Faculty Collaboration Database

NICU human milk dose and health care use after NICU discharge in very low birth weight infants. J Perinatol 2019 Jan;39(1):120-128

Date

10/21/2018

Pubmed ID

30341399

Pubmed Central ID

PMC6298834

DOI

10.1038/s41372-018-0246-0

Scopus ID

2-s2.0-85055317760 (requires institutional sign-in at Scopus site)   16 Citations

Abstract

OBJECTIVE: To determine the association between human milk (HM) dose and health care utilization at one and 2 years of life in very low birth weight (birth weight < 1500 g; VLBW) infants.

STUDY DESIGN: This study included 345 VLBW infants enrolled in a prospective observational cohort study (2008-2012) who completed a neonatal high-risk follow-up clinic visit. Subsequent health care utilization included hospitalizations, emergency department visits, pediatric subspecialists, and specialized therapies.

RESULTS: Each 10 mL/kg/day increase in HM in the first 14 days of life was associated with 0.26 fewer hospitalizations (p = 0.04) at 1 year and 0.21 fewer pediatric subspecialist types (p = 0.04) and 0.20 fewer specialized therapy types (p = 0.04) at 2 years.

CONCLUSION: HM dose in early life for VLBW infants was an independent predictor of the number of hospitalizations at 1 year and types of pediatric subspecialists and specialized therapies at 2 years of life.

Author List

Johnson TJ, Patra K, Greene MM, Hamilton M, Dabrowski E, Meier PP, Patel AL

Author

Elizabeth Dabrowski MD Assistant Professor in the Pediatrics department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Aftercare
Female
Follow-Up Studies
Hospitalization
Humans
Infant
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight
Intensive Care Units, Neonatal
Male
Milk, Human
Nutritional Support
Patient Acceptance of Health Care
Patient Discharge
Prospective Studies
United States