Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya
We assessed the potential effectiveness of human milk banking and lactation support on provision of human milk to neonates admitted in the newborn unit (NBU) at Pumwani Maternity Hospital, Kenya. This pre–post intervention study collected data from mothers/caregivers and their vulnerable neonates or...
| Autores principales: | , , , , , , , , , , , , , , , , , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
Wiley
2024
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| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/139856 |
| _version_ | 1855514039718772736 |
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| author | Wilunda, Calistus Israel-Ballard, Kiersten Wanjohi, Milka Lang'at, Nelson Mansen, Kimberly Waiyego, Mary Kibore, Minnie Kamande, Eva Zerfu, Taddese Alemu Kithua, Angela Muganda, Rosemarie Muiruri, Juliana Maina, Beth Njuguna, Emily Njeru, Faith Kiige, Laura W. Codjia, Patrick Samburu, Betty Mogusu, Esther Ngwiri, Thomas Mirie, Waithera Kimani-Murage, Elizabeth W. |
| author_browse | Codjia, Patrick Israel-Ballard, Kiersten Kamande, Eva Kibore, Minnie Kiige, Laura W. Kimani-Murage, Elizabeth W. Kithua, Angela Lang'at, Nelson Maina, Beth Mansen, Kimberly Mirie, Waithera Mogusu, Esther Muganda, Rosemarie Muiruri, Juliana Ngwiri, Thomas Njeru, Faith Njuguna, Emily Samburu, Betty Waiyego, Mary Wanjohi, Milka Wilunda, Calistus Zerfu, Taddese Alemu |
| author_facet | Wilunda, Calistus Israel-Ballard, Kiersten Wanjohi, Milka Lang'at, Nelson Mansen, Kimberly Waiyego, Mary Kibore, Minnie Kamande, Eva Zerfu, Taddese Alemu Kithua, Angela Muganda, Rosemarie Muiruri, Juliana Maina, Beth Njuguna, Emily Njeru, Faith Kiige, Laura W. Codjia, Patrick Samburu, Betty Mogusu, Esther Ngwiri, Thomas Mirie, Waithera Kimani-Murage, Elizabeth W. |
| author_sort | Wilunda, Calistus |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | We assessed the potential effectiveness of human milk banking and lactation support on provision of human milk to neonates admitted in the newborn unit (NBU) at Pumwani Maternity Hospital, Kenya. This pre–post intervention study collected data from mothers/caregivers and their vulnerable neonates or term babies who lacked sufficient mother's milk for several reasons admitted in the NBU. The intervention included establishing a human milk bank and strengthening lactation support. Preintervention data were collected between 5 October 2018 and 11 November 2018, whereas postintervention data were collected between 4 September 2019 and 6 October 2019. Propensity score-matched analysis was performed to assess the effect of the intervention on exclusive use of human milk, use of human milk as the first feed, feeding intolerance and duration of NBU stay. The surveys included 123 and 116 newborns at preintervention and postintervention, respectively, with 160 newborns (80 in each group) being included in propensity score matched analysis. The proportion of neonates who exclusively used human milk during NBU stay increased from 41.3% preintervention to 63.8% postintervention (adjusted odds ratio [OR]: 2.68; 95% confidence interval [CI]: 1.31, 5.53) and those whose first feed was human milk increased from 55.0% preintervention to 83.3% postintervention (adjusted OR: 5.09; 95% CI: 2.18, 11.88). The mean duration of NBU stay was 27% (95% CI: 5.8%, 44.0%) lower in the postintervention group than in the preintervention group. The intervention did not affect feeding intolerance. Integrating human milk banking and lactation support may improve exclusive use of human milk among vulnerable neonates in a resource limited setting. |
| format | Journal Article |
| id | CGSpace139856 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Wiley |
| publisherStr | Wiley |
| record_format | dspace |
| spelling | CGSpace1398562025-10-26T12:54:48Z Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya Wilunda, Calistus Israel-Ballard, Kiersten Wanjohi, Milka Lang'at, Nelson Mansen, Kimberly Waiyego, Mary Kibore, Minnie Kamande, Eva Zerfu, Taddese Alemu Kithua, Angela Muganda, Rosemarie Muiruri, Juliana Maina, Beth Njuguna, Emily Njeru, Faith Kiige, Laura W. Codjia, Patrick Samburu, Betty Mogusu, Esther Ngwiri, Thomas Mirie, Waithera Kimani-Murage, Elizabeth W. human milk infant feeding lactation prematurity surveys We assessed the potential effectiveness of human milk banking and lactation support on provision of human milk to neonates admitted in the newborn unit (NBU) at Pumwani Maternity Hospital, Kenya. This pre–post intervention study collected data from mothers/caregivers and their vulnerable neonates or term babies who lacked sufficient mother's milk for several reasons admitted in the NBU. The intervention included establishing a human milk bank and strengthening lactation support. Preintervention data were collected between 5 October 2018 and 11 November 2018, whereas postintervention data were collected between 4 September 2019 and 6 October 2019. Propensity score-matched analysis was performed to assess the effect of the intervention on exclusive use of human milk, use of human milk as the first feed, feeding intolerance and duration of NBU stay. The surveys included 123 and 116 newborns at preintervention and postintervention, respectively, with 160 newborns (80 in each group) being included in propensity score matched analysis. The proportion of neonates who exclusively used human milk during NBU stay increased from 41.3% preintervention to 63.8% postintervention (adjusted odds ratio [OR]: 2.68; 95% confidence interval [CI]: 1.31, 5.53) and those whose first feed was human milk increased from 55.0% preintervention to 83.3% postintervention (adjusted OR: 5.09; 95% CI: 2.18, 11.88). The mean duration of NBU stay was 27% (95% CI: 5.8%, 44.0%) lower in the postintervention group than in the preintervention group. The intervention did not affect feeding intolerance. Integrating human milk banking and lactation support may improve exclusive use of human milk among vulnerable neonates in a resource limited setting. 2024-01 2024-03-07T16:47:28Z 2024-03-07T16:47:28Z Journal Article https://hdl.handle.net/10568/139856 en https://www.ifpri.org/blog/study-human-milk-banks-offer-promising-option-address-sub-saharan-africas-staggeringly-high Open Access Wiley Wilunda, Calistus; Israel-Ballard, Kiersten; Wanjohi, Milka; Lang'at, Nelson; Mansen, Kimberly; et al. 2024. Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya. Maternal and Child Nutrition 20(1): e13594. https://doi.org/10.1111/mcn.13594 |
| spellingShingle | human milk infant feeding lactation prematurity surveys Wilunda, Calistus Israel-Ballard, Kiersten Wanjohi, Milka Lang'at, Nelson Mansen, Kimberly Waiyego, Mary Kibore, Minnie Kamande, Eva Zerfu, Taddese Alemu Kithua, Angela Muganda, Rosemarie Muiruri, Juliana Maina, Beth Njuguna, Emily Njeru, Faith Kiige, Laura W. Codjia, Patrick Samburu, Betty Mogusu, Esther Ngwiri, Thomas Mirie, Waithera Kimani-Murage, Elizabeth W. Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya |
| title | Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya |
| title_full | Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya |
| title_fullStr | Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya |
| title_full_unstemmed | Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya |
| title_short | Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya |
| title_sort | potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at pumwani maternity hospital kenya |
| topic | human milk infant feeding lactation prematurity surveys |
| url | https://hdl.handle.net/10568/139856 |
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