Title: Importance of Human Milk in Reducing Neonatal Mortality

Authors: Dr S.K.Valinjkar, Dr Pallavi Saple, Dr Vikas

 DOI:  http://dx.doi.org/10.18535/jmscr/v4i5.03

Abstract

 Aims and Objectives: To estimate the effect of breast feeding on neonatal mortality and morbidity rates specially in low birth weight and very low birth weight.

Study Design: This was an retrospective observational study in which collection of data and  analysis was done in a tertiary care center in a metropolitan city. During this study the data from 2005 to 2015 was analysed.

Materials and Methods: During this study collection of data about Neonatal Mortality Rate ,Disease specific mortality rate ,for neonates admitted in neonatal intensive care unit of tertiary care center in metropolitan city during the year 2005 to 2015 and utilization of human milk in corresponding years, followed by statistical analysis of data  so as to estimate the effect of breast feeding on neonatal mortality and morbidity rates specially in low birth weight and very low birth weight was done.

Results: The establishment of human milk banking and supply of human milk to neonates specially LBW babies had a great impact on neonatal mortality and morbidity. Total number of neonatal death was found to be significantly different before & after establishment of milk bank. The mean number of neonatal deaths before 2008 (i.e 70.66) was found to be significantly higher Than that after 2008 (i.e mean number of deaths = 49.37). (Independent T test p value< 0.05). Mean number of deaths due to sepsis were quite higher before establishment of milk bank. Mean number of neonatal deaths  with respect to other parameters i.e death due to asphyxia, sepsis, NEC etc before and after 2008 were found not be statistically significant

Keywords: Human milk banking, neonatal mortaility, neonatal morbidity, prematurity.

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Corresponding Author

Dr S.K.Valinjkar

Associate professor Dept of pediatrics

Grant Medical College & Sir J. J. Group of Hospitals, Mumbai