Document Detail


Donor human milk in preterm infant feeding: evidence and recommendations.
MedLine Citation:
PMID:  20443660     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In preterm infants, feeding with human milk (HM) is a very effective intervention for the prevention of infections and necrotizing enterocolitis (NEC), and for potentially improved neurocognitive and cardiovascular outcomes in the long-term. Hospitals and physicians are advised to recommend HM for preterm and other high-risk infants either by direct breastfeeding and/or using the mother's own expressed milk. Donor HM is the preferred feeding when the mother's own milk is not available in sufficient quantity. While in some countries donor HM has been considered an effective tool in the delivery of health care to infants, skepticism regarding its nutritional and immunological quality has limited its distribution in other countries. The purpose of this paper is to summarize the clinical benefits of donor HM in preterm infants, and to discuss common concerns limiting its distribution as standard care. Clinically, the use of donor HM has been shown to prevent NEC, reduce feeding intolerance and improve long-term outcomes in premature infants. Common concerns, such as slow growth and loss of important biological components of donor HM due to storage and pasteurization, should not be a reason for denial of donor milk. Optimization of banking procedures and of HM fortification is available and should be applied. Banked donor milk should be promoted as standard component of health care for premature infants.
Authors:
Sertac Arslanoglu; Ekhard E Ziegler; Guido E Moro;
Publication Detail:
Type:  Journal Article; Practice Guideline    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  38     ISSN:  1619-3997     ISO Abbreviation:  J Perinat Med     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-06     Completed Date:  2010-09-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  347-51     Citation Subset:  IM    
Affiliation:
Italian Association of Human Milk Banks, Milan, Italy.
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MeSH Terms
Descriptor/Qualifier:
Child Development
Enterocolitis, Necrotizing / prevention & control
Evidence-Based Medicine
Food, Fortified
Humans
Infant Nutritional Physiological Phenomena
Infant, Newborn
Infant, Premature*
Milk Banks
Milk, Human*
Nutritional Requirements
Tissue Donors

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