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Individualized Reconstitution of Human Milk Microbiota: A Feasible Approach in Real-World Settings

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Implementation of Keriton Mobile Application to Decrease Human Milk Left Behind at Discharge.

Elisheva Rosner¹, Anna Pearl Rivkin, Marianne Garland

¹Author Affiliations: Department of Pediatrics, New York Presbyterian Hospital, Clifton, New Jersey (Dr Rosner and Mrs Rivkin) and Department of Pediatrics, Columbia University, New York, New York (Dr Garland).

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses

|May 7, 2026

Summary

Implementing the Keriton mobile application significantly reduced expressed human milk (EHM) left behind at neonatal intensive care unit (NICU) discharge by 89%. This feeding management system improves infant nutrition and reduces waste.

Keywords:

discharge feeding management system human milk lactation neonatal intensive care unit

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Area of Science:

Neonatal care
Health informatics
Quality improvement

Background:

Neonatal intensive care unit (NICU) feeding management is complex and prone to human error.
Ensuring adequate nutrition for neonates is critical for their development and well-being.

Purpose of the Study:

To decrease the amount of expressed human milk (EHM) left behind upon NICU discharge.
To optimize feeding management protocols within the NICU setting.

Main Methods:

A quality improvement project utilizing a pre-/post-quasi experimental design.
Implementation of the Keriton mobile application as a feeding management system in a level IV NICU.
Data collection and analysis to assess the impact of the mobile application on EHM waste.

Main Results:

A relative 89% reduction in the occurrence of EHM left behind at NICU discharge was observed.
The Keriton mobile application demonstrated significant effectiveness in managing EHM.
Improved efficiency in feeding management processes within the NICU.

Conclusions:

Continued use of feeding management systems like the Keriton mobile application is recommended.
Implementing technology-based solutions can effectively manage EHM and reduce waste at NICU discharge.
This approach supports better nutritional outcomes for neonates and resource optimization in NICUs.