The number of human milk banks is increasing around the world.1 In many countries, preterm infants born at <32 weeks’ gestation routinely receive donor milk as supplementary feeds. High-quality evidence supports this practice in reducing the risk of necrotising enterocolitis.2 However, there are concerns donor milk could displace lactation support with unintentional adverse effects on maternal breastfeeding rates on discharge home.1 A recent systematic review found small improvements in any breastmilk intake on discharge. Pooled estimates of four observational studies examining this outcome preintroduction and postintroduction of donor milk indicate a relative risk of 1.19 (1.05–1.35, p=0.005) for increased breast feeding when infants received donor milk.1 However, this is predominantly based on low-quality evidence. In our single-centre tertiary-level perinatal centre in South Australia (averaging 1400 neonatal admissions per year), donor milk first became available in September 2018 for infants born <32 weeks or <1500 g. Dedicated lactation consultant support in our neonatal unit accompanied this new programme. Here we report an alternative and pragmatic method through the use of statistical process control methodology to assess whether the presence of a human milk bank impacts breast feeding …

中文翻译：

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人类捐赠母乳对出院时母乳使用的影响：使用控制图进行评估

全世界母乳库的数量正在增加。1 在许多国家，小于 32 周妊娠的早产儿通常会接受捐赠的母乳作为补充饲料。高质量的证据支持这种做法可以降低坏死性小肠结肠炎的风险。 2 然而，人们担心捐赠的乳汁可能会取代哺乳支持，从而对出院回家时的母乳喂养率产生无意的不利影响。 1 最近的一项系统评价发现，任何母乳都有微小的改善出院时摄入。对四项观察性研究进行的汇总估计表明，当婴儿接受捐赠母乳时，母乳喂养增加的相对风险为 1.19（1.05-1.35，p=0.005）。然而，这主要基于低-质量证据。在我们位于南澳大利亚的单中心三级围产中心（平均每年收治 1400 名新生儿），捐赠母乳于 2018 年 9 月首次提供给出生小于 32 周或小于 1500 克的婴儿。伴随着这项新计划，我们的新生儿科提供了专门的哺乳顾问支持。在这里，我们报告了一种替代且实用的方法，通过使用统计过程控制方法来评估母乳库的存在是否会影响母乳喂养……