Pooled Pasteurized Breast Milk and Untreated Own Motherʼs Milk in the Feeding of Very Low Birth Weight Babies

Stein, Howard; Cohen, D.; Rissik, J.; Ellis, Ursula; Bolton, Keith; Pettifor, John Μ.; Macdougall, Lorna G.

doi:10.1097/00005176-198605020-00014

Cited by 44 publications

(28 citation statements)

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“…If a mother's own breastmilk is not available, donor milk is recommend for feeding an premature infant . So far, donor milk has been defined as pooled milk from the mothers of term infants and usually these donating mothers are in different stages of lactation, resulting in a wide variation in the nutritional properties of donor milk. By pooling the milk, these variations are partly compensated.…”

Section: Discussionmentioning

confidence: 99%

“…By pooling the milk, these variations are partly compensated. However, studies have indicated that premature infants show a slower weight gain when fed with donor milk from mothers who delivered term babies because of the poor content of nutrients . The milk from mothers of preterm infants is richer in protein, electrolytes and immunoglobulins.…”

Section: Discussionmentioning

confidence: 99%

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Starting enteral nutrition with preterm single donor milk instead of formula affects time to full enteral feeding in very low birthweight infants

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Starting enteral nutrition with preterm single donor milk instead of formula affects time to full enteral feeding in very low birthweight infants

et al. 2017

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“…This milk has a lower content of protein and host defence protein compared to breast milk of a mother who has delivered a preterm infant [44]. Several studies of comparison between Donor human breast milk versus formula milk in premature infants have been published [24,25,39,43,44,53,61,67,69,71,73]. Mc Guire and Anthony [44] summarized four small trials (Gross 1983, Lucas 1990, Svenningsen 1982and Tyson 1983, all initiated 20 years ago.…”

Section: Donor Breast Milk Versus Formula Milkmentioning

confidence: 99%

Multi-modal approach to prophylaxis of necrotizing enterocolitis: clinical report and review of literature

et al. 2006

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For the first time a multimodal approach to NEC prophylaxis is reported, consisting of early trophic feeding with human breast milk, and enteral administration of an antibiotic, an antifungal agent, and probiotics. A retrospective analysis of local protocol of NEC prophylaxis is presented. Included were all VLBWI admitted to the NICU, including transfers within the first 28 days of life. These infants were divided into two groups, an "inborn group" (infants admitted within the first 24 h of life) and an "outborn group" (infants admitted after the onset of their second day of life). Prophylaxis of NEC according to protocol was started at the day of admission, and was continued until discharge. Between 1998 and 2004, 405 VLBWI were admitted, including all transfers within the first 28 days of life. A total of 334 (82%) infants were admitted within the first 24 h of life (inborn group), and 71 (18%) were admitted after 24 h of life (outborn group). Five infants developed clinical features of necrotizing enterocolitis. The inborn group showed a NEC incidence of 0.7% (two infants), whereas the outborn group showed a NEC incidence of 4.5% (three infants), respectively. This difference was significant (P=0.049, Fisher's exact test). A surgical treatment with bowel resection was performed in two infants (both from the outborn group). The present study used a combination of different strategies, all having shown to have some beneficial effect, but not having brought a clinical breakthrough in single administration studies. Combinated were the beneficial effects of human breast milk feeding, oral antiobiotics, oral antifungal agents, and the administration of probiotics. In a homogenous group of preterm infants, using this protocol of multimodal NEC prophylaxis, there was a very low incidence of NEC, when started within the first 24 h of life.

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“…Os benefícios biológicos do leite materno o tornam um excelente alimento para o RNPT, mesmo considerando que as eventuais perdas de nutrientes decorrentes da coleta 75 , do processamento 76,77 , da estocagem 78,79 e do método utilizado para a oferta do LH 11,80 aos pacientes das unidades neonatais possam ser responsáveis pela menor velocidade de crescimento dos RN quando comparados com aqueles que utilizam leite artificial 81 . Se o desempenho relacionado ao crescimento neonatal é melhor nos RNPT alimentados com fórmulas para prematuros, isso não é verdadeiro para as medidas de peso, altura, perímetro cefálico e prega cutânea por volta dos 9 meses e dos 8 anos de idade, que foram similares, independentemente da dieta recebida ser preferencialmente leite materno ou exclusivamente leite artificial 82 .…”

Section: Armazenamento Do Lh Ordenhadounclassified

Breastfeeding in premature infants: in-hospital clinical management

Nascimento¹,

Issler²

2004

J Pediatr (Rio J)

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Como citar este artigo: do Nascimento MBR, Issler H. Aleitamento materno em prematuros: manejo clínico hospitalar. J Pediatr (Rio J). 2004;80(5 Supl):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 Supl):S163-S172: Breastfeeding, human milk, newborn, preterm infant, neonatal care. ResumoObjetivo: Abordar a importância do aleitamento materno e sua promoção no manejo clínico-hospitalar de recém-nascidos pré-termo.Fonte dos dados: Foi realizada extensa revisão bibliográfica sobre o tópico, sendo selecionado material oriundo de livros-texto, teses, publicações de organismos nacionais e internacionais e artigos publicados selecionados a partir de pesquisa na base de dados MEDLINE referente ao período de 1990 a 2003, utilizando as palavras-chave breastfeeding and low birth weight e breastfeeding and preterm infant. Algumas referências relevantes dos trabalhos selecionados também foram utilizadas. Síntese dos dados:A partir da literatura levantada, verifica-se que vários aspectos tornam o leite materno particularmente adequado para a alimentação do recém-nascido prematuro. No entanto, observase, de modo geral, uma baixa incidência de êxito na amamentação de prematuros, especialmente em unidades neonatais de risco, apesar de haver evidências de que uma postura hospitalar favorável possibilite o aleitamento nessas crianças.Conclusões: Amamentar prematuros ainda é um desafio, mas é factível desde que haja apoio e suporte apropriados, principalmente pelos profissionais de saúde. As mães de prematuros necessitam de mais informações sobre a importância da amamentação para que possam tomar decisões sobre a nutrição dos seus filhos. ARTIGO DE REVISÃOO aleitamento materno (AM) é o modo mais natural e seguro de alimentação para a criança pequena, devendo ser exclusivo até os 6 meses. A partir dessa idade, de...

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Pooled Pasteurized Breast Milk and Untreated Own Motherʼs Milk in the Feeding of Very Low Birth Weight Babies

Cited by 44 publications

References 0 publications

Starting enteral nutrition with preterm single donor milk instead of formula affects time to full enteral feeding in very low birthweight infants

Starting enteral nutrition with preterm single donor milk instead of formula affects time to full enteral feeding in very low birthweight infants

Multi-modal approach to prophylaxis of necrotizing enterocolitis: clinical report and review of literature

Breastfeeding in premature infants: in-hospital clinical management

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