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Published on: February 15, 2018
Growth after implementing a donor breast milk program in neonates <33 weeks gestational age or birthweight
Mariela Sanchez-Rosado1,2, Cheryl S Lair3, Audrey Edwards3
1Division of Neonatal-Perinatal Medicine, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Background:
Donor breast milk (DBM) feeding has been associated with less growth than formula in preterm infants. Zinc content in DBM is insufficient to support growth in preterm infants.
Objective:
To compare growth from birth to discharge, macro- and micronutrient intake and the frequency of poor growth before (Epoch-1) and after (Epoch-2) implementing a DBM program.
Methods:
Retrospective cohort study of 1069 infants born at < 33 weeks' gestational age or birthweight < 1500 g and fed using our adjustable feeding protocol with accurate serial length measurements. Growth was assessed by changes in Z-scores of weight, length and fronto-occipital circumference from birth to discharge.
Results:
Growth did not decrease significantly in Epoch-2. However, energy and protein intake increased by 5% and frequency of zinc and vitamin D supplementation increased by >30%.
Conclusions:
DBM implementation did not significantly decrease growth from birth to discharge using our adjustable feeding protocol.
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