Human milk for the premature infant

Mark A Underwood1

  • 1Department of Pediatrics, University of California Davis, Sacramento, CA 95817, USA. munderwood@ucdavis.edu

Insights

Mother's own milk is crucial for premature infants, improving growth and reducing serious health risks like necrotizing enterocolitis. Donor milk is an alternative but has limitations.

Area of Science:

  • Neonatal nutrition and developmental pediatrics.

Background:

  • Premature infants face significant health risks including growth failure, developmental delays, necrotizing enterocolitis, and late-onset sepsis.
  • Human milk from mothers delivering prematurely is nutritionally superior, containing more protein and bioactive molecules.

Purpose of the Study:

  • To highlight the benefits of mother's own milk for premature infants.
  • To discuss the role and challenges of donor milk for premature infants.

Main Methods:

  • Review of existing literature on neonatal nutrition and outcomes.
  • Analysis of the nutritional composition of premature mother's milk versus donor milk.

Main Results:

  • Mother's own milk significantly enhances growth and neurodevelopment in premature infants.
  • Utilizing mother's own milk reduces the incidence of necrotizing enterocolitis and late-onset sepsis.
  • Donor milk, while a viable option, requires pasteurization and presents nutritional and supply challenges.

Conclusions:

  • Mother's own milk should be the primary enteral nutrition source for premature infants.
  • Donor milk serves as a critical resource when mother's own milk is insufficient, despite its limitations.