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.
Abstract