{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:57:13Z","timestamp":1790571433014,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100005643","name":"Baxter International Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005643","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003921","name":"Department of Health, Disability and Ageing","doi-asserted-by":"publisher","award":["4\u2010EML85BJ"],"award-info":[{"award-number":["4\u2010EML85BJ"]}],"id":[{"id":"10.13039\/501100003921","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aim<\/jats:title>\n                    <jats:p>In 2018, a pasteurised donor human milk (PDHM) service was established within Australia's national blood service, Lifeblood, and subsequently expanded to a national service. Before 2018, five milk banks operated in Australia, but most infants admitted to Australian neonatal intensive care units (NICUs) still did not have access to PDHM. This study aimed to compare infant outcomes before and after Australian NICUs had access to an assured supply of PDHM from Lifeblood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Cohort study utilising Australian and New Zealand Neonatal Network data for infants born &lt;\u200932\u2009weeks' gestation admitted to 15 NICUs across Australia over a 3\u2010year period (2018\u20132020;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094395 infants). The primary study factor was NICU access to an assured supply of PDHM from Lifeblood. Neonatal outcomes were compared in periods with \u201cPDHM available\u201d versus \u201cPDHM not available\u201d. The primary outcome was the proportion of infants born &lt;\u200928\u2009weeks' gestation who developed NEC. Secondary outcomes included duration of parenteral nutrition, retinopathy of prematurity, infection, death, length of stay, weight at discharge, and breast milk feeding at discharge.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After adjusting for confounding risks, NEC relative risk was 38% lower for infants born &lt;\u200928\u2009weeks' (aRR 0.62, 95% CI 0.46\u20130.83) when Lifeblood PDHM was available. Weight at discharge (2828.8 vs. 2939.56\u2009g,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) was lower when PDHM was available. Breast milk feeding at discharge, infections and death were not associated with PDHM availability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Reliable access to PDHM was associated with reduced risk of NEC for infants born &lt;\u200928\u2009weeks' gestation in Australian NICUs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70472","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T12:20:44Z","timestamp":1783081244000},"page":"1611-1620","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Access to Pasteurised Donor Human Milk on Rates of Necrotising Enterocolitis in Neonatal Units in Australia: A Cohort Study"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7287-8029","authenticated-orcid":false,"given":"Laura D.","family":"Klein","sequence":"first","affiliation":[{"name":"Australian Red Cross Lifeblood  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Lui","sequence":"additional","affiliation":[{"name":"Division of Newborn Services Royal Hospital for Women  Sydney Australia"},{"name":"School of Population Health University of New South Wales  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abrar A.","family":"Chughtai","sequence":"additional","affiliation":[{"name":"School of Population Health University of New South Wales  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7514-7400","authenticated-orcid":false,"given":"David A.","family":"Osborn","sequence":"additional","affiliation":[{"name":"RPA Newborn Care, Royal Prince Alfred Hospital  Camperdown Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Guaran","sequence":"additional","affiliation":[{"name":"Liverpool Hospital, Liverpool  Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"McPhee","sequence":"additional","affiliation":[{"name":"Department of Neonatal Medicine Women's and Children's Hospital  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"Brandenberg","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Nepean Hospital  Penrith New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Callander","sequence":"additional","affiliation":[{"name":"Liverpool Hospital, Liverpool  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O.","family":"Irving","sequence":"additional","affiliation":[{"name":"Australian Red Cross Lifeblood  Melbourne Australia"},{"name":"Faculty of Health University of Technology  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7827-3661","authenticated-orcid":false,"given":"Veronica","family":"Hoad","sequence":"additional","affiliation":[{"name":"Australian Red Cross Lifeblood  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne","family":"Pink","sequence":"additional","affiliation":[{"name":"Australian Red Cross Lifeblood  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Clifford","sequence":"additional","affiliation":[{"name":"Australian Red Cross Lifeblood  Melbourne Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the 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