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Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (under 37 Weeks) at the Hospital Universitario del Valle 2018–2020

Breast milk is widely recognized as the best source of nutrition for both full term and premature babies. We aimed to identify clinical results of the implementation of a breast milk bank for premature infants under 37 weeks in a level III hospital. 722 neonates under 37 weeks, hospitalized in the N...

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Autores principales: Torres-Muñoz, Javier, Jimenez-Fernandez, Carlos Alberto, Murillo-Alvarado, Jennifer, Torres-Figueroa, Sofia, Castro, Juan Pablo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308280/
https://www.ncbi.nlm.nih.gov/pubmed/34202034
http://dx.doi.org/10.3390/nu13072187
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author Torres-Muñoz, Javier
Jimenez-Fernandez, Carlos Alberto
Murillo-Alvarado, Jennifer
Torres-Figueroa, Sofia
Castro, Juan Pablo
author_facet Torres-Muñoz, Javier
Jimenez-Fernandez, Carlos Alberto
Murillo-Alvarado, Jennifer
Torres-Figueroa, Sofia
Castro, Juan Pablo
author_sort Torres-Muñoz, Javier
collection PubMed
description Breast milk is widely recognized as the best source of nutrition for both full term and premature babies. We aimed to identify clinical results of the implementation of a breast milk bank for premature infants under 37 weeks in a level III hospital. 722 neonates under 37 weeks, hospitalized in the Neonatal intensive care unit (ICU), who received human breast milk from the institution’s milk bank 57% (n = 412) vs. mixed or artificial 32% (n = 229), at day 7 of life. An exploratory data analysis was carried out. Measures of central tendency and dispersion were used, strength of association of odds ratio (OR) and its confidence intervals (95% confidence interval (CI)). 88.5% had already received human milk before day 7 of life. Those who received human milk, due to their clinical condition, had 4 times a greater chance of being intubated (OR 4.05; 95% CI 1.80–9.11). Starting before day 7 of life decreases the opportunity to develop necrotizing enterocolitis by 82% (adjusted odds ratio (ORa) 0.18; 95% CI 0.03–0.97), intraventricular hemorrhage by 85% (ORa 0.15; 95% CI 0.06–0.45) and sepsis by 77% (ORa 0.23; 95% CI 0.15–0.33). Receiving human milk reduces the probability of complications related to prematurity, evidencing the importance that breast milk banks play in clinical practice.
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spelling pubmed-83082802021-07-25 Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (under 37 Weeks) at the Hospital Universitario del Valle 2018–2020 Torres-Muñoz, Javier Jimenez-Fernandez, Carlos Alberto Murillo-Alvarado, Jennifer Torres-Figueroa, Sofia Castro, Juan Pablo Nutrients Article Breast milk is widely recognized as the best source of nutrition for both full term and premature babies. We aimed to identify clinical results of the implementation of a breast milk bank for premature infants under 37 weeks in a level III hospital. 722 neonates under 37 weeks, hospitalized in the Neonatal intensive care unit (ICU), who received human breast milk from the institution’s milk bank 57% (n = 412) vs. mixed or artificial 32% (n = 229), at day 7 of life. An exploratory data analysis was carried out. Measures of central tendency and dispersion were used, strength of association of odds ratio (OR) and its confidence intervals (95% confidence interval (CI)). 88.5% had already received human milk before day 7 of life. Those who received human milk, due to their clinical condition, had 4 times a greater chance of being intubated (OR 4.05; 95% CI 1.80–9.11). Starting before day 7 of life decreases the opportunity to develop necrotizing enterocolitis by 82% (adjusted odds ratio (ORa) 0.18; 95% CI 0.03–0.97), intraventricular hemorrhage by 85% (ORa 0.15; 95% CI 0.06–0.45) and sepsis by 77% (ORa 0.23; 95% CI 0.15–0.33). Receiving human milk reduces the probability of complications related to prematurity, evidencing the importance that breast milk banks play in clinical practice. MDPI 2021-06-25 /pmc/articles/PMC8308280/ /pubmed/34202034 http://dx.doi.org/10.3390/nu13072187 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Torres-Muñoz, Javier
Jimenez-Fernandez, Carlos Alberto
Murillo-Alvarado, Jennifer
Torres-Figueroa, Sofia
Castro, Juan Pablo
Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (under 37 Weeks) at the Hospital Universitario del Valle 2018–2020
title Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (under 37 Weeks) at the Hospital Universitario del Valle 2018–2020
title_full Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (under 37 Weeks) at the Hospital Universitario del Valle 2018–2020
title_fullStr Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (under 37 Weeks) at the Hospital Universitario del Valle 2018–2020
title_full_unstemmed Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (under 37 Weeks) at the Hospital Universitario del Valle 2018–2020
title_short Clinical Results of the Implementation of a Breast Milk Bank in Premature Infants (under 37 Weeks) at the Hospital Universitario del Valle 2018–2020
title_sort clinical results of the implementation of a breast milk bank in premature infants (under 37 weeks) at the hospital universitario del valle 2018–2020
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308280/
https://www.ncbi.nlm.nih.gov/pubmed/34202034
http://dx.doi.org/10.3390/nu13072187
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