Closing the Gap Between Recommended and Actual Human Milk Use for Fragile Infants: What Will It Take to Overcome Disparities?

Sheila M Gephart; Katherine M Newnam

doi:10.1016/j.clp.2018.09.003

Closing the Gap Between Recommended and Actual Human Milk Use for Fragile Infants: What Will It Take to Overcome Disparities?

Clin Perinatol. 2019 Mar;46(1):39-50. doi: 10.1016/j.clp.2018.09.003. Epub 2018 Dec 12.

Authors

Sheila M Gephart¹, Katherine M Newnam²

Affiliations

¹ Community and Health Systems Science Division, College of Nursing, The University of Arizona, PO Box 210203, Tucson, AZ 85721, USA. Electronic address: gepharts@email.arizona.edu.
² College of Nursing, The University of Tennessee Knoxville, 1200 Volunteer Boulevard #361, Knoxville, TN 37996, USA.

PMID: 30771818
DOI: 10.1016/j.clp.2018.09.003

Abstract

This article describes the components of human milk and their value to reduce risk for necrotizing enterocolitis, disparities in access to human milk, potential relationships to care practices within the neonatal intensive care unit, and ways to overcome the disparity.

Keywords: Breastfeeding; Disparities; Donor milk; Human milk; Human milk expression; Necrotizing enterocolitis; Very low birth weight infant.

Publication types

Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Review

MeSH terms

Breast Milk Expression
Checklist
Cost-Benefit Analysis
Enteral Nutrition / standards*
Enterocolitis, Necrotizing / prevention & control*
Guideline Adherence*
Healthcare Disparities / ethnology
Healthcare Disparities / statistics & numerical data*
Humans
Infant, Newborn
Infant, Premature
Intensive Care Units, Neonatal
Milk, Human*
Mobile Applications
Practice Guidelines as Topic
Quality Improvement
Smartphone
Telemedicine