Optimizing Own Mother’s Milk Supply for NICU Babies

Gupta, Sneha; Parikh, Tushar

doi:10.1177/0973217920922398

Cited by 4 publications

(4 citation statements)

References 37 publications

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“…By avoiding or reducing the use of fortifiers, feeding concentrated MOM may ensure that these enzymes are most active in the neonatal gut versus interacting with a fortifier while in a storage container. A recent study indicated that most mothers of preterm infants in NICUs who are physically able to and desire to establish lactation can establish an adequate maternal milk supply [35][36][37]. In a survey of parents whose babies had been in NICUs, the majority associated their baby's feeding fortification in the NICU with feelings of powerlessness, inadequacy, disappointment, and worry [38].…”

Section: Discussionmentioning

confidence: 99%

Point-of-care human milk concentration by passive osmosis: comprehensive analysis of fresh human milk samples

Schinkel,

Nelson,

Kim

et al. 2024

J Perinatol

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Objective Preterm infants need enrichment of human milk (HM) for optimal growth. This study evaluated a novel, point-of-care human milk concentration (HMC) process for water removal from fresh HM samples by passive osmotic concentration. Study design Nineteen fresh HM samples were concentrated by incubation with the HMC devices for 3 h at 4 °C. Pre- and post-concentration HM samples were compared by HM properties for: pH, osmolality, macronutrients, enzyme activity, bioactive, and total cell viability. Results Passive osmotic concentration reduced HM volume by an average of 16.3% ± 3.8% without a significant effect on pH or cell viability. Ten of the 41 HM components did not differ significantly (p > 0.05) between pre- and post-concentration samples. Twenty-three increased within the expected range by volume reduction. Six increased more than expected, two less than expected, and none decreased significantly. Conclusion Passive osmotic concentration of fresh HM can concentrate HM components by selective removal of water. HM osmolality and pH remained within neonatal feeding parameters.

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Section: Discussionmentioning

confidence: 99%

Point-of-care human milk concentration by passive osmosis: comprehensive analysis of fresh human milk samples

Schinkel,

Nelson,

Kim

et al. 2024

J Perinatol

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“…Owing to the many benefits of breastfeeding to the premature neonates, breastfeeding should be encouraged in the NICU. Breastfeeding in the Neonatal Intensive Care Unit (NICU) can be promoted by among others the following ways ( 33 , 57 , 36 ); Family-centred approach Skin-to-skin contact –kangaroo mother care Early and frequently expressing breast milk from both breasts; and Support from peers Lactation counselling Involving mothers in the care of neonate admitted to the NICU Use of human donor breast milk In the event that the milk from the mother is unavailable, human donor breast milk from milk banks can be used. Because it is pasteurized, human donor breast milk has reduced bioavailability than mother's breast milk and may therefore be used only until the mother's breast milk is available ( 1 , 66 ).…”

Section: Breast Milk Dilemma During the Pandemicmentioning

confidence: 99%

Section: Breastfeeding Promotion In Neonatal Intensive Care Unit (Nicu)mentioning

confidence: 99%

Breastfeeding during the COVID-19 pandemic

Chanda

Chen

2023

Front. Pediatr.

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The coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has caused many significant changes to all aspects of day to day life. The disease has spread and reached pandemic proportions. The principle route of transmission is the respiratory route. Infants, pregnant women and breastfeeding mothers have all been affected. Many interventions and guidelines from important societies have been instituted in order to curb the transmission of the disease. These have involved both pharmacological and non-pharmacological methods. COVID-19 vaccines have also emerged as important methods of primary prevention of the disease. But several questions have been raised concerning the safety and efficacy of their use in pregnant and breastfeeding mothers. It has also not been clear if the vaccines are effective in generating a robust immune response in the pregnant women and breastfeeding mothers to confer passive immunity to the fetuses and infants, respectively. And they have not been tested in infants. The aspect of infant feeding has equally been affected. Although breast milk has not been known to serve as the vehicle of transmission of the virus, there is still some lack of uniformity of practice regarding breastfeeding when a mother has SARS-CoV-2 infection. This has led to infant feeding being done by the use of commercial formula feeds, pasteurized human donor breast milk, feeding on the mother's own expressed breast milk by a care giver and directly breastfeeding with skin to skin contact. This is despite breast milk being the most physiologically appropriate type of feed for infants. Therefore the pertinent question remains; should breastfeeding continue during the pandemic continue? This review also seeks to analyse the vast amount of scientific information regarding the subject and to synthesize science-based information

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“…1 . Für die erfolgreiche Initiierung der Laktation essentiell ist regelmäßiges Abpumpen, wobei mindesten 8 Abpumpvorgänge pro Tag durchgeführt werden sollten 2 . Empfohlen wird vor dem Kind abzupumpen, oder wenn dies nicht möglich ist ein Bild oder ein Video des Kindes beim Abpumpen anzusehen, um die Produktion von Oxytocin anzuregen.…”

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