| Learning Session Dates for your Calendars |
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 May 19: The second in-person learning session for this initiative will be held in Raleigh on May 19th. Please have one member of your team click here to pre-register the members of your team who will attend the learning session.
Action Request: Each team is requested to forward a description or copy of a tool, poster, fact sheet, brochure, sticker or other item developed to help your team increase the number of mothers that provide milk for their VLBW babies for the first 28 days. Please email to Karen (metzguer@med.unc.edu) by May 6 2011. These "tricks of the trade" will be shared in the handouts for our learning session on May 19.
June 13: Please mark your calendars and have as many of your team participate as possible in the webinar from 2-4 pm. Connection information will be shared in future email.
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Article provided by Polly Sisk, PhD
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 This PQCNC initiative has focused on promoting, protecting and supporting mother's milk feeding for VLBW infants. Despite the improvements we are making, not all mothers will be able to provide sufficient quantities of breast milk to meet their infant's needs. As we work to provide the best nutrition for these infants, we need to consider donor milk as an alternative to formula. In many countries donor breast milk is the preferred alternative to own mother's milk but concern remains regarding the nutritional and immunological quality of donor milk. Also, in the United States hospitals have financial incentives to use formula rather than pasteurized donor milk when a supplement to mother's milk is required.
A recent review article by Arslanogu et al.( Sertac Arslanoglu1, Ekhard E. Ziegler, Guido E. Moro, and the WAPM Working Group on Nutrition. Donor human milk in preterm infant feeding: evidence and recommendations. J. Perinat. Med. 38 (2010) 347-351) discusses the evidence for pasteurized donor milk in premature infants which include lower risk of NEC in the early neonatal period and lower arterial blood pressure and lower low-density to high-density lipoprotein cholesterol ratio during adolescence. Also, the quantity and quality of human milk oligosaccharides (HMO) and long-chained polyunsaturated fatty acids (LCPUFA) are retained during pasteurization and function to support the immune system. Slower growth has been observed with donor milk but can be addressed using the suggestions provided by Dr. Laurie Dunn in the last webinar on feeding strategies.
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| Data |
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I hope you read and forwarded the newsletter from Keith on 4/21 to your team members and senior sponsors. It contains important data entry goals and great information you won't want to miss - click here to access the email.
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| Contact |
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 Karen Metzguer
PQCNC Improvement Advisor
metzguer@med.unc.edu
Work: 919-966-8391
Mobile: 919-619-6332
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