ОЦЕНКА ВЛИЯНИЯ ФУНКЦИОНИРОВАНИЯ БАНКА ГРУДНОГО МОЛОКА НА РАСПРОСТРАНЕННОСТЬ ИСКЛЮЧИТЕЛЬНО ГРУДНОГО ВСКАРМЛИВАНИЯ В НЕОНАТАЛЬНОМ СТАЦИОНАРЕ: РЕТРОСПЕКТИВНОЕ ИССЛЕДОВАНИЕ

Abstract

Due to the new legislative sanitary and epidemiological rules and norms that came into effect in Russia in 2021 and the obvious advantages of breast milk (BM), there is an increasing trend towards its use in neonatal clinics in the form of BM banks (BMBs). The purpose of this retrospective research was to assess the impact of BMBs in a neonatal hospital on the prevalence of breastfeeding (BF) of infants at discharge. Materials and methods used: the study included 692 infants at the age of the first 28 days of life who were hospitalized in the Neonatal Pathology Department with the National Medical Research Center for Children’s Health (which is located in Moscow, Russia) prior to the opening of BMB (Group 1) and during the BMB functioning (Group 2). Results: it was found that mothers from G2 pumped BM statistically significantly more often than mothers from G1 (64% vs. 43%). The incidence of exclusive BF (EBF) at discharge statistically significantly increased compared to the same indicator at admission, in both groups: from 41% to 51% in 2013 (p<0.001) and from 48% to 65% in 2015 (p<0.001). The prevalence of EBF at discharge during the BMB functioning in 2015 (65%) was therefore statistically significantly higher compared to this indicator in 2013 (51%), p=0.009. Conclusion: the strong positive effect from BMB on the prevalence of BF at discharge from the hospital was recorded.