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Increasing Pasteurized Donor Human Milk Use in a Level 1 Newborn Nursery
Giuseppina Romano-Clarke1,2, Ananya Jain3,4, Georgia Dey-Lawson1
1Department of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts.
Hospital Pediatrics
|August 20, 2025
Summary
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.
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.
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