Provision of Non-breast Milk Supplements to Healthy Breastfed Newborns in U.S. Hospitals, 2009 to 2013
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Introduction Breastfed newborns are often given non-breast milk supplements in the hospital, which can negatively impact breastfeeding outcomes. Efforts to improve maternity care practices include reducing supplementation of breastfed newborns. Methods The Maternity Practices in Infant Nutrition and Care (mPINC) survey is administered every 2 years to all hospitals in the United States and territories with registered maternity beds. We examined provision of non-breast milk supplements to healthy, full-term breastfed newborns from 2009 to 2013. Results Hospitals that provided non-breast milk supplements to at least 50 % of breastfed newborns decreased from 31.5 % in 2009 to 23.3 % in 2013. Among hospitals providing any supplements, there was no change in the percent that supplemented with infant formula; whereas, supplementing with water declined from 8.8 % in 2009 to 4.2 % in 2013 and with glucose water from 23.4 % to 12.5 %, respectively. In 2013, 64.9 % of breastfed infants were supplemented with formula for “mother’s choice,” 25.0 % for “doctor’s orders,” and 8.7 % for “nurse’s recommendation.” Discussion Despite improvements in maternity care practices, nearly one-fourth of hospitals are still providing at least 50 % of healthy, full-term breastfed newborns with non-breast milk supplements. While there has been no change in the proportion of hospitals providing infant formula supplements, the proportion supplementing with water and glucose water have declined. Additional education and support of mothers during the early post-partum period and training of physicians may address reasons breastfed infants are supplemented.
KeywordsBreastfeeding Hospital supplementation Infant formula
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
This study was exempt from ethical approval because it did not involve human subjects.
- Academy of Breastfeeding Medicine Protocol Committee. (2009). ABM Clinical Protocol #3: Hospital guidelines for the use of supplementary feedings in the healthy term breastfed neonate, revised 2009. Breastfeeding Medicine: The Official Journal of the Academy of Breastfeeding Medicine, 4(3), 175–182.CrossRefGoogle Scholar
- Centers for Disease Control and Prevention. (2011). Vital signs: Hospital practices to support breastfeeding—United States, 2007 and 2009. MMWR. Morbidity and Mortality Weekly Report, 60(30), 1020–1025.Google Scholar
- Centers for Disease Control and Prevention. (2012). Breastfeeding Report Card—United States, 2012. http://www.cdc.gov/breastfeeding/pdf/2012breastfeedingreportcard.pdf. Accessed April 27, 2015.
- Centers for Disease Control and Prevention. (2015a). Breastfeeding among U.S. Children Born 2002–2012, CDC National Immunization Surveys. http://www.cdc.gov/breastfeeding/data/nis_data/index.htm. Accessed April 18, 2016.
- Centers for Disease Control and Prevention. (2015b). Maternity Practices in Infant Nutrition and Care (mPINC) Survey. http://www.cdc.gov/breastfeeding/data/mpinc/index.htm. Accessed March 27, 2015.
- Centers for Disease Control and Prevention. (2015c). mPINC Questionnaires. http://www.cdc.gov/breastfeeding/data/mpinc/questionnaires.htm. Accessed April 29, 2015.
- Chantry, C. J., Dewey, K. G., Peerson, J. M., Wagner, E. A., & Nommsen-Rivers, L. A. (2014). In-hospital formula use increases early breastfeeding cessation among first-time mothers intending to exclusively breastfeed. The Journal of Pediatrics, 164(6), 1339–1345.CrossRefPubMedPubMedCentralGoogle Scholar
- DaMota, K., Banuelos, J., Goldbronn, J., Vera-Beccera, L. E., & Heinig, M. J. (2012). Maternal request for in-hospital supplementation of healthy breastfed infants among low-income women. Journal of Human Lactation: Official Journal of International Lactation Consultant Association, 28(4), 476–482.CrossRefGoogle Scholar
- Martin-Calama, J., Bunuel, J., Valero, M. T., Labay, M., Lasarte, J. J., Valle, F., et al. (1997). The effect of feeding glucose water to breastfeeding newborns on weight, body temperature, blood glucose, and breastfeeding duration. Journal of Human Lactation: Official Journal of International Lactation Consultant Association., 13(3), 209–213.CrossRefGoogle Scholar
- Tender, J. A., Janakiram, J., Arce, E., Mason, R., Jordan, T., Marsh, J., et al. (2009). Reasons for in-hospital formula supplementation of breastfed infants from low-income families. Journal of Human Lactation: Official Journal of International Lactation Consultant Association, 25(1), 11–17.CrossRefGoogle Scholar
- The Joint Commission. (2015). Specifications Manual for Joint Commission National Quality Measures (v2015A1). https://manual.jointcommission.org/releases/TJC2015A1/MIF0170.html. Accessed May 19, 2015.
- World Health Organization and UNICEF. (2009). Baby-Friendly Hospital Initiative: Revised, Updated, and Expanded for Integrated Care. http://whqlibdoc.who.int/publications/2009/9789241594967_eng.pdf. Accessed April 27, 2015.