Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya

• DOI: 10.1111/mcn.13594
• Publication Date: 2023-12-05T15:44:50Z
• Authors: Calistus Wilunda; Kiersten Israel‐B...; Milka Wanjohi; Nelson Lang'at; Kimberly Mansen; Mary Waiyego; Minnie Kibore; Eva Kamande; Taddese Zerfu; Angela Kithua; Rosemarie Muganda; Juliana Muiruri; Beth Maina; Emily Njuguna; Faith Njeru; Laura W. Kiige; Patrick Codjia; Betty Samburu; Esther Mogusu; Thomas Ngwiri; Waithera Mirie; Elizabeth W. Kima...
• Keywords: human milk bank; RC620-627; Milk, Human; Infant, Newborn; Infant; Mothers; Gynecology and obstetrics; Original Articles; Hospitals, Maternity; Pediatrics; Kenya; RJ1-570; Breast Feeding; lactation support; newborn; Pregnancy; RG1-991; breast milk; Humans; Lactation; Female; low birth weight; preterm; Nutritional diseases. Deficiency diseases

Abstract We assessed the potential effectiveness of human milk banking and lactation support on provision to neonates admitted in newborn unit (NBU) at Pumwani Maternity Hospital, Kenya. This pre–post intervention study collected data from mothers/caregivers their vulnerable or term babies who lacked sufficient mother's for several reasons NBU. The included establishing a bank strengthening support. Preintervention were between 5 October 2018 11 November 2018, whereas postintervention 4 September 2019 6 2019. Propensity score‐matched analysis was performed assess effect exclusive use milk, as first feed, feeding intolerance duration NBU stay. surveys 123 116 newborns preintervention postintervention, respectively, with 160 (80 each group) being propensity score matched analysis. proportion exclusively used during stay increased 41.3% 63.8% (adjusted odds ratio [OR]: 2.68; 95% confidence interval [CI]: 1.31, 5.53) those whose feed 55.0% 83.3% OR: 5.09; CI: 2.18, 11.88). mean 27% (95% 5.8%, 44.0%) lower group than group. did not affect intolerance. Integrating may improve among resource limited setting.