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Adjusted regression estimated effects of early OHM frequency (quartiles (Q); Q1\u2009=\u20090\u20131 OHM doses, Q2\u2009=\u20092\u20136, Q3\u2009=\u20097\u201313, Q4\u2009\u2265\u200914) on human milk intake and breastfeeding (BF) at discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>\n                      For 297 infants \u22646 months old, OHM comprised 25.5% of oral care. Early OHM frequency was associated with 42.67\u201357.03\u2009mL\/kg\/d higher human milk intake (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001 for Q2\u20134 compared to Q1), and 4.7\u20136.03 greater odds of BF (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01 for Q2\u20134) at discharge.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Increased early OHM frequency was strongly associated with lactation outcomes for newborns with CCHD. OHM may support human milk\/BF exposure in this vulnerable population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1038\/s41372-026-02698-7","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T07:14:13Z","timestamp":1777274053000},"page":"1171-1179","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Oral care with human milk is associated with increased human milk feeding and breastfeeding for newborns with critical congenital heart disease"],"prefix":"10.1038","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6559-0812","authenticated-orcid":false,"given":"Kristin M.","family":"Elgersma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3950-5933","authenticated-orcid":false,"given":"Nancy L.","family":"Slater","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Watkins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn R.","family":"Tanner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7629-9702","authenticated-orcid":false,"given":"Nellie M.","family":"Swanson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8485-418X","authenticated-orcid":false,"given":"Sara E.","family":"Ramel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,27]]},"reference":[{"key":"2698_CR1","unstructured":"Shakeel F. 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