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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.
Insights
Donor breast milk (DBM) feeding in preterm infants did not significantly impact growth. However, nutrient intake and supplementation increased, suggesting a successful DBM program implementation.
Area of Science:
- Neonatal Nutrition
- Pediatric Growth Studies
Background:
- Donor breast milk (DBM) feeding in preterm infants is associated with suboptimal growth compared to formula.
- Zinc deficiency in DBM is a concern for supporting adequate infant growth.
Purpose of the Study:
- To compare infant growth from birth to discharge before and after implementing a DBM program.
- To assess changes in macro- and micronutrient intake and the incidence of poor growth.
Main Methods:
- Retrospective cohort study of 1069 preterm infants (<33 weeks gestational age or <1500g birthweight).
- Growth assessed by Z-scores of weight, length, and head circumference from birth to discharge.
- Utilized an adjustable feeding protocol with precise serial length measurements.
Main Results:
- No significant decrease in infant growth was observed after DBM program implementation.
- Energy and protein intake increased by 5%.
- Frequency of zinc and vitamin D supplementation increased by over 30%.
Conclusions:
- Implementing a DBM program with an adjustable feeding protocol did not negatively impact growth in preterm infants.
- Increased nutrient intake and supplementation were noted post-DBM implementation.
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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