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

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

doi:10.1097/00005176-198603000-00014

Cited by 18 publications

(10 citation statements)

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“…These infants had a faster growth velocity and regained their birth weight earlier than infants fed pasteurised pooled donor milk originating from mothers giving birth preterm. Of interest, the total energy content of the unpasteurised maternal milk was not significantly different from the pasteurised preterm donor milk . This finding further supports the possibility that not only the nutritional content, but also other factors present in unpasteurised human milk may be important for infant growth.…”

Section: Discussionsupporting

confidence: 53%

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Unpasteurised maternal breast milk is positively associated with growth outcomes in extremely preterm infants

et al. 2019

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Preterm infants are at increased risk of extrauterine growth restriction, which at least in part is caused by very high extrauterine nutritional needs. 1 In addition, the inability to assimilate sufficient nutrition due to feeding intolerance secondary to immaturity and neonatal morbidities is especially common in extremely preterm infants. The result is significant energy and protein deficits, primarily in the early postnatal period. 2 Most extremely preterm neonates suffer from growth restriction that can persist into childhood. 3

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Section: Discussionsupporting

confidence: 53%

“…In addition to nutrient intake, the type of breast milk fed to preterm infants influences primarily weight growth in the neonatal period. Preterm infants fed predominantly unpasteurised maternal milk, as opposed to pasteurised donor milk, regain their birth weight earlier and gain weight faster in the postnatal period …”

Section: Introductionmentioning

confidence: 99%

Unpasteurised maternal breast milk is positively associated with growth outcomes in extremely preterm infants

et al. 2019

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“…Pooled, pasteurized donor human milk is a dietary intervention that is increasing in usage in the very low birthweight (VLBW) population in the US [ 16 ], but has not been well studied.. Early studies showed growth deficits with unfortified donor milk compared with formula and maternal milk [ 17 , 18 ]. A later study comparing fortified donor milk and preterm formula as supplements to fortified maternal milk also found slower growth associated with donor milk [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Growth in VLBW infants fed predominantly fortified maternal and donor human milk diets: a retrospective cohort study

et al. 2012

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BackgroundTo determine the effect of human milk, maternal and donor, on in-hospital growth of very low birthweight (VLBW) infants. We performed a retrospective cohort study comparing in-hospital growth in VLBW infants by proportion of human milk diet, including subgroup analysis by maternal or donor milk type. Primary outcome was change in weight z-score from birth to hospital discharge.MethodsRetrospective cohort study.Results171 infants with median gestational age 27 weeks (IQR 25.4, 28.9) and median birthweight 899 g (IQR 724, 1064) were included. 97% of infants received human milk, 51% received > 75% of all enteral intake as human milk. 16% of infants were small-for-gestational age (SGA, < 10th percentile) at birth, and 34% of infants were SGA at discharge. Infants fed >75% human milk had a greater negative change in weight z-score from birth to discharge compared to infants receiving < 75% (−0.6 vs, -0.4, p = 0.03). Protein and caloric supplementation beyond standard human milk fortifier was related to human milk intake (p = 0.04). Among infants receiving > 75% human milk, there was no significant difference in change in weight z-score by milk type (donor −0.84, maternal −0.56, mixed −0.45, p = 0.54). Infants receiving >75% donor milk had higher rates of SGA status at discharge than those fed maternal or mixed milk (56% vs. 35% (maternal), 21% (mixed), p = 0.08).ConclusionsVLBW infants can grow appropriately when fed predominantly fortified human milk. However, VLBW infants fed >75% human milk are at greater risk of poor growth than those fed less human milk. This risk may be highest in those fed predominantly donor human milk.

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“…With the decline in milk banking,10 expression may be the only opportunity for an infant to have human milk. Furthermore, the composition of a mother's milk is likely to be more appropriate to the needs of her infant than banked milk,11 particularly when pooling or heat treatment12 is used.…”

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confidence: 99%

A randomised controlled trial to compare methods of milk expression after preterm delivery

Jones

Dimmock

Spencer

2001

Archives of Disease in Childhood - Fetal and Neonatal Edition

109

142

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.43 to 109.74). The fat concentration in the milk was not aVected by the increase in volume achieved by the interventions. Conclusions-The results are unequivocal and show that simultaneous pumping is more eVective at producing milk than sequential pumping and that breast massage has an additive eVect, improving milk production in both groups. As frequent and eYcient milk removal is essential for continued production of milk, mothers of preterm infants wishing to express milk for their sick babies should be taught these techniques. (Arch Dis Child Fetal Neonatal Ed 2001;85:F91-F95)

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

Cited by 18 publications

References 0 publications

Unpasteurised maternal breast milk is positively associated with growth outcomes in extremely preterm infants

Unpasteurised maternal breast milk is positively associated with growth outcomes in extremely preterm infants

Growth in VLBW infants fed predominantly fortified maternal and donor human milk diets: a retrospective cohort study

A randomised controlled trial to compare methods of milk expression after preterm delivery

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