boston, Massachusetts;
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Mandy B. Belfort
cDepartment of Pediatric Newborn Medicine, Brigham and Women’s Hospital and Harvard Medical School, Harvard University, Boston, Massachusetts; and
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Maryanne T. Perrin
dDepartment of Nutrition, School of Health and Human Sciences, University of North Carolina Greensboro, Greensboro, North Carolina
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Michael J. Corwin
aDepartment of Pediatrics, Boston Medical Center and School of Medicine and
bSlone Epidemiology Center, Boston University, Boston, Massachusetts;
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Timothy C. Heeren
eDepartment of Biostatistics, School of Public Health and
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Abstract

BACKGROUND AND OBJECTIVES: Donor milk use has increased among very preterm infants because of mounting evidence of health benefits; however, the extent that donor milk is used among healthy term infants in level 1 nurseries is unclear. We aimed to determine (1) national prevalence of and (2) hospital factors associated with donor milk use in level 1 nurseries.

METHODS: Among 3040 US birthing hospitals, we randomly selected hospitals from each of 4 US regions (119 in northeast, 120 in Midwest, 116 in west, and 103 in south) for a total of 458 hospitals. We surveyed the nursing leaders of these hospitals from October to December 2017 regarding routine use of donor milk in the level 1 nursery (yes or no). To estimate national prevalence, we weighted responses according to the number of birthing hospitals within each region. We examined relationships between routine donor milk use in the level 1 nursery and hospital characteristics using multivariable logistic regression.

RESULTS: In total, 214 of 458 (47%) nursing leaders responded. The national prevalence of routine donor milk use in level 1 nurseries was 17.6%. Eighty-five percent of donor milk programs were ≤5 years old. Donor milk use occurred more often in hospitals with ≥1500 annual births (41.7%), compared to ≤500 annual births (6.3%) (adjusted odds ratio 7.8; 95% confidence interval 1.8–34.4), and in the west (30.9%), compared to the northeast (10.5%) (adjusted odds ratio 4.1; 95% confidence interval [1.1–14.9]).

CONCLUSIONS: Although there is limited evidence to support donor milk for healthy infants in the nursery, nearly one-fifth of level 1 US nurseries routinely used donor milk in 2017.

  • Copyright © 2020 by the American Academy of Pediatrics
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Hospital Pediatrics: 11 (1)
Hospital Pediatrics
Vol. 11, Issue 1
1 Jan 2021
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National Prevalence of Donor Milk Use Among Level 1 Nurseries
Margaret G. Parker, Laura A. Burnham, Stephen M. Kerr, Mandy B. Belfort, Maryanne T. Perrin, Michael J. Corwin, Timothy C. Heeren
Hospital Pediatrics Nov 2020, hpeds.2020-001396; DOI: 10.1542/hpeds.2020-001396

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National Prevalence of Donor Milk Use Among Level 1 Nurseries
Margaret G. Parker, Laura A. Burnham, Stephen M. Kerr, Mandy B. Belfort, Maryanne T. Perrin, Michael J. Corwin, Timothy C. Heeren
Hospital Pediatrics Nov 2020, hpeds.2020-001396; DOI: 10.1542/hpeds.2020-001396
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