The Revolution of Breast Milk: The Multiple Role of Human Milk Banking between Evidence and Experience—A Narrative Review

Quitadamo, Pasqua Anna; Palumbo, Giuseppina; Cianti, Liliana; Lurdo, Paola; Gentile, Maria Assunta; Villani, Antonio

doi:10.1155/2021/6682516

Cited by 10 publications

(14 citation statements)

References 111 publications

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“…These two variables don't affect each other. This element could be attributed to the fact that more than the times, is the type of feeding that affects the timing of reaching Full Enteral Feeding as described in the literature [13,14]. We observed a lack of correlation (r = 0.06, p = 0.63) between the time starting MOM and the time of reaching FEF.…”

Section: Resultsmentioning

confidence: 58%

Section: Resultsmentioning

confidence: 99%

“…Two recent systematic reviews and meta-analyses [57] and other studies [13] show that the use of HM (MOM or DM) vs. the formula leads to a better food tolerance, allows for the start of enteral feeding earlier, to increase milk volumes more rapidly with the faster achievement of FEF and allows for reducing the use of parenteral nutrition and the related risks. Our NICU with attached HMB can be an example [14].…”

Section: Discussionmentioning

confidence: 99%

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Feeding VLBWs with Mother’s Own Milk. Italian Monocentric Analysis

Quitadamo¹,

Zambianco²,

Palumbo³

et al. 2023

Preprint

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Mothers’ own milk (MOM) for premature babies is considered a life-saving drug for its proven protective action against the complications of prematurity and for the effects on the outcome in the short and long term, especially the neurological one. We studied the use of the MOM for WLBWs over a 5-year period. Statistical comparisons concerned data on feeding with the MOM during stay in NICU and at discharge with respect to maternal and neonatal variables (gestational age, birth weight, type of pregnancy if single or twin, maternal age) and to feeding data (timing of the start of the Minimal Enteral Feeding and the availability of the MOM, the achievement of the Full Enteral Feeding, the type of nutrition at discharge). We observed an increase, between 2017 and 2021, of MOM use (p=0.003). The availability of the MOM occurred on average on the fourth day of life and improved over the years. Start of MEF with human milk averaged 1.78 days and 54.3% of VLBWs received MEF with donor milk on the first day of life (50% within the first 6 hours). The average MOM at discharge was 47.6% with 36.1% exclusive MOM (EMOM) and an increase from 45.8% in 2017 (EMOM 33.3%) to 58.82% (EMOM 41.18%) in 2021. The mean average daily growth of the weight improved (p<0.001) during this period. There is no statistical difference between infants fed with MOM and those fed with bank milk. The maternal age, the start day of the MOM feeding and gestational age have a significant impact on the type of feeding at discharge.

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Section: Resultsmentioning

confidence: 58%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Feeding VLBWs with Mother’s Own Milk. Italian Monocentric Analysis

Quitadamo¹,

Zambianco²,

Palumbo³

et al. 2023

Preprint

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“…Human milk is the extraordinary product of 200 million years of symbiotic coevolution between a mammalian and its infant [90]. In the last 15 years, research in the field has dramatically grown and it is fast evolving.…”

Section: Discussionmentioning

confidence: 99%

Human Milk and Brain Development in Infants

et al. 2021

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Human milk is considered the most advantageous source of nourishment for infants. Even though there is no ideal composition of human milk, it still contains a unique combination of components that contribute to brain development. The aim of this review is to provide an overview on the possible correlation of human milk with the neurodevelopment of infants, with a special emphasis on myelination and epigenetic modifications. Research in human milk is a rapidly expanding field and cutting-edge technologies might contribute to identify specific mechanisms underlying the beneficial effects on human milk on neurodevelopment.

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“…Qualified donor breast milk has become an important source of enteral nutrition for preterm infants due to the similar nutritional composition and functions as mother’s milk, greatly satisfying the demand for early breastfeeding of preterm infants ( 20 , 21 ). Breast milk banking has changed the feeding pattern of preterm babies to some extent ( 22 ).…”

Section: Introductionmentioning

confidence: 99%

Early enteral nutrition with exclusive donor milk instead of formula milk affects the time of full enteral feeding for very low birth weight infants

Wang,

Gong,

et al. 2024

Front. Nutr.

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This study investigated the effects of exclusive donor milk or formula in the first 7 days after birth, on the time to full enteral feeding, growth, and morbidity of adverse events related to premature infants. This was a retrospective study carried out from July 2014 to December 2019 at the Department of Neonatology of Shanghai Children’s Hospital. All infants with a birth weight < 1,500 g and a gestational age ≤ 32 who received exclusive donor milk or formula in the first 7 days after birth were included in this study. The time to full enteral feeding (defined as 150 mL/kg) in the donor milk group was significantly shorter than in the formula group (18 vs. 22 days, p = 0.01). Donated breast milk was also associated with a lower incidence of NEC (4.4 vs. 7%, p < 0.01), ROP (3.8 vs. 13.2%, p < 0.01), and culture-confirmed sepsis (11 vs. 22.6%, p < 0.01). Using donated breast milk instead of current formula milk for early enteral nutrition can shorten the time to full enteral feeding and reduce the incidence of NEC, ROP, and sepsis.

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The Revolution of Breast Milk: The Multiple Role of Human Milk Banking between Evidence and Experience—A Narrative Review

Cited by 10 publications

References 111 publications

Feeding VLBWs with Mother’s Own Milk. Italian Monocentric Analysis

Feeding VLBWs with Mother’s Own Milk. Italian Monocentric Analysis

Human Milk and Brain Development in Infants

Early enteral nutrition with exclusive donor milk instead of formula milk affects the time of full enteral feeding for very low birth weight infants

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