Factors Associated with the Prolonged Use of Donor Human Milk at the Da Nang Hospital for Women and Children in Vietnam
Donor human milk (DHM) from a human milk bank (HMB) is used to feed low-birthweight (LBW) and preterm infants when mothers cannot provide their own breastmilk. The misuse of DHM could interfere with mothers' breastmilk and weaken breastfeeding efforts. This study aimed to identify factors behin...
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| creator | Tran, Hoang Thi Nguyen, Tuan Thanh Nguyen, Oanh Thi Xuan Huynh, Le Thi Mathisen, Roger |
| description | Donor human milk (DHM) from a human milk bank (HMB) is used to feed low-birthweight (LBW) and preterm infants when mothers cannot provide their own breastmilk. The misuse of DHM could interfere with mothers' breastmilk and weaken breastfeeding efforts. This study aimed to identify factors behind prolonged DHM usage during the first six years of Vietnam's first HMB.
Data were extracted from the Da Nang HMB's digital monitoring system. We defined prolonged DHM use as four or more days in the neonatal unit and two or more days in postnatal wards.
Over six years, 25,420 infants received DHM, with 45.3% of the infants being female, 54.7% being male, 70.0% being born via cesarean section, and 77.2% being full-term. In the neonatal unit (
= 7001), 38.0% of infants used DHM for ≥4 days. Adjusted odds ratios (aORs) for prolonged use were 0.14 for infants weighing |
| doi_str_mv | 10.3390/nu16244402 |
| format | Article |
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Data were extracted from the Da Nang HMB's digital monitoring system. We defined prolonged DHM use as four or more days in the neonatal unit and two or more days in postnatal wards.
Over six years, 25,420 infants received DHM, with 45.3% of the infants being female, 54.7% being male, 70.0% being born via cesarean section, and 77.2% being full-term. In the neonatal unit (
= 7001), 38.0% of infants used DHM for ≥4 days. Adjusted odds ratios (aORs) for prolonged use were 0.14 for infants weighing <1000 g, 0.78 for infants weighing 1000-<1500 g, and 0.67 for infants weighing ≥2000 g (
< 0.01), compared to those weighing 1500-<2000 g. Compared to gestational ages of 32-<34 weeks, the aORs were 0.26 for <28 weeks, 0.71 for 34-<37 weeks, and 0.35 for ≥37 weeks (
< 0.01). In postnatal wards (
= 18,419), 53.1% of infants used DHM for ≥2 days. Compared to term, normal-weight infants, the aORs were 1.25 for LBW-preterm, 1.17 for LBW-term, and 1.21 for normal-weight-preterm infants (
< 0.05). Prolonged DHM use was associated with cesarean births in neonatal units (aOR 2.24,
< 0.01) and postnatal wards (aOR 1.44,
< 0.01).
DHM is used briefly to bridge nutritional gaps and transition to mothers' breastmilk, but LBW, preterm births, and cesarean births are linked to prolonged use. Healthcare providers should support those at risk of prolonged DHM use and prioritize reducing unnecessary cesarean births.]]></description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu16244402</identifier><identifier>PMID: 39771023</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adult ; Babies ; Birth weight ; Breast Feeding - statistics & numerical data ; Breastfeeding & lactation ; Children & youth ; Data analysis ; Female ; Gestational age ; Hospitals ; Humans ; Infant ; Infant Nutritional Physiological Phenomena ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature ; Male ; Milk Banks ; Milk, Human ; Monitoring systems ; Mothers ; Newborn babies ; Nutrition ; Postpartum period ; Regression analysis ; Time Factors ; Variables ; Vietnam ; Womens health</subject><ispartof>Nutrients, 2024-12, Vol.16 (24), p.4402</ispartof><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c204t-e7893665b69523979d8d614ecd07fcfb54c2bdf33372ec6ad0c35c0cc2fd41543</cites><orcidid>0000-0002-4475-8716 ; 0000-0002-0737-430X ; 0000-0001-7729-6063</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39771023$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tran, Hoang Thi</creatorcontrib><creatorcontrib>Nguyen, Tuan Thanh</creatorcontrib><creatorcontrib>Nguyen, Oanh Thi Xuan</creatorcontrib><creatorcontrib>Huynh, Le Thi</creatorcontrib><creatorcontrib>Mathisen, Roger</creatorcontrib><title>Factors Associated with the Prolonged Use of Donor Human Milk at the Da Nang Hospital for Women and Children in Vietnam</title><title>Nutrients</title><addtitle>Nutrients</addtitle><description><![CDATA[Donor human milk (DHM) from a human milk bank (HMB) is used to feed low-birthweight (LBW) and preterm infants when mothers cannot provide their own breastmilk. The misuse of DHM could interfere with mothers' breastmilk and weaken breastfeeding efforts. This study aimed to identify factors behind prolonged DHM usage during the first six years of Vietnam's first HMB.
Data were extracted from the Da Nang HMB's digital monitoring system. We defined prolonged DHM use as four or more days in the neonatal unit and two or more days in postnatal wards.
Over six years, 25,420 infants received DHM, with 45.3% of the infants being female, 54.7% being male, 70.0% being born via cesarean section, and 77.2% being full-term. In the neonatal unit (
= 7001), 38.0% of infants used DHM for ≥4 days. Adjusted odds ratios (aORs) for prolonged use were 0.14 for infants weighing <1000 g, 0.78 for infants weighing 1000-<1500 g, and 0.67 for infants weighing ≥2000 g (
< 0.01), compared to those weighing 1500-<2000 g. Compared to gestational ages of 32-<34 weeks, the aORs were 0.26 for <28 weeks, 0.71 for 34-<37 weeks, and 0.35 for ≥37 weeks (
< 0.01). In postnatal wards (
= 18,419), 53.1% of infants used DHM for ≥2 days. Compared to term, normal-weight infants, the aORs were 1.25 for LBW-preterm, 1.17 for LBW-term, and 1.21 for normal-weight-preterm infants (
< 0.05). Prolonged DHM use was associated with cesarean births in neonatal units (aOR 2.24,
< 0.01) and postnatal wards (aOR 1.44,
< 0.01).
DHM is used briefly to bridge nutritional gaps and transition to mothers' breastmilk, but LBW, preterm births, and cesarean births are linked to prolonged use. Healthcare providers should support those at risk of prolonged DHM use and prioritize reducing unnecessary cesarean births.]]></description><subject>Adult</subject><subject>Babies</subject><subject>Birth weight</subject><subject>Breast Feeding - statistics & numerical data</subject><subject>Breastfeeding & lactation</subject><subject>Children & youth</subject><subject>Data analysis</subject><subject>Female</subject><subject>Gestational age</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant Nutritional Physiological Phenomena</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Male</subject><subject>Milk Banks</subject><subject>Milk, Human</subject><subject>Monitoring systems</subject><subject>Mothers</subject><subject>Newborn babies</subject><subject>Nutrition</subject><subject>Postpartum period</subject><subject>Regression analysis</subject><subject>Time Factors</subject><subject>Variables</subject><subject>Vietnam</subject><subject>Womens health</subject><issn>2072-6643</issn><issn>2072-6643</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpd0UtLAzEQAOAgior24g-QgBcRqnlt0j1Ka63g6-DjuKRJtk3dTWqSpfjvjdYXziUz4WMYZgA4wOiU0hKduQ5zwhhDZAPsEiRIn3NGN__kO6AX4wJ9hECC022wQ0shMCJ0F6zGUiUfIjyP0Ssrk9FwZdMcprmB98E33s3y12M00Ndw5J0PcNK10sEb27xAmT7hSMJb6WZw4uPSJtnAOrNn3xoHpdNwOLeNDrmwDj5Zk5xs98FWLZtoel_vHngcXzwMJ_3ru8ur4fl1XxHEUt-IQUk5L6a8LEieutQDzTEzSiNRq3paMEWmuqaUCmIUlxopWiikFKk1wwWje-B43XcZ_GtnYqpaG5VpGumM72JFcUEHguQ1ZXr0jy58F1yeLitWCoJxKbI6WSsVfIzB1NUy2FaGtwqj6uMi1e9FMj78atlNW6N_6Pf-6TvBTYRk</recordid><startdate>20241222</startdate><enddate>20241222</enddate><creator>Tran, Hoang Thi</creator><creator>Nguyen, Tuan Thanh</creator><creator>Nguyen, Oanh Thi Xuan</creator><creator>Huynh, Le Thi</creator><creator>Mathisen, Roger</creator><general>MDPI AG</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4475-8716</orcidid><orcidid>https://orcid.org/0000-0002-0737-430X</orcidid><orcidid>https://orcid.org/0000-0001-7729-6063</orcidid></search><sort><creationdate>20241222</creationdate><title>Factors Associated with the Prolonged Use of Donor Human Milk at the Da Nang Hospital for Women and Children in Vietnam</title><author>Tran, Hoang Thi ; 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The misuse of DHM could interfere with mothers' breastmilk and weaken breastfeeding efforts. This study aimed to identify factors behind prolonged DHM usage during the first six years of Vietnam's first HMB.
Data were extracted from the Da Nang HMB's digital monitoring system. We defined prolonged DHM use as four or more days in the neonatal unit and two or more days in postnatal wards.
Over six years, 25,420 infants received DHM, with 45.3% of the infants being female, 54.7% being male, 70.0% being born via cesarean section, and 77.2% being full-term. In the neonatal unit (
= 7001), 38.0% of infants used DHM for ≥4 days. Adjusted odds ratios (aORs) for prolonged use were 0.14 for infants weighing <1000 g, 0.78 for infants weighing 1000-<1500 g, and 0.67 for infants weighing ≥2000 g (
< 0.01), compared to those weighing 1500-<2000 g. Compared to gestational ages of 32-<34 weeks, the aORs were 0.26 for <28 weeks, 0.71 for 34-<37 weeks, and 0.35 for ≥37 weeks (
< 0.01). In postnatal wards (
= 18,419), 53.1% of infants used DHM for ≥2 days. Compared to term, normal-weight infants, the aORs were 1.25 for LBW-preterm, 1.17 for LBW-term, and 1.21 for normal-weight-preterm infants (
< 0.05). Prolonged DHM use was associated with cesarean births in neonatal units (aOR 2.24,
< 0.01) and postnatal wards (aOR 1.44,
< 0.01).
DHM is used briefly to bridge nutritional gaps and transition to mothers' breastmilk, but LBW, preterm births, and cesarean births are linked to prolonged use. Healthcare providers should support those at risk of prolonged DHM use and prioritize reducing unnecessary cesarean births.]]></abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>39771023</pmid><doi>10.3390/nu16244402</doi><orcidid>https://orcid.org/0000-0002-4475-8716</orcidid><orcidid>https://orcid.org/0000-0002-0737-430X</orcidid><orcidid>https://orcid.org/0000-0001-7729-6063</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access |
| subjects | Adult Babies Birth weight Breast Feeding - statistics & numerical data Breastfeeding & lactation Children & youth Data analysis Female Gestational age Hospitals Humans Infant Infant Nutritional Physiological Phenomena Infant, Low Birth Weight Infant, Newborn Infant, Premature Male Milk Banks Milk, Human Monitoring systems Mothers Newborn babies Nutrition Postpartum period Regression analysis Time Factors Variables Vietnam Womens health |
| title | Factors Associated with the Prolonged Use of Donor Human Milk at the Da Nang Hospital for Women and Children in Vietnam |
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