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Increasing Pasteurized Donor Human Milk Use in a Level 1 Newborn Nursery.

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Supplementation with pasteurized donor human milk (PDHM) increased by 70% in a level 1 nursery. This initiative improved breastfeeding exclusivity at discharge and sustained exclusive breastfeeding at two months for many infants.

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Area of Science:

  • Neonatal care
  • Lactation support
  • Public health nutrition

Background:

  • Formula supplementation in well newborns impacts breastfeeding exclusivity.
  • Pasteurized donor human milk (PDHM) is an alternative to formula.
  • Initiatives are needed to promote PDHM use in nurseries.

Purpose of the Study:

  • To increase the use of PDHM instead of formula in well newborns by 10%.
  • To improve breastfeeding exclusivity at hospital discharge.

Main Methods:

  • Process analysis and provider surveys identified barriers to PDHM use.
  • Interventions included staff education and improved PDHM accessibility.
  • Plan-do-study-act cycles refined PDHM use into a standard workflow.

Main Results:

  • PDHM use increased by 70% and was sustained for 12 months.
  • Breastfeeding exclusivity at discharge rose from 49.2% to 57.2%.
  • 54.5% of infants receiving PDHM remained exclusively breastfed at 2 months.

Conclusions:

  • Addressing local barriers and stakeholder involvement are crucial for implementing PDHM.
  • PDHM use during birth hospitalization supports longer breastfeeding exclusivity.