Hispanic and non-Hispanic black mothers were less likely than non-Hispanic white mothers to continue providing milk for their very low birth weight (VLBW) infants throughout the neonatal intensive care unit (NICU) stay, a recent study found. Researchers studied 1,318 mother-VLBW infant pairs in 9 Massachusetts level 3 NICUs between January 2015 and November 2017. Mothers were 48% non-Hispanic white, 21% non-Hispanic black, and 20% Hispanic. Researchers estimated associations of maternal race/ethnicity with any and exclusive mother's milk on day 7, on day 28, and at discharge/transfer and hospital practices. They found:
- Initiation of mother's milk was similar across groups, but infants of Hispanic mothers (hazard ratio [HR], 2.71) and non-Hispanic black mothers (HR, 1.55) stopped receiving milk earlier in the hospitalization compared with infants of non-Hispanic white mothers.
- Hispanic mothers had lower odds of providing skin-to-skin care at <1 month (odds ratio [OR], 0.61) compared with non-Hispanic whites.
Parker MG, Gupta M, Melvin P, et al. Racial and ethnic disparities in the use of mother's milk feeding for very low birth weight infants in Massachusetts. [Published online ahead of print September 28, 2018]. J Pediatr. doi:10.1016/j.jpeds.2018.08.036.
This Week's Must Reads
Concomitant Vaccines Among Youth Receiving Tdap, Vaccine; ePub 2018 Sep 25; Doke, Fitzgerald, et al
Vaccine Perceptions Within Homeschooling Community, Vaccine; ePub 2018 Sep 22; McCoy, Painter, et al
Vaccination Exemption Pockets Investigated, Vaccine; ePub 2018 Oct 5; Gromis, Liu
Missed HepB Birth Vaccine and Under-Immunization , J Infect; ePub 2018 Oct 4; Wilson, Taylor, et al
Rubella Immunity and Serum PFASs: Sex and Analytics, PLoS One; ePub 2018 Sep 24; Pilkerton, Hobbs, et al
Must Reads in Neonatal Medicine
Mother’s Milk Feeding Disparities for VLBW Infants , J Pediatr; ePub 2018 Sep 28; Parker, Gupta, et al
Racial/Ethnic Disparities Among Very Preterm Infants, JAMA Pediatrics; ePub 2018 Sep 10; Janevic, et al
Predicting Infection Risk in Infants with Hernia, J Pediatr; ePub 2018 Sep 11; Murthy, et al
NAS Linked with Childhood Educational Disabilities, Pediatrics; ePub 2018 Aug 30; Fill, Miller, et al
Declines in Spontaneous Deliveries, Mortality Linked, JAMA Pediatrics; ePub 2018 Aug 13; Ananth, et al