TY - JOUR T1 - Impact of human donor milk on maternal milk use at discharge: assessment using control charts JF - Archives of Disease in Childhood - Fetal and Neonatal Edition JO - Arch Dis Child Fetal Neonatal Ed DO - 10.1136/archdischild-2020-321416 SP - fetalneonatal-2020-321416 AU - Amy K Keir AU - Laura Summers AU - Jennifer Gillis AU - Andrew J McPhee AU - Alice Rumbold Y1 - 2021/06/24 UR - http://fn.bmj.com/content/early/2021/06/25/archdischild-2020-321416.abstract N2 - 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 … ER -