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Improved growth of preterm infants receiving mother's own raw milk compared with pasteurized donor milk
N Montjaux-Régis1, C Cristini, C Arnaud
1Unit of Neonatology, Hôpital des enfants, Toulouse, France.
Insights
Mother's own raw milk significantly improves weight gain in preterm infants compared to donor milk. Strategies to enhance maternal milk production are recommended for better infant growth.
Area of Science:
- Neonatalogy
- Pediatric Nutrition
- Human Milk Research
Background:
- Preterm infants often require specialized nutrition to support growth and development.
- The source of breast milk (mother's own vs. donor milk) may influence outcomes in premature infants.
Purpose of the Study:
- To investigate the relationship between the proportion of maternal milk intake and infant growth, feeding tolerance, and infectious events in preterm infants.
- To compare the effects of maternal milk versus pooled pasteurized donor milk on preterm infant outcomes.
Main Methods:
- A prospective observational study involving 55 preterm infants (born <32 weeks gestational age) exclusively on enteral feeds.
- Infants received a combination of maternal milk and/or donor milk, with data collected over two 6-month periods.
Main Results:
- A positive correlation was found between the proportion of maternal milk consumed and weight gain (g/kg/day) in preterm infants (p = 0.0048).
- Higher intake of maternal milk was inversely correlated with the incidence of necrotizing enterocolitis.
- Maternal milk intake did not significantly impact infectious events.
Conclusions:
- Mother's own raw milk intake is associated with improved weight gain in preterm infants compared to donor milk.
- Findings suggest the importance of supporting and increasing maternal milk production for optimizing preterm infant nutrition and growth.
Aim:
To determine whether growth, feeding tolerance and infectious events of preterm infants is related to the proportion of intake of mother's own raw milk (maternal milk) versus pooled pasteurized banked breast milk (donor milk).
Methods:
This is a prospective observational study of 55 premature infants born less than 32 weeks of gestational age admitted to the neonatal intensive care unit at the Children's Hospital of Toulouse during two 6-month periods from 2003 to 2005. Enrolled infants were exclusively on enteral feeds with maternal milk ± donor milk.
Results:
Mean gestational age was 28.6 weeks (SD 1.5) and mean birth weight 1105 grams (SD 282). During the time of exclusively breast milk feeds, weight gain (g/kg/day) was correlated to the proportion of maternal milk consumed (p = 0.0048, r = 0.4). Necrotizing enterocolitis was inversely correlated to the amount of maternal milk. The amount of maternal milk did not impact on infectious events.
Conclusion:
Mother's own raw milk improves weight gain compared with donor milk in preterm infants. Lactation strategies should be sought that helps mothers to increase their milk production.
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