Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya
Abstract 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 ne...
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-01-01
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| Series: | Maternal and Child Nutrition |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/mcn.13594 |
| _version_ | 1827398816608813056 |
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| author | Calistus Wilunda Kiersten Israel‐Ballard 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. Kimani‐Murage |
| author_facet | Calistus Wilunda Kiersten Israel‐Ballard 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. Kimani‐Murage |
| author_sort | Calistus Wilunda |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-03-08T19:35:17Z |
| format | Article |
| id | doaj.art-5da64593bd9f4c97832bbe19b5a72ae0 |
| institution | Directory Open Access Journal |
| issn | 1740-8695 1740-8709 |
| language | English |
| last_indexed | 2024-03-08T19:35:17Z |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Maternal and Child Nutrition |
| spelling | doaj.art-5da64593bd9f4c97832bbe19b5a72ae02023-12-26T05:21:00ZengWileyMaternal and Child Nutrition1740-86951740-87092024-01-01201n/an/a10.1111/mcn.13594Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, KenyaCalistus Wilunda0Kiersten Israel‐Ballard1Milka Wanjohi2Nelson Lang'at3Kimberly Mansen4Mary Waiyego5Minnie Kibore6Eva Kamande7Taddese Zerfu8Angela Kithua9Rosemarie Muganda10Juliana Muiruri11Beth Maina12Emily Njuguna13Faith Njeru14Laura W. Kiige15Patrick Codjia16Betty Samburu17Esther Mogusu18Thomas Ngwiri19Waithera Mirie20Elizabeth W. Kimani‐Murage21Nutrition and Food Systems Unit African Population and Health Research Center Nairobi KenyaMaternal, Newborn, Child Health and Nutrition Program PATH Seattle Washington USANutrition and Food Systems Unit African Population and Health Research Center Nairobi KenyaNutrition and Food Systems Unit African Population and Health Research Center Nairobi KenyaMaternal, Newborn, Child Health and Nutrition Program PATH Seattle Washington USAPumwani Maternity Hospital Nairobi KenyaPATH Nairobi KenyaNutrition and Food Systems Unit African Population and Health Research Center Nairobi KenyaNutrition and Food Systems Unit African Population and Health Research Center Nairobi KenyaPATH Nairobi KenyaPATH Nairobi KenyaPATH Nairobi KenyaPumwani Maternity Hospital Nairobi KenyaPumwani Maternity Hospital Nairobi KenyaPumwani Maternity Hospital Nairobi KenyaNutrition Section UNICEF ‐ Kenya Country Office Nairobi KenyaNutrition Section UNICEF ‐ Kenya Country Office Nairobi KenyaNutrition and Dietetics Unit Ministry of Health Nairobi KenyaNutrition and Dietetics Unit Ministry of Health Nairobi KenyaClinical Services Gertrude's Children's Hospital Nairobi KenyaSchool of Nursing Sciences University of Nairobi Nairobi KenyaNutrition and Food Systems Unit African Population and Health Research Center Nairobi KenyaAbstract 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.https://doi.org/10.1111/mcn.13594breast milkhuman milk banklactation supportlow birth weightnewbornpreterm |
| spellingShingle | Calistus Wilunda Kiersten Israel‐Ballard 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. Kimani‐Murage Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya Maternal and Child Nutrition breast milk human milk bank lactation support low birth weight newborn preterm |
| 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 | breast milk human milk bank lactation support low birth weight newborn preterm |
| url | https://doi.org/10.1111/mcn.13594 |
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