Publications by authors named "Mariela Sanchez-Rosado"

Article Synopsis
  • The study aimed to create a predictive model for whether infants born preterm or with low birth weight were fed their mother's own milk (MOM) at discharge, focusing on social determinants of health (SDOH) and maternal-neonatal factors.
  • It analyzed data from 986 neonates at an inner-city hospital, revealing that feeding MOM was less common among non-Hispanic Black mothers compared to Hispanic mothers, a trend that remained consistent before and after a donor human milk program was introduced.
  • The model showed that lower odds of feeding MOM at discharge were linked to factors like higher neighborhood poverty, maternal substance use, and younger maternal age, but these odds did not improve after the implementation of the donor human milk program.
View Article and Find Full Text PDF

Objective:  No available scale, at the time of initial evaluation for necrotizing enterocolitis (NEC), accurately predicts, that is, with an area under the curve (AUC) ≥0.9, which preterm infants will undergo surgery for NEC stage III or die within a week.

Study Design:  This is a retrospective cohort study ( = 261) of preterm infants with <33 weeks' gestation or <1,500 g birth weight with either suspected or with definite NEC born at Parkland Hospital between 2009 and 2021.

View Article and Find Full Text PDF

Objective: Neonates born with fetal inflammatory response (FIR) are at increased risk for adverse neonatal outcomes. Our objective was to determine whether FIR and its severity is associated with severity of necrotizing enterocolitis (NEC) in preterm infants.

Methods: A case-control retrospective study of infants <33 weeks gestational age or <1500 g birthweight, including 260 with stage I-III NEC and 520 controls matched for gestational age.

View Article and Find Full Text PDF

Objective: Necrotizing enterocolitis (NEC) primarily affects preterm, especially small for gestational age (SGA), infants. This study was designed to (1) describe frequency and timing of NEC in SGA versus non-SGA infants and (2) assess whether NEC is independently associated with the severity of intrauterine growth failure.

Study Design: Retrospective cohort study of infants without severe congenital malformations born <33 weeks' gestational age (GA) carried out from 2009 to 2021.

View Article and Find Full Text PDF

Background: Donor breast milk (DBM) feeding has been associated with less growth than formula in preterm infants. Zinc content in DBM is insufficient to support growth in preterm infants.

Objective: To compare growth from birth to discharge, macro- and micronutrient intake and the frequency of poor growth before (Epoch-1) and after (Epoch-2) implementing a DBM program.

View Article and Find Full Text PDF