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other·pediatrics, obstetrics and gynecology, clinical trial, nutrition·PMC10138472

Structured lactation support and human donor milk for German NICUs—Protocol on an intervention design based on a multidimensional status quo and needs assessment (Neo-MILK)

PLOS ONE · 13 authors, 8 centres

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TL;DR

This is a protocol for the Neo-MILK study, which will develop a structured breastfeeding and lactation support intervention for German NICUs based on mixed-methods needs assessments involving mothers of very-low-birth-weight infants, NICU staff, and human donor milk bank managers.

Full summary

648 CHARS

The Neo-MILK study protocol describes plans to develop a structured lactation support intervention for mothers of very-low-birth-weight (VLBW, <1,500 g) preterm infants in German NICUs. The intervention will be informed by a multidimensional status quo and needs assessment using mixed-methods (qualitative and quantitative) surveys across three target groups: mothers of VLBW infants, senior physicians and nurses, and human donor milk bank (HDMB) management. The protocol additionally aims to support the establishment of HDMBs by developing standards. The study emphasizes a multidisciplinary, participatory approach to intervention development.

STUDY TYPE

other

SPECIALTY

pediatrics

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AI pipeline

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ORIGINAL PAPER

PMC10138472

Structured lactation support and human donor milk for German NICUs—Protocol on an intervention design based on a multidimensional status quo and needs assessment (Neo-MILK)

PLOS ONE

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ABSTRACT

Introduction Mother’s own milk is the best nutrition for every newborn and especially for vulnerable infants such as preterm infants with a very low birth weight below 1,500 grams (VLBW). If no MOM is available, human donor milk is the alternative of choice. Mothers of preterm born infants face challenging conditions that impair sufficient milk production. For this reason, it is particularly important to provide structural lactation support and, at the same time, to promote the establishment of human donor milk banks. Methods and analysis Via a multidisciplinary approach the Neo-MILK study will develop an intervention for structured breastfeeding and lactation support. This will be based on a comprehensive status quo and needs assessment. In addition, the implementation of human donor milk banks (HDMB) will be supported by the development of standards. Ethics and dissemination Intervention development is participatory, involving different disciplines and stakeholders. All surveys are subject to approval by the ethics committee. During the course of the project, the results will be communicated to the scientific community and the general public via publications, the project homepage and social media. Trial registration number DRKS00024799 (German Clinical Trials Register).

CITATION EXPORT

Nadine Scholten, Alicia Fitzgerald, Katja Matthias et al.. Structured lactation support and human donor milk for German NICUs—Protocol on an intervention design based on a multidimensional status quo and needs assessment (Neo-MILK). PLOS ONE. (2023). https://doi.org/10.1371/journal.pone.0284621

AUTHORS

13 · 8 CENTRES

Nadine Scholten, Alicia Fitzgerald, Katja Matthias, Mi-Ran Okumu, Tim Ohnhäuser, Katharina Schmitz, Christine Schreiner, Isabella Schwab, Anna Stirner, Ricarda Wullenkord, Till Dresbach, Lucinda Shen, Lucinda Shen

1 Faculty of Medicine and University Hospital Cologne, Institute of Medical Sociology, Health Services Research, and Rehabilitation Science, Chair for Health Services Research, University of Cologne, Cologne, Germany
2 Faculty of Law, Henrich Heine University Duesseldorf, Düsseldorf, Germany
3 TAKEPART Media + Science GmbH, Cologne, Germany
4 Division of Neonatology, Center for Pediatric and Adolescent Medicine, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany
5 Dept. of Neonatology and Pediatric Intensive Care, University Hospital Bonn, Bonn, Germany
6 Faculty of Management, Economics and Social Sciences, Department of Business Administration and Health Care Management, University of Cologne, Cologne, Germany
7 CITEC, Universität Bielefeld, Bielefeld, Germany
Public Library of Science, UNITED KINGDOM

EDITOR / REVIEWER

Lucinda Shen