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Parent and Provider Perspectives on the Imprecise Label of "Human Milk Fortifier" in the NICU.
Nutrients. 2020 Mar 09; 12(3)N

Abstract

In the critical care of preterm infants, feeding is complex and potentially harmful to an immature gastrointestinal system. Parents have expressed the desire to be fully informed about what is being fed to their child, as this places them in the best position to nurture their child's health. In the parent-engaged setting of the Necrotizing Enterocolitis Symposium, NICU parents expressed concern and confusion about how cow's milk product and donor human milk product both carry the label "Human Milk Fortifier" (HMF). Accordingly, two online surveys were developed to characterize how the label HMF is used and interpreted in the NICU by parents and providers. Of 774 United States participants, only 21.9% of providers reported consistently describing the source of HMF to parents, and only 20.6% of parents whose child received an HMF product report knowing the source. Parents expressed that they were "not given information" regarding HMF, while both parents and healthcare providers expressed that "the label (HMF) is misleading". This study documents the ambiguity around the label HMF as well as the need for more specific language and clearer communication.

Authors+Show Affiliations

NEC Society, PO Box 72271, Davis, CA 95617, USA.Baylor College of Medicine, Texas Children's Hospital, Houston, TX 77030, USA.Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA.Yale School of Medicine, New Haven, CT 06520, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32182782

Citation

Canvasser, Jennifer, et al. "Parent and Provider Perspectives On the Imprecise Label of "Human Milk Fortifier" in the NICU." Nutrients, vol. 12, no. 3, 2020.
Canvasser J, Hair AB, Kim JH, et al. Parent and Provider Perspectives on the Imprecise Label of "Human Milk Fortifier" in the NICU. Nutrients. 2020;12(3).
Canvasser, J., Hair, A. B., Kim, J. H., & Taylor, S. N. (2020). Parent and Provider Perspectives on the Imprecise Label of "Human Milk Fortifier" in the NICU. Nutrients, 12(3). https://doi.org/10.3390/nu12030720
Canvasser J, et al. Parent and Provider Perspectives On the Imprecise Label of "Human Milk Fortifier" in the NICU. Nutrients. 2020 Mar 9;12(3) PubMed PMID: 32182782.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Parent and Provider Perspectives on the Imprecise Label of "Human Milk Fortifier" in the NICU. AU - Canvasser,Jennifer, AU - Hair,Amy B, AU - Kim,Jae H, AU - Taylor,Sarah N, Y1 - 2020/03/09/ PY - 2020/02/03/received PY - 2020/03/03/revised PY - 2020/03/04/accepted PY - 2020/3/19/entrez PY - 2020/3/19/pubmed PY - 2020/3/19/medline KW - NICU parent KW - breast milk KW - communication KW - donor milk KW - human milk fortifier KW - necrotizing enterocolitis KW - neonatal nutrition KW - patient empowerment KW - prematurity KW - product labeling JF - Nutrients JO - Nutrients VL - 12 IS - 3 N2 - In the critical care of preterm infants, feeding is complex and potentially harmful to an immature gastrointestinal system. Parents have expressed the desire to be fully informed about what is being fed to their child, as this places them in the best position to nurture their child's health. In the parent-engaged setting of the Necrotizing Enterocolitis Symposium, NICU parents expressed concern and confusion about how cow's milk product and donor human milk product both carry the label "Human Milk Fortifier" (HMF). Accordingly, two online surveys were developed to characterize how the label HMF is used and interpreted in the NICU by parents and providers. Of 774 United States participants, only 21.9% of providers reported consistently describing the source of HMF to parents, and only 20.6% of parents whose child received an HMF product report knowing the source. Parents expressed that they were "not given information" regarding HMF, while both parents and healthcare providers expressed that "the label (HMF) is misleading". This study documents the ambiguity around the label HMF as well as the need for more specific language and clearer communication. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/32182782/Parent_and_Provider_Perspectives_on_the_Imprecise_Label_of_"Human_Milk_Fortifier"_in_the_NICU L2 - https://www.mdpi.com/resolver?pii=nu12030720 DB - PRIME DP - Unbound Medicine ER -
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