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Nutrient-enriched formula milk versus human breast milk for preterm infants following hospital discharge
Insights
No studies compared nutrient-enriched formula versus breast milk for preterm infant growth post-discharge. More research is needed to determine optimal feeding strategies for catch-up growth in preterm infants.
Area of Science:
- Neonatal nutrition
- Pediatric development
- Growth studies
Background:
- Preterm infants often experience growth restriction upon hospital discharge.
- Nutrient-enriched formula may promote catch-up growth and improve development compared to human breast milk after discharge.
Purpose of the Study:
- To evaluate the impact of nutrient-enriched formula versus human breast milk on the growth and development of preterm infants after hospital discharge.
Main Methods:
- A systematic literature search was conducted using standard Cochrane Neonatal Review Group strategies.
- Included were randomized or quasi-randomized controlled trials comparing nutrient-enriched formula with human breast milk for preterm infants post-discharge.
- Trial quality and data extraction were performed by two independent reviewers.
Main Results:
- No eligible randomized controlled trials were identified in the search.
Conclusions:
- Currently, no randomized controlled trial data exist to compare nutrient-enriched formula with human breast milk for preterm infant growth and development post-discharge.
- Mothers and healthcare providers need strong evidence of benefits before substituting nutrient-enriched formula for breast milk.
- Future trials comparing nutrient-enriched versus standard formula could inform the design of studies investigating nutrient-enriched formula against breast milk.
Background:
Preterm infants are often growth-restricted at hospital discharge. Feeding infants after hospital discharge with nutrient-enriched formula milk instead of human breast milk might facilitate "catch-up" growth and improve development.
Objectives:
To determine the effect of feeding nutrient-enriched formula compared with human breast milk on growth and development of preterm infants following hospital discharge.
Search Strategy:
The standard search strategy of the Cochrane Neonatal Review Group was used. This included searches of the Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library, Issue 2, 2007), MEDLINE (1966 - May 2007), EMBASE (1980 - May 2007), CINAHL (1982 - May 2007), conference proceedings, and previous reviews.
Selection Criteria:
Randomised or quasi-randomised controlled trials that compared feeding preterm infants following hospital discharge with nutrient-enriched formula compared with human breast milk.
Data Collection And Analysis:
The standard methods of the Cochrane Neonatal Review Group were used, with separate evaluation of trial quality and data extraction by two review authors.
Main Results:
No eligible trials were identified.
Authors' Conclusions:
There are no data from randomised controlled trials to determine whether feeding preterm infants following hospital discharge with nutrient-enriched formula milk versus human breast milk affects growth and development. Mothers who wish to breast feed, and their health care advisors, would require very clear evidence that feeding with a nutrient-enriched formula milk had major advantages for their infants before electing not to feed (or to reduce feeding) with maternal breast milk. If evidence from trials that compared feeding preterm infants following hospital discharge with nutrient-enriched versus standard formula milk demonstrated an effect on growth or development, then this might strengthen the case for undertaking trials of nutrient-enriched formula milk versus human breast milk.
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