Kalliopi Dritsakou1, Georgios Liosis2, Georgia Valsami3, Evangelos Polychronopoulos4, Maria Skouroliakou5. 1. a Departments of Quality Control, Research and Continuing Education , Elena Venizelou Maternity Hospital , Athens , Greece . 2. b Elena Venizelou Maternity Hospital , Athens , Greece . 3. c School of Pharmacy , University of Athens , Athens , Greece . 4. d Department of Science of Dietetics - Nutrition , Harokopeion University of Athens , Athens , Greece , and. 5. e Enteral and Parenteral Nutrition, Department of Science of Dietetics - Nutrition , Harokopeion University of Athens , Athens , Greece.
Abstract
OBJECTIVES: To investigate the benefits of treating low birth weight infants predominantly with mother's own raw milk and early initiation of breastfeeding (raw human milk/breast-fed infants), in comparison to feeding only with donor banked milk (until the third week of life) and afterwards a preterm formula until hospital discharge (donor banked/formula-fed infants). METHODS: One hundred and ninety-two predominantly raw human milk-fed infants (70% of raw and 30% of donor milk) were matched to 192 donor/formula-fed ones (on 1:1 ratio). Aggressive nutrition policy and targeted fortification of human milk were implemented in both groups. RESULTS: The two groups show similar demographic and perinatal characteristics. Predominantly raw milk-fed infants regained earlier their birth weight, suffered less episodes of feeding intolerance and presented a higher body length and head circumference at discharge (p < 0.001). Those treated mainly with their mothers' milk were able to initiate breastfeeding almost 2 weeks earlier compared to those fed with donor milk who achieved to be bottle-fed later on post-conceptual age (p < 0.001). Infants being breastfed until the 8th month of life conducted less visits for a viral infection to a pediatrician compared to those in the other group (p < 0.001). CONCLUSIONS: Feeding predominantly with mother's raw milk seems to result in optimal neonatal outcomes.
OBJECTIVES: To investigate the benefits of treating low birth weight infants predominantly with mother's own raw milk and early initiation of breastfeeding (raw human milk/breast-fed infants), in comparison to feeding only with donor banked milk (until the third week of life) and afterwards a preterm formula until hospital discharge (donor banked/formula-fed infants). METHODS: One hundred and ninety-two predominantly raw human milk-fed infants (70% of raw and 30% of donor milk) were matched to 192 donor/formula-fed ones (on 1:1 ratio). Aggressive nutrition policy and targeted fortification of human milk were implemented in both groups. RESULTS: The two groups show similar demographic and perinatal characteristics. Predominantly raw milk-fed infants regained earlier their birth weight, suffered less episodes of feeding intolerance and presented a higher body length and head circumference at discharge (p < 0.001). Those treated mainly with their mothers' milk were able to initiate breastfeeding almost 2 weeks earlier compared to those fed with donor milk who achieved to be bottle-fed later on post-conceptual age (p < 0.001). Infants being breastfed until the 8th month of life conducted less visits for a viral infection to a pediatrician compared to those in the other group (p < 0.001). CONCLUSIONS: Feeding predominantly with mother's raw milk seems to result in optimal neonatal outcomes.
Entities:
Keywords:
Breastfeeding; breast milk; donor banked; formula; raw milk
Authors: Yanqi Li; Sandra M Juhl; Xuqiang Ye; René L Shen; Elisabeth Omolabake Iyore; Yiheng Dai; Per T Sangild; Gorm O Greisen Journal: Front Pediatr Date: 2017-03-03 Impact factor: 3.418
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