Hindmilk Improves Weight Gain in Low-Birth-Weight Infants Fed Human Milk

Valentine, Christina J.; Hurst, Nancy; Schanler, Richard J.

doi:10.1097/00005176-199405000-00013

Cited by 95 publications

(69 citation statements)

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“…Hind milk, the higher fat milk obtained several minutes following milk ejection, has been shown to enhance growth rates when fed to the VLBW infant. 17 When it is known that the mother's daily milk volume is more than double the infant's daily volume needs, special instructions can be given for the collection and feeding of hind milk (Table 2). A creamatocrit, the length of the cream column separated from milk by centrifugation and expressed as a percentage of the length of the total milk column, can be performed when an accurate measure of the lipid content is required.…”

Section: Lactoengineering Strategiesmentioning

confidence: 99%

The 3 M's of Breast-feeding the Preterm Infant

Hurst¹

2007

Journal of Perinatal &Amp; Neonatal Nursing

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Mother's own milk is considered best for preterm infants. Given the often protracted period between birth and breast-feeding for most preterm newborns, a number of challenges exist for mothers and neonatal intensive care unit nurses in establishing lactation, providing mother's own milk, and achieving breast-feeding. This article conceptualizes breast-feeding the preterm infant in the context of the neonatal intensive care unit as a 3-phase process, the 3 M's of breast-feeding: medication, mother's milk feedings, and the mechanics of breast-feeding.

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Section: Lactoengineering Strategiesmentioning

confidence: 99%

The 3 M's of Breast-feeding the Preterm Infant

Hurst¹

2007

Journal of Perinatal &Amp; Neonatal Nursing

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“…It is the same equipment used to do hematocrits. Also useful are lacto-engineering and hind milk to promote growth (Meier, 1998;Valentine, Hurst, & Schanler, 1994). Lacto-engineering is the process of fractionating human milk in order to enhance caloric density.…”

Section: Facilitating Breastfeeding In Vulnerable Infantsmentioning

confidence: 99%

Report of a Staff Program to Promote and Support Breastfeeding in the Care of Vulnerable Infants at a Children's Hospital

Spatz¹

2005

jpe

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Ill or premature infants do not have the opportunity to begin breastfeeding in an optimal manner; yet, these infants may benefit most from human milk. Health-care providers' knowledge of breastfeeding in both healthy and ill infants is frequently limited due to deficits in training. This article outlines a multifaceted approach to develop a comprehensive, hospital-wide system to support and promote breastfeeding for vulnerable infants. This approach was designed for the staff of the Children's Hospital of Philadelphia.

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“…39 A strategy that results in increased weight gain among PTNB infants is the offer of hindmilk, which contains up to three times more fat than foremilk. 84 The use of hindmilk mechanically expressed from the mother of LBW infants treated at a neonatal unit of a developing country is related to an average increase in weight of 18.8 g a day. 85 If breastmilk is not available from the mother, the alternative is to use banked human milk, which preserves many of the protective factors.…”

Section: Special Considerations For Human Milk Feeding Of Preterm Infmentioning

confidence: 99%

Aleitamento materno em prematuros: manejo clínico hospitalar

Nascimento¹,

Issler²

2004

J. Pediatr. (Rio J.)

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Suggested citation: do Nascimento MB, Issler H. Breastfeeding in premature infants: in-hospital clinical management. J Pediatr (Rio J). 2004;80(5 Suppl):S163-S172. AbstractObjective: To describe the importance of breastfeeding and its promotion in the in-hospital clinical management of premature newborns. Source of data:The authors made an extensive literature review on the topic, including technical books, theses, publications of national and international organizations, and search on MEDLINE database (1990 to 2003), using the following key words and boolean operators: breastfeeding AND low birth weight and breastfeeding AND preterm infant . Some significant references cited in the reviewed publications were used as well.Summary of the findings: After this review we conclude that many aspects make the breast milk particularly suitable to the premature newborn feeding. Despite being highly desirable, little success in breastfeeding preterm infants is generally observed, particularly in special care neonatal units, although there are evidences suggesting that a highly supportive hospital environment can make it possible to breastfeed these infants.Conclusions: Although breastfeeding premature infants represents a challenge, it is feasible if appropriate help and support are provided. Mothers of premature infants need information and support to make informed decisions about their infants feeding.J Pediatr (Rio J). 2004;80(5 Suppl):S163-S172: Breastfeeding, human milk, newborn, preterm infant, neonatal care. Breastfeeding in premature infants:in-hospital clinical management Maria Beatriz R. do Nascimento, 1 Hugo Issler 2 0021-7557/04/80-05-Suppl/S163 Jornal de Pediatria Copyright © 2004 by Sociedade Brasileira de PediatriaBreastfeeding is the safest and most natural form of infant feeding, and it should be exclusive up to the sixth month. After that, complementary feeding should be implemented, but breastfeeding can be maintained up to the second year of life or longer. 1 Human milk provides a unique combination of proteins, lipids, carbohydrates, minerals, vitamins, enzymes and living cells, in addition to offering nutritional, immunological, psychological and economic benefits. 2-7 These qualities have great importance when it comes to preterm newborns (PTNB), due to their greater vulnerability. 8 The appropriate clinical management of lactation has been described to facilitate the successful breastfeeding of full-term newborns. 9 The medical literature also provides evidence that mothers of PTNB infants should have access to breastfeeding support, in order to maintain a sufficient milk production; however, practical aspects regarding the promotion of human milk feeding still have not been settled into the routine care of preterm infants in most neonatal

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Hindmilk Improves Weight Gain in Low-Birth-Weight Infants Fed Human Milk

Cited by 95 publications

References 0 publications

The 3 M's of Breast-feeding the Preterm Infant

The 3 M's of Breast-feeding the Preterm Infant

Report of a Staff Program to Promote and Support Breastfeeding in the Care of Vulnerable Infants at a Children's Hospital

Aleitamento materno em prematuros: manejo clínico hospitalar

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