Can donor human milk improve exclusive breastfeeding rates during the birth hospitalization?

“Use of pasteurized donor human milk in the well newborn population has become increasingly common over the last 2 decades. This is in part due to concerns that formula use in the neonatal period is associated with decreased breastfeeding duration as well as concerns about the effect of exposure to formula on infant intestinal microbiota and oxidative stress. In alignment with recommendations by the World Health Organization and the American Academy of Pediatrics , the Joint Commission Perinatal Care Core Measures call for avoiding formula use for breastfed infants during the birth hospitalization but do not discourage the use of DHM. Infants who receive DHM meet the definition of exclusively breast milk fed used by these groups.”

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What are the disparities and barriers to breast feeding and how to help new mothers overcome those impacts?

Despite recognized health benefits for both mothers and infants, significant disparities still exist in the rates of breastfeeding in the United States.  This article reviews the evidence related to barriers (prenatal, medical, societal, hospital, and sociocultural) that many mothers face, and explore the known barriers and the impact they have on a woman’s ability to breastfeed her infant.Strategies will be discussed to address (and potentially overcome) some of the most common barriers women face along with a list of resources that can be useful in this effort.
From: Sriraman, Natasha, et al

Sriraman, Natasha K, & Kellams, Ann. (2016). Breastfeeding: What are the Barriers? Why Women Struggle to Achieve Their Goals. Journal of Women’s Health., 25(7), 714-722.

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