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Published on: August 7, 2017
Review of the relationships between maternal characteristics and preterm breastmilk immune components
Shelley Thibeau1, Karen D'Apolito
1Vanderbilt University School of Nursing, Nashville, TN 37240, USA. shelley.thibeau@vanderbilt.edu
Insights
Breast milk provides crucial immunity for infants, reducing infections and mortality, especially for premature babies. Understanding its immune components can improve infant health interventions.
Area of Science:
- Neonatal immunology
- Infant nutrition
- Public health
Background:
- Breast milk is vital for infant immunity, offering passive and active protection against infections.
- Premature infants are at high risk for mortality and morbidity, with nosocomial infections and necrotizing enterocolitis (NEC) posing significant threats.
- Hospitalized preterm infants consuming breast milk show improved outcomes, including shorter hospital stays and reduced infection rates.
Purpose of the Study:
- To review breast milk's immune components and their impact on infant health, particularly for preterm infants.
- To explore factors that influence breast milk's immunological properties.
- To inform future interventions aimed at enhancing breast milk's benefits for vulnerable infants.
Main Methods:
- Literature review of immunological components in breast milk.
- Analysis of factors moderating breast milk's immune properties.
- Examination of the relationship between breast milk components and preterm infant health outcomes.
Main Results:
- Breast milk contains key immune factors like secretory immunoglobulin A, lactoferrin (LFT), and cytokines.
- These components, along with nutrition, significantly enhance neonatal health and reduce infection incidence.
- Maternal characteristics influence breast milk's immune composition, affecting its protective capabilities.
Conclusions:
- Breast milk's complex immune properties are essential for reducing preterm infant mortality and morbidity.
- Further research into breast milk composition can guide the development of targeted interventions.
- Optimizing breast milk's immunological benefits is crucial for improving neonatal care and outcomes.
Abstract:
The immune properties of breastmilk are the most effective preventative means of reducing infant mortality through both passive and active immunity. Breastmilk for term infants has been linked to decreased incidence of respiratory and ear infections and gastrointestinal distress. This protection is even more important for the preterm infant. Prematurity is one of the leading causes of infant death in the United States. Hospitalized infant outcomes associated with consumption of breastmilk are shorter length of stay and decreased incidence of nosocomial infections and necrotizing enterocolitis (NEC). The presence of nosocomial infections and necrotizing enterocolitis increases risk of preterm mortality and morbidity as well as healthcare expenditures. However, breastmilk immunological components such as secretory immunoglobulin A, lactoferrin (LFT), and cytokines provide a framework of immunity that, in conjunction with nutritional support, significantly improves neonatal health. The relationship between maternal characteristics and breastmilk immune properties is central to further the understanding of the impact of breastmilk on preterm infant morbidity and mortality. The purpose of this article is to review the numerous immune components in breastmilk, the moderators of the immune components, and the relevance of these components to preterm/infant health. Exploration of the complexity of breastmilk immune components may direct future development of interventions to improve and sustain the immunological benefits of preterm breastmilk.
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