Evidence map›Paper›PMID 38051296›Full record

ArticleMaternal & child nutrition2024

Potential effectiveness of integrating human milk banking and lactation support on neonatal outcomes at Pumwani Maternity Hospital, Kenya.

Calistus Wilunda, Kiersten Israel-Ballard, Milka Wanjohi, Nelson Lang'at, Kimberly Mansen, Mary Waiyego, Minnie Kibore, Eva Kamande, Taddese Zerfu, Angela Kithua and 12 more

Open access · goldAbstract read
In one paragraph

Article in Maternal & child nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
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

6 citing papers in PubMed, 6 citations in OpenAlex.

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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

22 authors at 5 institutions in 2 countries.

Calistus WilundaNutrition and Food Systems Unit, African Population and Health Research Center, Nairobi, Kenya.ORCID 0000-0002-6606-6534
Kiersten Israel-BallardMaternal, Newborn, Child Health and Nutrition Program, PATH, Seattle, Washington, USA.ORCID 0000-0002-3489-8213
Milka WanjohiNutrition and Food Systems Unit, African Population and Health Research Center, Nairobi, Kenya.ORCID 0000-0003-4289-4762
Nelson Lang'atNutrition and Food Systems Unit, African Population and Health Research Center, Nairobi, Kenya.
Kimberly MansenMaternal, Newborn, Child Health and Nutrition Program, PATH, Seattle, Washington, USA.ORCID 0000-0002-2015-2066
Mary WaiyegoPumwani Maternity Hospital, Nairobi, Kenya.
Minnie KiborePATH, Nairobi, Kenya.
Eva KamandeNutrition and Food Systems Unit, African Population and Health Research Center, Nairobi, Kenya.
Taddese ZerfuNutrition and Food Systems Unit, African Population and Health Research Center, Nairobi, Kenya.ORCID 0000-0001-5190-9845
Angela KithuaPATH, Nairobi, Kenya.
Rosemarie MugandaPATH, Nairobi, Kenya.
Juliana MuiruriPATH, Nairobi, Kenya.
Beth MainaPumwani Maternity Hospital, Nairobi, Kenya.
Emily NjugunaPumwani Maternity Hospital, Nairobi, Kenya.
Faith NjeruPumwani Maternity Hospital, Nairobi, Kenya.
Laura W KiigeNutrition Section, UNICEF - Kenya Country Office, Nairobi, Kenya.
Patrick CodjiaNutrition Section, UNICEF - Kenya Country Office, Nairobi, Kenya.ORCID 0009-0008-4175-3654
Betty SamburuNutrition and Dietetics Unit, Ministry of Health, Nairobi, Kenya.
Esther MogusuNutrition and Dietetics Unit, Ministry of Health, Nairobi, Kenya.
Thomas NgwiriClinical Services, Gertrude's Children's Hospital, Nairobi, Kenya.
Waithera MirieSchool of Nursing Sciences, University of Nairobi, Nairobi, Kenya.
Elizabeth W Kimani-MurageNutrition and Food Systems Unit, African Population and Health Research Center, Nairobi, Kenya.
African Population and Health Research Center · KEEcho Network Africa · KEMinistry of Health · KEProgram for Appropriate Technology in Health · USUniversity of Nairobi · KE

Funding

County Innovation Challenge Fund
6 · The paper itself

Abstract

We assessed the potential effectiveness of human milk banking and lactation support on provision of human milk to neonates admitted in the newborn unit (NBU) at Pumwani Maternity Hospital, Kenya. This pre-post intervention study collected data from mothers/caregivers and their vulnerable neonates or term babies who lacked sufficient mother's milk for several reasons admitted in the NBU. The intervention included establishing a human milk bank and strengthening lactation support. Preintervention data were collected between 5 October 2018 and 11 November 2018, whereas postintervention data were collected between 4 September 2019 and 6 October 2019. Propensity score-matched analysis was performed to assess the effect of the intervention on exclusive use of human milk, use of human milk as the first feed, feeding intolerance and duration of NBU stay. The surveys included 123 and 116 newborns at preintervention and postintervention, respectively, with 160 newborns (80 in each group) being included in propensity score matched analysis. The proportion of neonates who exclusively used human milk during NBU stay increased from 41.3% preintervention to 63.8% postintervention (adjusted odds ratio [OR]: 2.68; 95% confidence interval [CI]: 1.31, 5.53) and those whose first feed was human milk increased from 55.0% preintervention to 83.3% postintervention (adjusted OR: 5.09; 95% CI: 2.18, 11.88). The mean duration of NBU stay was 27% (95% CI: 5.8%, 44.0%) lower in the postintervention group than in the preintervention group. The intervention did not affect feeding intolerance. Integrating human milk banking and lactation support may improve exclusive use of human milk among vulnerable neonates in a resource limited setting.

Indexed as

Breast FeedingMilk, HumanFemaleHospitals, MaternityHumansInfantInfant, NewbornKenyaLactationMothersPregnancybreast milkhuman milk banklactation supportlow birth weightnewbornpreterm

Identifiers

PMID38051296
PMCPMC10750015
OpenAlexW4389339350

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.