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Making the case for using donor human milk in vulnerable infants.

Taryn M Edwards1, Diane L Spatz

  • 1Newborn/Infant Intensive Care Unit, Children's Hospital of Philadelphia, PA 19104, USA. edwardsta@email.chop.edu

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Summary

Vulnerable infants often experience feeding intolerance. Donor human milk can supplement maternal milk, ensuring these infants receive optimal nutrition and reducing feeding intolerance incidence.

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Area of Science:

  • Neonatalogy
  • Pediatric Gastroenterology
  • Infant Nutrition

Background:

  • Vulnerable infants face feeding intolerance risks due to immature or dysfunctional gastrointestinal systems and hemodynamic instability.
  • Feeding intolerance symptoms include vomiting, water-loss stools, abdominal distension, and elevated gastric residuals.
  • Human milk is recognized for providing optimal infant nutrition and reducing feeding intolerance.

Purpose of the Study:

  • To highlight the benefits of donor human milk for vulnerable infants experiencing feeding intolerance.
  • To advocate for the establishment of donor human milk programs in healthcare institutions.

Main Methods:

  • Review of existing literature on infant feeding intolerance and human milk benefits.
  • Discussion of the role of donor human milk in supplementing maternal milk supply.
  • Emphasis on the importance of exclusive human milk diets for at-risk infants.

Main Results:

  • Human milk intake is associated with a decreased incidence of feeding intolerance in infants.
  • Donor human milk serves as a viable option when maternal milk is insufficient or unavailable.
  • Exclusive human milk diets are crucial for vulnerable infant populations.

Conclusions:

  • Implementing donor human milk programs can ensure vulnerable infants receive optimal nutrition.
  • Donor human milk supports an exclusive human milk diet, mitigating risks associated with feeding intolerance.
  • Institutional donor milk programs are essential for supporting vulnerable infants' nutritional needs.