Grand Rounds: Human Milk and the Reduction of Necrotizing Enterocolitis (NEC) in Premature Infants

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Lori Feldman-Winter, MD MPH

Professor of Pediatrics
Cooper Medical School of Rowan University
Cherry Hill, New Jersey, USA 

Larry Noble, MD FABM IBCLC

Neonatologist
Icahn School of Medicine at Mount Sinai
Elmhurst, New York, USA

 

Premature infants face significant health risks, but research shows that an exclusive human milk diet can dramatically reduce the incidence of necrotizing enterocolitis (NEC). This webinar will explore the latest evidence on the protective benefits of mother’s own milk (MOM) and practical, evidence-based strategies to help NICUs increase access to human milk for vulnerable newborns. Participants will also gain insight into the critical role of policy and environmental factors—such as paid family medical leave and adherence to the WHO Code of Marketing—in supporting mothers who provide human milk. Join us to learn how you can help ensure every premature infant gets the best possible start in life.

Learning objectives:

  1. Describe the relationship between a diet of human milk and the incidence of necrotizing enterocolitis (NEC) among premature infants.
  2. Delineate strategies that can be implemented in a neonatal intensive care unit to increase the amount of mother’s own milk (MOM) available to feed a preterm infant.
  3. Identify policy and environmental changes necessary to increase the likelihood of having an exclusive human milk diet among premature infants.

Because this will be pre-recorded with the presenter, registrants will be added to a discussion board on MyABM where they can submit questions and comments to the presenter after viewing the recording. Once the recording is available, you can find the discussion thread once logged in under Groups on the left side menu. Please note that responses on the discussion board will not be instantaneous, and you should expect about a week for a response. 

ABM Grand Rounds is a monthly webinar program addressing current clinical practice guidelines in the care of breastfeeding parents and infants. ABM Grand Rounds are offered on-demand in the ABM Education Center.

On-demand & CME:

The on-demand video, along with CME and the evaluation, will be available until December 31, 2026.

Course Description:

This series as web-based enduring material will address current clinical practice guidelines in the care of breastfeeding parents and infants. The Academy of Breastfeeding Medicine empowers health professionals to provide safe, inclusive, patient-centered, and evidence-based care. As a result of this activity, learners should be better able to address evolving issues in the clinical setting of breastfeeding medicine.

Desired Outcomes:

At the conclusion of this activity, participants should be able to:

  • Identify current evidence-based recommendations for managing common medical issues that may impact breastfeeding success
  • Develop a global perspective on issues and treatments in breastfeeding medicine

Effective Date:

April 2025

Expiration Date:

December 2026

Learning medium:

To receive credit, participants will need to watch the video

Target Audience:

Providers in Family Medicine, Ob/GYN, Pediatrics, and Lactation Consultants

Accreditation:

Jointly Provided by the University of Virginia School of Medicine and School of Nursing and the Academy of Breastfeeding Medicine

In support of improving patient care, this activity has been planned and implemented by the Academy of Breastfeeding Medicine and the University of Virginia School of Medicine and School of Nursing. The University of Virginia School of Medicine and School of Nursing is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The University of Virginia School of Medicine and School of Nursing designates this enduring material activity for a maximum of 1 AMA PRA Category 1 CreditsTM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of Virginia School of Medicine and School of Nursing awards 1hour of participation (consistent with the designated number of AMA PRA Category 1 Credit(s)TM  or ANCC contact hours) to a participant who successfully completes this educational activity. The University of Virginia School of Medicine and School of Nursing maintains a record of participation for six (6) years.

Full Disclosure Policy Affecting CME Activities: 

As a joint accredited provider, the University of Virginia Office of CME/CE requires attested and signed global disclosure of the existence of all financial interests or relationships with commercial interest from any individual in a position to control the content of a CME activity sponsored by OCME.

No one in a position to control the content of this educational activity has disclosed a relevant financial interest or relationship with any commercial interest.

Disclosure of faculty financial affiliations:

The University of Virginia School of Medicine and School of Nursing as a Joint Accreditation Provider adhere to the ACCME Standards for Integrity and Independence in Accredited Continuing Education, released in December 2020, as well as Commonwealth of Virginia statutes, University of Virginia policies and procedures, and associated federal and private regulations and guidelines. As the accredited provider for this CE/IPCE activity, we are responsible for ensuring that healthcare professionals have access to professional development activities that are based on best practices and scientific integrity that ultimately supports the care of patients and the public.

All individuals involved in the development and delivery of content for an accredited CE/IPCE activity are expected to disclose relevant financial relationships with ineligible companies occurring within the past 24 months (such as grants or research support, employee, consultant, stock holder, member of speakers bureau, etc.).  The University of Virginia School of Medicine and School of Nursing employ appropriate mechanisms to resolve potential conflicts of interest and ensure the educational design reflects content validity, scientific rigor and balance for participants.  Questions about specific strategies can be directed to the University of Virginia School of Medicine and School of Nursing of the University of Virginia, Charlottesville, Virginia.

The faculty, staff, CE Advisory Committee and planning committee engaged in the development and/or peer review of this CE/IPCE activity in the Joint Accreditation CE Office of the School of Medicine and School of Nursing have no financial affiliations to disclose.

Disclosure of discussion of non-FDA approved uses for pharmaceutical products and/or medical devices:

As a Joint Accreditation provider, the University of Virginia School of Medicine and School of Nursing, requires that all faculty presenters identify and disclose any off-label or experimental uses for pharmaceutical and medical device products. It is recommended that each clinician fully review all the available data on new products or procedures prior to clinical use.

Disclaimer information:

CE activities accredited by the University of Virginia School of Medicine and School of Nursing are offered solely for educational purposes and do not constitute any form of certification of competency. Practitioners should always consult additional sources of information and exercise their best professional judgment before making clinical decisions of any kind.

Course Details

Course Material
ABM Statement on The Importance of Human Milk to Reduce the Risk of NEC in Premature Infants
Video
Evaluation for CME
Discussion Forum
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