Document Detail

New approaches to optimizing early diets.
MedLine Citation:
PMID:  19346777     Owner:  NLM     Status:  MEDLINE    
Most extremely low birthweight (ELBW; <1,000 g) infants will survive if cared for at a tertiary neonatal intensive care unit, and should be given optimal nutrition for brain development. Human milk confers nutritional and non-nutritional advantages over infant formula, and is started during the first hours of life. In Sweden, most ELBW infants are fed individually with mother's own milk (preferred) and banked milk, with supplementary parenteral nutrition. There is an enormous variation particularly in the fat and protein content of milk between mothers, during the day and the course of lactation. Infrared macronutrient analyses on 24-hour collections of mother's milk are performed once a week allowing for optimal protein and energy intakes. All banked milk is analyzed, and the most protein-rich milk is given to a newborn ELBW infant. After 2 weeks, the milk may be fortified if the protein or energy intakes need to be further increased, and fortification is continued throughout the tube-feeding period. Parenteral nutrition is continued until the enteral intake constitutes 75-80% of the total volume intake. Protein markers, e.g. serum urea and transthyretin, are assessed, and growth is monitored by measurements of weight, crown-heel length and head circumference.
Staffan Polberger
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Nestlé Nutrition workshop series. Paediatric programme     Volume:  63     ISSN:  1661-6677     ISO Abbreviation:  -     Publication Date:  2009  
Date Detail:
Created Date:  2009-04-06     Completed Date:  2009-05-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101244056     Medline TA:  Nestle Nutr Workshop Ser Pediatr Program     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  195-204; discussion 204-8, 259-68     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2009 S. Karger AG, Basel.
Neonatal Intensive Care Unit, Department of Paediatrics, University Hospital, Lund, Sweden.
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MeSH Terms
Breast Feeding / statistics & numerical data*
Food, Fortified / utilization
Infant, Newborn
Infant, Very Low Birth Weight / growth & development*
Milk Proteins / metabolism
Milk, Human*
Nutritional Requirements
Parenteral Nutrition
Reg. No./Substance:
0/Milk Proteins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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