Growth and Body Composition of Human Milk–fed Premature Infants Provided With Extra Energy and Nutrients Early After Hospital Discharge: 1‐year Follow‐up

Aimone, Ashley; Rovet, Joanne; Ward, Wendy E.; Jefferies, Ann L; Campbell, Douglas M.; Asztalos, Elizabeth; Feldman, Mark; Vaughan, Jennifer; Westall, Carol A.; Whyte, Hilary; O'Connor, Deborah L

doi:10.1097/mpg.0b013e31819bc94b

Cited by 80 publications

(57 citation statements)

References 46 publications

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“…Em estudo realizado com bebês pré-termo que permaneceram internados na Enfermaria Canguru, encontrou-se alto índice de AME após a alta hospitalar (4) , considerando que este método é uma ótima estratégia de estímulo à prática da amamentação e que a assistência recebida pela mulher durante o processo de parto, nascimento e internação conjunta influencia positivamente a amamentação (16) . Por outro lado, a utilização de fórmulas supõe, de certa forma, a predisposição materna ao desmame precoce, já que a utilização deste tipo de alimentação na hospitalização faz com que as mães se sintam mais confortáveis para o desmame, fato que as leva a deixar de oferecer ao filho o seu próprio leite e, por conseguinte todas as propriedades benéficas do leite materno (17) . A correlação entre o maior ganho ponderal e a maior idade materna esteve presente nos quatro momentos estudados, embora não tenha sido encontrada associação entre a idade materna e a prática do AM.…”

Section: Discussionunclassified

Bebês pré-termo: aleitamento materno e evolução ponderal

et al. 2014

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RESUMOO objetivo do estudo foi identifi car fatores associados à prática do aleitamento materno (AM), ao ganho ponderal e ao estado nutricional de bebês pré-termos durante os seis primeiros meses de vida e verifi car correlação entre essas variáveis e características maternas e neonatais. Estudo analítico, tipo coorte, realizado com 42 bebês pré-termos nascidos entre maio e outubro de 2008. A prevalência de AM foi de 40,5% aos seis meses e a média de ganho ponderal variou entre 18 e 40g/dia. A prática de AM esteve associada ao menor peso e à menor idade gestacional de nascimento. O ganho ponderal apresentou correlação positiva com a idade gestacional e o peso ao nascer, a idade materna e a prática do AM aos 15 dias após a alta. Ser prematuro não impediu a prática do AM; entretanto, o ganho ponderal foi maior entre aqueles nascidos com melhores condições de crescimento e maturação intrauterina. Descritores: Enfermagem Materno-Infantil; Nutrição do Lactente; Prematuro; Aleitamento Materno; Crescimento. ABSTRACTThe objective was to identify factors associated with the practice of breastfeeding (BF), weight gain and nutritional status of preterm infants during the fi rst six months of life and verify the relationship between these variables and maternal and neonatal characteristics. Analytical studies, cohort, performed with 42 preterm infants born between May and October 2008. The prevalence of BF was 40.5% at six months and mean weight gain ranged between 18 and 40g/day. The practice of BF was associated with lower weight and lower gestational age at birth. Weight gain was positively correlated with gestational age and birth weight, maternal age and the practice of breastfeeding at 15 days after discharge. Being premature has not stopped the practice of BF; however, weight gain was higher among those born with better growth and maturation in utero. Key words: Maternal-Child Nursing; Infant Nutrition; Premature; Breastfeeding; Growth. RESUMENEl objetivo fue identifi car los factores asociados con la práctica de la lactancia materna (LM), aumento de peso y el estado nutricional de los recién nacidos prematuros durante los primeros seis meses de vida y verifi car la relación entre estas variables y las características maternas y neonatales. Estudio analítico de cohorte, realizado con 42 bebés prematuros nacidos entre mayo y octubre de 2008. La prevalencia de la LM fue de 40,5% a los seis meses y la media de aumento de peso osciló entre 18 y 40g/día. La práctica de la LM se asoció con menor peso y menor edad gestacional al nacer. El aumento de peso se correlacionó positivamente con la edad gestacional y peso al nacer, la edad materna y la práctica de la LM a los 15 días después del alta. Ser prematuro no se ha detenido la práctica de la LM, sin embargo el aumento de peso fue mayor entre los nacidos con un mejor crecimiento y la maduración en el útero.

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Section: Discussionunclassified

Bebês pré-termo: aleitamento materno e evolução ponderal

et al. 2014

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“…A sample size of 22 preterm infants for each group was determined based on a previous study using a power of 80% and a significance level of 5% to detect a program effect of an increase of 5% on the body weight with favorable outcomes at 6-moCA [19]. Inclusion criteria of the study include: (1) birth at ≤34 weeks gestation; (2) birth weight ranged between 750 and 1499 g; (3) no use of any medical feeding tube at discharge; and (4) residence in Chachoengsao.…”

Section: Methodsmentioning

confidence: 99%

“…Inclusion criteria of the study include: (1) birth at ≤34 weeks gestation; (2) birth weight ranged between 750 and 1499 g; (3) no use of any medical feeding tube at discharge; and (4) residence in Chachoengsao. On the other hand, infants were excluded if they had: (1) severe respiratory problems; (2) serious congenital anomalies; (3) more than or equal to grade III periventricular or intraventricular hemorrhage; (4) surgical necrotizing enterocolitis; (5) gastrointestinal perforation; (6) severe retinopathy of prematurity; (7) severe birth asphyxia [6,19]; and also if (8) the mothers cannot communicate with researchers.…”

Section: Methodsmentioning

confidence: 99%

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Implementation of a Nutrition Program Reduced Post-Discharge Growth Restriction in Thai Very Low Birth Weight Preterm Infants

et al. 2016

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Very low birth weight (VLBW) preterm infants are vulnerable to growth restriction after discharge due to cumulative protein and energy deficits during their hospital stay and early post-discharge period. The current study evaluated the effectiveness of the preterm infant, post-discharge nutrition (PIN) program to reduce post-discharge growth restriction in Thai VLBW preterm infants. A prospective, non-randomized interventional cohort study was undertaken to assess the growth of 22 VLBW preterm infants who received the PIN program and compared them with 22 VLBW preterm infants who received conventional nutrition services. Infant’s growth was recorded monthly until the infants reached six months’ corrected age (6-moCA). Intervention infants had significantly greater body weights (p = 0.013) and head circumferences (p = 0.009). Also, a greater proportion of the intervention group recovered their weight to the standard weight at 4-moCA (p = 0.027) and at 6-moCA (p = 0.007) and their head circumference to the standard head circumference at 6-moCA (p = 0.004) compared to their historical comparison counterparts. Enlistment in the PIN program thus resulted in significantly reduced post-discharge growth restriction in VLBW preterm infants. Further research on longer term effects of the program on infant’s growth and development is warranted.

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“…Weight (+/-2 g), length (+/-0.1 cm) and head circumference (+0.1 cm) were measured weekly during hospitalization and at routine post-discharge clinic visits using standardized procedures and precision equipment as previously described [80,81]. To account for the different GA of infants, z-scores for anthropometric measurements are computed using the Fenton preterm growth charts and the World Health Organization Growth Standard after 50 weeks gestational age [82].…”

Section: Methodsmentioning

confidence: 99%

DoMINO: Donor milk for improved neurodevelopmental outcomes

et al. 2014

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BackgroundProvision of mother’s own milk is the optimal way to feed infants, including very low birth weight infants (VLBW, <1500 g). Importantly for VLBW infants, who are at elevated risk of neurologic sequelae, mother’s own milk has been shown to enhance neurocognitive development. Unfortunately, the majority of mothers of VLBW infants are unable to provide an adequate supply of milk and thus supplementation with formula or donor milk is necessary. Given the association between mother’s own milk and neurodevelopment, it is important to ascertain whether provision of human donor milk as a supplement may yield superior neurodevelopmental outcomes compared to formula.Our primary hypothesis is that VLBW infants fed pasteurized donor milk compared to preterm formula as a supplement to mother’s own milk for 90 days or until hospital discharge, whichever comes first, will have an improved cognitive outcome as measured at 18 months corrected age on the Bayley Scales of Infant Development, 3rd ed. Secondary hypotheses are that the use of pasteurized donor milk will: (1) reduce a composite of death and serious morbidity; (2) support growth; and (3) improve language and motor development. Exploratory research questions include: Will use of pasteurized donor milk: (1) influence feeding tolerance and nutrient intake (2) have an acceptable cost effectiveness from a comprehensive societal perspective?Methods/DesignDoMINO is a multi-centre, intent-to-treat, double blinded, randomized control trial. VLBW infants (n = 363) were randomized within four days of birth to either (1) pasteurized donor milk or (2) preterm formula whenever mother’s own milk was unavailable. Study recruitment began in October 2010 and was completed in December 2012. The 90 day feeding intervention is complete and long-term follow-up is underway.DiscussionPreterm birth and its complications are a leading cause long-term morbidity among Canadian children. Strategies to mitigate this risk are urgently required. As mother’s own milk has been shown to improve neurodevelopment, it is essential to ascertain whether pasteurized donor milk will confer the same advantage over formula without undue risks and at acceptable costs. Knowledge translation from this trial will be pivotal in setting donor milk policy in Canada and beyond.Trial registrationISRCTN35317141; Registered 10 August 2010.

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Growth and Body Composition of Human Milk–fed Premature Infants Provided With Extra Energy and Nutrients Early After Hospital Discharge: 1‐year Follow‐up

Abstract: Adding a multinutrient fortifier to HM provided to predominantly HM-fed premature infants early after discharge results in sustained differences in weight, length, and whole-body bone mineral content, and in smaller babies, head circumference for the first year of life.

Cited by 80 publications

References 46 publications

Bebês pré-termo: aleitamento materno e evolução ponderal

Bebês pré-termo: aleitamento materno e evolução ponderal

Implementation of a Nutrition Program Reduced Post-Discharge Growth Restriction in Thai Very Low Birth Weight Preterm Infants

DoMINO: Donor milk for improved neurodevelopmental outcomes

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