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Human Milk Fortification in India.

Neelam Kler1, Anup Thakur, Manoj Modi

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Human milk fortification (HMF) is standard in developed nations but not routine for preterm infants in India due to safety and cost concerns. More Indian data is needed on HMF

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Area of Science:

  • Neonatal nutrition
  • Pediatric gastroenterology

Background:

  • Human milk fortification (HMF) is a standard practice for preterm infants in developed countries.
  • Its use is not routine in India for very-low-birthweight infants.
  • Concerns include high osmolality, feed intolerance, necrotizing enterocolitis, contamination risk, and cost.

Purpose of the Study:

  • To highlight issues concerning human milk fortification in India.
  • To address the limited data on the safety and short-term benefits of HMF in the Indian context.

Main Methods:

  • This chapter reviews existing literature and discusses concerns relevant to the Indian healthcare system.
  • Focuses on challenges and considerations for implementing HMF in India.

Main Results:

  • Limited data from India exists regarding the safety and efficacy of HMF.
  • Significant concerns regarding tolerance, contamination, and cost are prevalent in the Indian setting.

Conclusions:

  • Human milk fortification presents unique challenges in India.
  • Further research is required to establish safety and benefits before routine implementation in Indian very-low-birthweight infants.