Evidence map›Paper›PMID 37400943›Full record

ArticleMaternal & child nutrition2023

Understanding the current and future usage of donor human milk in hospitals: An online survey of UK neonatal units.

Natalie S Shenker, Samantha Griffin, Jonathan Hamill-Keays, Merran Thomson, Judith Simpson, Gillian Weaver

Abstract read
In one paragraph

Article in Maternal & child nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Cost of operating a human milk bank in the UK: a microcosting analysis.Archives of disease in childhood. Fetal and neonatal edition · 2025
    Article
  8. Understanding modifiable barriers to human milk donation in the United Kingdom.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Natalie S ShenkerDepartment of Surgery and Cancer, Imperial College London, IRDB, London, UK.ORCID 0000-0002-8067-1079
Samantha GriffinDepartment of Surgery and Cancer, Imperial College London, IRDB, London, UK.
Jonathan Hamill-KeaysThe Human Milk Foundation, Daniel Hall Building, Rothamsted Institute, Herts, Harpenden, UK.
Merran ThomsonNeonatal Unit, Hillingdon Hospitals NHS Foundation Trust, Uxbridge, UK.
Judith SimpsonNeonatal Intensive Care Unit, Royal Hospital for Children, Glasgow, UK.
Gillian WeaverThe Human Milk Foundation, Daniel Hall Building, Rothamsted Institute, Herts, Harpenden, UK.

Funding

Medical Research Council MR/S017437/1Medical Research Council P76489
6 · The paper itself

Abstract

The use of donor human milk (DHM) where there is a shortfall of maternal milk can benefit both infant and maternal outcomes but DHM supply is not always assured. This study aimed to understand current DHM usage in UK neonatal units and potential future demand to inform service planning. An online survey was disseminated to all UK neonatal units using Smart Survey or by telephone between February and April 2022 after development alongside neonatal unit teams. Surveys were completed by 55.4% of units (108/195) from all 13 Operational Delivery Networks. Only four units reported not using DHM, and another two units only if infants are transferred on DHM feeds. There was marked diversity in DHM implementation and usage and unit protocols varied greatly. Five of six units with their own milk bank had needed to source milk from an external milk bank in the last year. Ninety units (84.9%) considered DHM was sometimes (n = 35) or always (n = 55) supportive of maternal breastfeeding, and three units (2.9%) responded that DHM was rarely supportive of breastfeeding. Usage was predicted to increase by 37 units (34.9%), and this drive was principally a result of parental preference, clinical trials and improved evidence. These findings support the assumption that UK hospital DHM demand will increase after updated recommendations from the World Health Organization (WHO) and the British Association of Perinatal Medicine. These data will assist service delivery planning, underpinned by an ongoing programme of implementation science and training development, to ensure future equity of access to DHM nationally.

Indexed as

Milk BanksMilk, HumanFemaleHospitalsHumansInfant, NewbornPractice Guidelines as TopicUnited Kingdomdonor human milkequityneonatal unitoperational planningservice planning

Identifiers

PMID37400943
PMCPMC10483937

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.