Evidence map›Paper›PMID 40091042›Full record

ArticleBMC pediatrics2025

Comparison of the short-term neonatal outcomes of preterm neonates before and after the launch of human milk bank in Iran: a retrospective descriptive study.

Nazanin Hamidi, Seyedeh Saeedeh Mousavi, Leila Amiri Farahani, Ahmad Khosravi, Maryam Saboute

Abstract readComparative Study
In one paragraph

Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

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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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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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

5 authors.

Nazanin HamidiDepartment of Reproductive Health and Midwifery, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Seyedeh Saeedeh MousaviDepartment of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. ss.mousavi@modares.ac.ir.
Leila Amiri FarahaniDepartment of Reproductive Health and Midwifery, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Ahmad KhosraviEpidemiology Department, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran.
Maryam SabouteShahid Akbarabadi Clinical Research Development Unit (ShACRDU), Iran University of Medical Sciences (IUMS), Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreterm delivery continues to be a major concern in the global health system. Where accessible, mother's milk is the optimal option for neonate nutrition. In recent years, donor milk as the best substitute for mother's milk where this is not available has become a popular option. The safest method to obtain this milk is from human milk banks. Thus, this study aims to compare the short-term outcomes of preterm neonates pre- and post-launch of human milk bank in Iran.

methodsThis is a retrospective descriptive study conducted over two time periods pre- and post-launch of the human milk bank at Shahid Akbar Abadi Hospital in Tehran. 580 neonates were included in the study during the pre-launch period from November 2018 to June 2019. In the post-launch period, 580 neonates were also included in the study from April 2021 to November 2021. Individual data were gathered using a maternal and neonatal form. Data on outcomes were collected in a neonatal outcomes form, including necrotizing enterocolitis, late onset sepsis, mortality, feeding intolerance, time of initiating supplementary nutrition, and discharge date. In all statistical tests, P < 0.05 was considered statistically significant.

resultsThe results showed that the NEC frequency in neonates pre- and post-launch period was not statistically significant (12 vs. 6, P = 0.11). Sepsis occurred in 90 cases of neonates pre-launch and the figure was diminished to 80 neonates post-launch. Sepsis (90 vs. 80, P = 0.02) and feeding intolerance (420 vs. 402, P = 0.01) were significantly different in post-launch period. The mortality rate was significantly reduced after the launch of human milk bank (P = 0.002, 44 vs. 18). The number of neonates who received supplementary nutrition earlier than 30 days was significantly higher post-launch period (420 vs. 460, P = 0.003). In addition, the number of neonates discharged from the hospital post-launch increased significantly (407 vs. 460, P = 0.001).

conclusionsComparing neonatal outcomes showed that sepsis, feeding intolerance, mortality, and the neonates achieving supplementary nutrition earlier than 30 days and being discharged were reduced in post-launch period. Considering the significant outcomes of launching a human milk bank, it is recommended to have milk banks in hospitals with neonatal intensive care units (NICU).

Indexed as

Infant, PrematureInfant, Premature, DiseasesMilk BanksMilk, HumanEnterocolitis, NecrotizingFemaleHumansInfant, NewbornIranMaleRetrospective StudiesSepsisDonor milkHuman milk banksPreterm neonatesShort-term neonatal outcomes

Identifiers

PMID40091042
PMCPMC11912606

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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.