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Differences in Current Procedures for Handling of Expressed Mother's Milk in Danish Neonatal Care Units.
Adv Neonatal Care. 2019 Dec; 19(6):452-459.AN

Abstract

BACKGROUND

Mother's own milk (MOM) is preferred when feeding preterm infants. When expressed mother's milk is stored and handled, there is a risk of bacterial contamination, decreased immunological activity, and less nutritional potential.

PURPOSE

The aim of this study was to investigate current routines when handling MOM in Danish neonatal intensive care units (NICUs).

METHODS

A survey was sent to all 17 NICUs in Denmark in which current practices regarding human milk handling, storage, and preparation were evaluated. Furthermore, one question sought to establish when mother's milk was believed to be colostrum. Respondents of the survey were neonatal nurses.

RESULTS

All 17 units responded to the survey. Only 5 of 17 units answered that human colostrum was defined as milk from the first week after birth. Refrigerator storage time varied between 24 and 72 hours. In 6 of 17 units, parents were in charge of mixing milk and fortifier. Heating of human milk was done by using microwave ovens in 4 of 17 of the units.

IMPLICATIONS FOR PRACTICE

This national survey established that there is significant variability in the way mother's milk is handled. Some of the procedures performed may affect the quality of the milk. It is important to implement evidence-based practice regarding storage and handling of expressed mother's milk to ensure that the quality of the milk is the best possible alternative for all preterm infants.

IMPLICATIONS FOR RESEARCH

Prospective studies are needed to examine the association between handling of human milk and changes in composition and nutritional potential of the milk.

Authors+Show Affiliations

Institute of Clinical Research, University of Southern Denmark, Odense C, Denmark (Drs Simonsen, Hyldig, and Zachariassen); and Hans Christian Andersens Children's Hospital, Odense University Hospital, Odense C, Denmark (Drs Hyldig and Zachariassen).No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31764133

Citation

Simonsen, Marie Bendix, et al. "Differences in Current Procedures for Handling of Expressed Mother's Milk in Danish Neonatal Care Units." Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses, vol. 19, no. 6, 2019, pp. 452-459.
Simonsen MB, Hyldig N, Zachariassen G. Differences in Current Procedures for Handling of Expressed Mother's Milk in Danish Neonatal Care Units. Adv Neonatal Care. 2019;19(6):452-459.
Simonsen, M. B., Hyldig, N., & Zachariassen, G. (2019). Differences in Current Procedures for Handling of Expressed Mother's Milk in Danish Neonatal Care Units. Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses, 19(6), 452-459. https://doi.org/10.1097/ANC.0000000000000663
Simonsen MB, Hyldig N, Zachariassen G. Differences in Current Procedures for Handling of Expressed Mother's Milk in Danish Neonatal Care Units. Adv Neonatal Care. 2019;19(6):452-459. PubMed PMID: 31764133.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Differences in Current Procedures for Handling of Expressed Mother's Milk in Danish Neonatal Care Units. AU - Simonsen,Marie Bendix, AU - Hyldig,Nana, AU - Zachariassen,Gitte, PY - 2019/11/26/entrez PY - 2019/11/26/pubmed PY - 2020/4/18/medline SP - 452 EP - 459 JF - Advances in neonatal care : official journal of the National Association of Neonatal Nurses JO - Adv Neonatal Care VL - 19 IS - 6 N2 - BACKGROUND: Mother's own milk (MOM) is preferred when feeding preterm infants. When expressed mother's milk is stored and handled, there is a risk of bacterial contamination, decreased immunological activity, and less nutritional potential. PURPOSE: The aim of this study was to investigate current routines when handling MOM in Danish neonatal intensive care units (NICUs). METHODS: A survey was sent to all 17 NICUs in Denmark in which current practices regarding human milk handling, storage, and preparation were evaluated. Furthermore, one question sought to establish when mother's milk was believed to be colostrum. Respondents of the survey were neonatal nurses. RESULTS: All 17 units responded to the survey. Only 5 of 17 units answered that human colostrum was defined as milk from the first week after birth. Refrigerator storage time varied between 24 and 72 hours. In 6 of 17 units, parents were in charge of mixing milk and fortifier. Heating of human milk was done by using microwave ovens in 4 of 17 of the units. IMPLICATIONS FOR PRACTICE: This national survey established that there is significant variability in the way mother's milk is handled. Some of the procedures performed may affect the quality of the milk. It is important to implement evidence-based practice regarding storage and handling of expressed mother's milk to ensure that the quality of the milk is the best possible alternative for all preterm infants. IMPLICATIONS FOR RESEARCH: Prospective studies are needed to examine the association between handling of human milk and changes in composition and nutritional potential of the milk. SN - 1536-0911 UR - https://www.unboundmedicine.com/medline/citation/31764133/Differences_in_Current_Procedures_for_Handling_of_Expressed_Mother's_Milk_in_Danish_Neonatal_Care_Units L2 - https://doi.org/10.1097/ANC.0000000000000663 DB - PRIME DP - Unbound Medicine ER -