Use of Donor Breastmilk in the Nutrition Management of Chronic Renal Failure: Three Case Histories

Anderson, A D; Arnold, Lois D.W.

doi:10.1177/089033449300900430

Cited by 11 publications

(6 citation statements)

References 1 publication

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“…10 Premature infants fed human milk have reduced incidence of sepsis 11-13 and other infections. 14 Human milk is also used in the treatment of metabolic disorders, 15 chronic renal failure, 16 and failure to thrive. 17…”

Section: Introductionmentioning

confidence: 99%

The Nutritive and Immunoprotective Quality of Human Milk beyond 1 Year Postpartum

2013

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Donor human milk is critical for the fragile preterm infant who does not have access to his or her mother's milk, improving survival rates and quality of survival and decreasing hospital stay. Despite the opening of donor milk banks around the world, shortages continue as demand for donor milk exceeds supply. One potential means of increasing supply is by reducing exclusion criteria that prohibit mothers from donating milk based on duration of lactation. Minimal research has been done on the composition of human milk during the second year of lactation, with most research focusing on the nutritive compounds and not the immunoprotective compounds. Several immunoprotective compounds, including lysozyme, lactoferrin, secretory immunoglobulin A, and oligosaccharides, are abundant in human milk compared to bovine-based infant formula and are partially or fully retained during Holder pasteurization, making them an important differentiating feature of donor milk. A PubMed search was conducted to review studies in human milk composition during the second year of lactation. Limitations of existing research include sample collection protocols, small study sizes, and use of populations that may have been at risk for nutritional deficiencies. Stable concentrations of several components were reported including protein, lactose, iron, copper, lactoferrin, and secretory immunoglobulin A. Lysozyme concentration increased during extended lactation, while zinc and calcium concentrations declined into the second year. Conflicting findings were reported on fat content, and no information was available regarding oligosaccharide content. More research is needed to create evidence-based guidelines regarding the nutritive and immunoprotective value of donor milk throughout the course of lactation.

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Section: Introductionmentioning

confidence: 99%

The Nutritive and Immunoprotective Quality of Human Milk beyond 1 Year Postpartum

2013

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“…Giuliani et al insufficiency, and cardiopathies with failure to thrive due to feeding intolerance. [5][6][7][8] This paper aims to present and discuss the published evidence regarding the benefits derived from the use of DHM for preterm infants, with a comment on the main concerns and challenges limiting a wider use.…”

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confidence: 99%

Donor milk: current perspectives

Giuliani¹,

Rovelli²,

Peila³

et al. 2014

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Mother's own milk is widely recognized as the optimal feeding for term infants, but increasing evidence exists of its benefits also for sick and preterm infants in neonatal intensive care units. However, the nutritional needs for appropriate growth and neurodevelopmental outcomes of such a particular population of infants should be attentively evaluated, considering also the indication to an appropriate fortification of human milk. The target is to achieve growth potential for preterm newborns while ensuring good metabolic outcomes and normal neurological development. When mother's milk is unavailable or in short supply, donor human milk (DHM) represents the second best choice and, although somewhat modified by the Holder pasteurization process, it preserves many benefits when compared to formula, as documented by more and more reports, randomized controlled trials, and meta-analyses published in the past few years. Evidence exists of the protection exerted by DHM from necrotizing enterocolitis, while further studies are required to look at possible beneficial effects regarding infections, bronchopulmonary dysplasia, long-term cardiovascular risk factors, feeding tolerance, neurological outcome, and allergy. Finally, the concern that the use of DHM might decrease preterm infant breastfeeding is being raised. Conversely, publications exist showing that the use of DHM in the neonatal unit increases breastfeeding rates at discharge for infants of very low birth weight.

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“…9 In addition, babies with renal abnormalities, food allergies, formula intolerance, failure to thrive, and inborn errors of metabolism often have improved outcomes when fed donor human milk if the mother's own is not available. [10][11][12][13]…”

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confidence: 99%

Guidelines for Establishing a Donor Human Milk Depot

2009

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Human milk is the preferred choice for infant feeding. When a sick or premature infant's own mother's milk is unavailable, donor human milk is becoming more widely used. Many potential milk donors do not live within close proximity to the 10 North American not-for-profit milk banks. Transporting milk via commercial carriers can be inconvenient and costly for recipient banks. A network of donor human milk depots is one practical way to increase the quantity of available donor human milk. This article provides guidelines and practical suggestions for establishing a donor human milk depot.

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Use of Donor Breastmilk in the Nutrition Management of Chronic Renal Failure: Three Case Histories

Cited by 11 publications

References 1 publication

The Nutritive and Immunoprotective Quality of Human Milk beyond 1 Year Postpartum

The Nutritive and Immunoprotective Quality of Human Milk beyond 1 Year Postpartum

Donor milk: current perspectives

Guidelines for Establishing a Donor Human Milk Depot

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