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Feeding Practice, Nutrition, and Growth in Infants with Abdominal Wall Defects and Esophageal Atresia: A

Signe Sparre1,2, Gitte Zachariassen1,2,3, Mark Bremholm Ellebæk4

  • 1Hans Christian Andersen Children's Hospital, Odense University Hospital, Odense C, Denmark.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|January 2, 2023
PubMed

Insights

Breastfeeding is safe for infants with abdominal wall defects and esophageal atresia (EA), showing no negative impact on growth. Mother's milk is recommended for these infants, supporting healthy development.

Area of Science:

  • Pediatric Surgery
  • Neonatal Nutrition
  • Growth and Development

Background:

  • Infants with abdominal wall defects and esophageal atresia (EA) face growth challenges.
  • Optimal nutritional strategies for these infants remain unclear.
  • This study investigates nutrition, particularly breastfeeding, and its effect on infant growth.

Purpose of the Study:

  • To assess the impact of breastfeeding on the growth of infants with abdominal wall defects and EA.
  • To compare growth outcomes between breastfed and formula-fed infants in this population.
  • To provide evidence-based recommendations for infant nutrition.

Main Methods:

  • Registry study including infants with gastroschisis, omphalocele, or EA (2009-2020).
  • Comparison with healthy breastfed infants from the Odense Child Cohort.
  • Analysis of weight z-scores at birth, discharge, 6, and 12 months using univariate regression.

Main Results:

  • 168 infants in the study group and 403 in the control group.
  • Exclusive breastfeeding rates at discharge varied by condition (50.9%-58.3% for EA/defects, 7.7% for long-gap EA).
  • No significant growth difference at 1 year between mother's milk and formula; however, slower growth than controls was observed, with mean weight z-scores above -2 at 12 months.

Conclusions:

  • Breastfeeding can be safely established in infants with abdominal wall defects and EA.
  • Breastfeeding does not compromise growth in these vulnerable infants.
  • Mother's milk is a recommended nutritional option for infants with these conditions.
Abstract

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