Effect of Donor Milk Supplementation on Breastfeeding Outcomes in Term Newborns: A Randomized Controlled Trial

Laura R. Kair; Valerie J. Flaherman; Tarah T. Colaizy

doi:10.1177/0009922819826105

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Effect of Donor Milk Supplementation on Breastfeeding Outcomes in Term Newborns: A Randomized Controlled Trial

Journal article

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Effect of Donor Milk Supplementation on Breastfeeding Outcomes in Term Newborns: A Randomized Controlled Trial

Laura R. Kair, Valerie J. Flaherman and Tarah T. Colaizy

Clinical pediatrics, Vol.58(5), pp.534-540

05/2019

DOI: 10.1177/0009922819826105

PMCID: PMC6456417

PMID: 30688082

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https://www.ncbi.nlm.nih.gov/pmc/articles/6456417View

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Abstract

Background. Pasteurized donor human milk (DHM) use for healthy newborns is increasing; however, no studies have explored its effect on breastfeeding outcomes. Patients and Methods. We enrolled 60 healthy, term breastfeeding newborns with ≥4.5% weight loss in the first 36 hours in a randomized controlled trial. Thirty newborns were randomly assigned to early limited-volume DHM supplementation and 30 newborns to exclusive breastfeeding. Mothers were surveyed at 1 week and 1, 2, and 3 months regarding the mode of infant feeding. Comparing infants randomized to DHM supplementation with those exclusively breastfeeding, there was no significant difference in the proportion using formula at 1 week (21% vs 7%, P = .15), nor in the proportion of any breastfeeding (79% vs 90%, P = .30) or breastfeeding without formula at 3 months (62% vs 77%, P = .27). Conclusion For newborns with ≥4.5% weight loss in the first 36 hours, early limited-volume supplementation with DHM is unlikely to have a significant favorable impact on breastfeeding outcomes.

Details

Title: Subtitle: Effect of Donor Milk Supplementation on Breastfeeding Outcomes in Term Newborns: A Randomized Controlled Trial
Creators: Laura R. Kair - University of Iowa
Valerie J. Flaherman - University of California, San Francisco
Tarah T. Colaizy - University of Iowa
Resource Type: Journal article
Publication Details: Clinical pediatrics, Vol.58(5), pp.534-540
DOI: 10.1177/0009922819826105
PMID: 30688082
PMCID: PMC6456417
NLM abbreviation: Clin Pediatr (Phila)
ISSN: 0009-9228
eISSN: 1938-2707
Grant note: DOI: 10.13039/100006108, name: National Center for Advancing Translational Sciences, award: U54TR001356; DOI: 10.13039/100006108, name: National Center for Advancing Translational Sciences, award: UL1 TR001860
Language: English
Date published: 05/2019
Academic Unit: Stead Family Department of Pediatrics; Neonatology
Record Identifier: 9984354050702771

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