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Associated morbidities to congenital diaphragmatic hernia and a relationship to human milk
Elizabeth B Froh1, Diane L Spatz
1University of Pennsylvania School of Nursing, Philadelphia, USA. frohe@nursing.upenn.edu
Insights
Human milk may significantly benefit infants with congenital diaphragmatic hernia (CDH). This review applies existing human milk research to the CDH population, focusing on health outcomes and future research directions.
Area of Science:
- Neonatal care
- Pediatric surgery
- Human milk research
Background:
- Limited human milk and breastfeeding literature exists for infants with congenital anomalies, particularly congenital diaphragmatic hernia (CDH).
- Existing research primarily focuses on term and preterm infants in neonatal intensive care settings.
Purpose of the Study:
- To highlight the potential significant impact of human milk on infants diagnosed with congenital diaphragmatic hernia (CDH).
- To review recent human milk studies and apply findings to the CDH population.
Main Methods:
- Review of recent human milk studies.
- Application of existing human milk research to the specific context of infants with CDH.
- Analysis of potential impacts on respiratory and gastrointestinal morbidities, infection rates, and length of stay.
Main Results:
- Human milk consumption is associated with improved outcomes in various infant populations.
- Potential benefits for CDH infants include reduced respiratory and gastrointestinal issues, lower infection risk, and shorter hospital stays.
Conclusions:
- Human milk may play a crucial role in improving health outcomes for infants with CDH.
- Further research is needed to specifically investigate the effects of human milk in this vulnerable population.
- Clinical implications suggest prioritizing human milk for infants with CDH.
Abstract:
The majority of what is known in the recent literature regarding human milk studies in the neonatal intensive care setting is specific to term and/or preterm infants (including very-low-birth-weight preterm infants). However, there is a lack of human milk and breastfeeding literature concerning infants with congenital anomalies, specifically infants diagnosed with congenital diaphragmatic hernia (CDH). By applying human milk research conducted among other populations of infants, this article highlights how human milk may have a significant impact on infants with CDH. Recent human milk studies are reviewed and then applied to the CDH population in regard to respiratory and gastrointestinal morbidities, as well as infection and length of stay. In addition, clinical implications of these relationships are discussed and suggestions for future research are presented.
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