Individualizing the Lipid Content of Own Mothers' Milk: Effect on Weight Gain for Extremely Low Birth Weight (ELBW) Infants ♦ 1583

Vasan, Ushanalini; Meier, Paula P.; Meier, W.; Kirsten, Denise

doi:10.1203/00006450-199804001-01605

Cited by 8 publications

(9 citation statements)

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“…Our Advancing Enteral Feedings Protocol is a three-column document outlining responsibilities for the neonatologist or NNP, bedside nurse, and mother to achieve specific feeding goals. Mothers learn about, and label with color-coded stickers, their colostrum, fresh, frozen, and lactoengineered (individualized, high-lipid, high-calorie milk) (Vasan, Meier, Meier, & Kirsten, 1998). This practice helps the bedside nurse identify and select an OMM container that is consistent with each infant's individual feeding plan.…”

Section: Breastfeeding Durationmentioning

confidence: 99%

The Rush Mothers' Milk Club: Breastfeeding Interventions for Mothers With Very‐Low‐Birth‐Weight Infants

Meier

Engstrom

Mingolelli

et al. 2004

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Section: Breastfeeding Durationmentioning

confidence: 99%

The Rush Mothers' Milk Club: Breastfeeding Interventions for Mothers With Very‐Low‐Birth‐Weight Infants

Meier

Engstrom

Mingolelli

et al. 2004

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…However, few published studies could be located in which practitioners used the creamatocrit to diagnose and manage clinical problems. Meier et al, 8,23 Vasan et al, 24 and Slusher et al 25 have used the creamatocrit in the neonatal intensive care unit (NICU) to guide the fractionation of high-lipid, high-calorie hind milk for infant feedings, and Griffin et al 26 demonstrated that the technique can be performed accurately by infants' mothers. Although there are several plausible explanations for this limited clinical application, the cumbersome equipment needed to perform the creamatocrit is a likely factor.…”

Section: Introductionmentioning

confidence: 98%

Accuracy of a User-Friendly Centrifuge for Measuring Creamatocrits on Mothers' Milk in the Clinical Setting

Meier

Engstrom

Zuleger

et al. 2006

Breastfeeding Medicine

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The creamatocrit (CRCT), a simple, accurate, and inexpensive technique for the estimation of lipid and caloric content in mothers' milk, has been used extensively in lactation research, but has not been integrated into the routine management of clinical lactation problems such as slow weight gain in mothers' milk-fed preterm and term infants. The Creamatocrit Plus is a lightweight, noiseless centrifuge with an embedded reader that automatically calculates lipid and calories from the CRCT value, making it ideal for use in the clinical setting. This study compared intra-user and inter-user reliability, the equivalence of the CRCT values obtained with the Creamatocrit Plus to the two standard techniques for performing CRCTs: the standard laboratory centrifuge with a hematocrit reader and the standard laboratory centrifuge with digital calipers, and the predictive accuracy of the Creamatocrit Plus for estimating the lipid and caloric content in mothers' milk. CRCTs were performed using the three techniques on 36 milk specimens from 12 women. Laboratory analyses of lipid and calories were performed by investigators blinded to CRCT values. The mean absolute intra-user and inter-user differences were all <1% CRCT, and the mean CRCT measures were nearly identical for the three measurement techniques. Linear correlations between CRCT and laboratory measures for lipid (r = 0.95) and calories (r = 0.94) were very high. The authors conclude that the Creamatocrit Plus can replace cumbersome laboratory equipment for measuring CRCTs in the clinical setting.

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“…Mothers' milk differs from commercial formula not only with respect to protection from morbidity but also in composition. For the VLBW infant, the most significant of these differences is in the variable lipid and caloric content of mothers' milk, which can be measured and controlled to optimize accelerated short-term weight gain (Schanler, 2001;Vasan, Meier, Meier, & Kirsten, 1998). The lipid content in mothers' milk increases markedly during a milk expression.…”

Section: Nutritional Superiority Of Mothers' Milkmentioning

confidence: 99%

Sharing the Science on Human Milk Feedings With Mothers of Very-Low-Birth-Weight Infants

Rodriguez

Miracle

Meier

2005

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Individualizing the Lipid Content of Own Mothers' Milk: Effect on Weight Gain for Extremely Low Birth Weight (ELBW) Infants ♦ 1583

Cited by 8 publications

References 0 publications

The Rush Mothers' Milk Club: Breastfeeding Interventions for Mothers With Very‐Low‐Birth‐Weight Infants

The Rush Mothers' Milk Club: Breastfeeding Interventions for Mothers With Very‐Low‐Birth‐Weight Infants

Accuracy of a User-Friendly Centrifuge for Measuring Creamatocrits on Mothers' Milk in the Clinical Setting

Sharing the Science on Human Milk Feedings With Mothers of Very-Low-Birth-Weight Infants

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