Predictors of the Provision of Mother's Milk Feedings in Newborns Admitted to the Neonatal Intensive Care Unit.

Background: Breast milk reduces morbidity and mortality in infants admitted to neonatal intensive care unit (NICU). Objectives: We determined predictors of procuring mother's own milk (MOM) among NICU-admitted newborn-mother dyads: (1) initiation of any milk expression; (2) initiation of milk expression within 6 hours of birth; (3) MOM as the first enteral feeding; (4) colostrum for oral care within 36 hours of birth if not yet orally fed; and (5) provision of MOM at 21 days of life or discharge, whichever occurred first. Methods: We performed a retrospective chart review of NICU-admitted newborn-mother dyads at an urban medical center from June 1, 2018-May 31, 2019. We excluded infants not directly admitted to the NICU, those never enterally fed, multiple gestations if not the first to be discharged, and infants discharged to a nonbiological caregiver. We used chi-square analysis to examine unadjusted associations between independent variables and MOM outcomes and then used logistic regression to determine the adjusted odds ratio and 95% confidence interval (AOR [95% CI]) for predictors of MOM outcomes. Results: There were 341 mother-infant dyads who met inclusion criteria and 71% of these mothers initiated milk expression. Smoking, multiparity, gestational diabetes, and Hepatitis C lowered the odds for at least one MOM outcome; whereas mothers who delivered at 28-32 weeks versus ≥33 weeks, and infants with birthweight <1,500 g versus 1,500-2,500 g had higher odds for at least one MOM outcome. Conclusion: Maternal/infant dyad characteristics may predict some, but not all NICU breastfeeding outcomes. This suggests that hospital practices may influence these outcomes and can inform future interventions.

The Effects of Lead Species and Growth Time on Accumulation of Lead in Chinese Cabbage.

A major pathway for heavy metal exposure in contaminated areas is via consumption of locally produced food. This study investigated the accumulation of lead in Chinese cabbage grown in contaminated soils and estimated the weekly dietary intake. Experiments were conducted to determine the effects of different growth times, concentrations, and lead species (carbonate, nitrate, and sulfide) on the uptake of lead in shoots. Results show that Chinese cabbage accumulated up to 38 mg kg-1 in the shoots. There was a significant difference in lead uptake by plants grown in soils with 400 mg kg-1 (Upper Critical Limit: UCL) and those grown in 600 mg kg-1 (Above Critical Limit: ACL) lead concentrations. However, there was no significant difference in the ACL shoots despite the different growth period. The cabbages grown for eight weeks (at UCL) had four times more lead than those grown for four weeks. The elemental form also affected lead uptake with the lead sulfide (mineral form) having the least uptake and lead carbonate (solution) having the highest. Calculated weekly dietary intake levels of lead were higher (above 0.28 mg kg-1 per human body weight) than the recommended levels for human consumption (0.025 mg kg-1 per human body weight).