Abstract
Breast milk is the gold standard for full term babies as well as premature babies. Breast milk provides nutritional, gastroenterological, immunological, neurodevelopmental and psychological benefits to the premature baby. These benefits decrease acute morbidities and provide long term benefits. Despite the knowledge that breast milk is best, many obstacles must be overcome for a premature infant to receive optimal nutrition from breast milk. Insufficient amount and difficulty in pumping are some issues that are easily solved with education and support. Inadequacy of minerals and electrolytes in breast milk after one month may be overcome with the use of commercial fortifiers for the optimal growth of the growing premature baby. The use of donor breast milk is increasing. It is the responsibility of the medical personnel to promote breast milk in premature babies by being concerned about the obstacles and preventing problems from arising beforehand.
References
1. Gartner LM, Morton J, Lawrence RA, Naylor AJ, O'Hare D, Schanler RJ, Eidelman AI. American Academy of Pediatrics Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics. 2005. 115:496–506.
2. Hambraeus L. Proprietary milk versus human breast milk in infant feeding, a critical appraisal from the nutritional point of view. Pediatr Clin North Am. 1977. 24:17–36.
3. Sheard NF, Walker WA. The role of breast milk in the development of the gastrointestinal tract. Nutr Rev. 1988. 46:1–8.
4. Hylander MA, Strobino DM, Dhanireddy R. Human milk feedings and infection among very low birth weight infants. Pediatrics. 1998. 102:e38.
5. Pinelli J, Saigal S, Atkinson SA. Effect of breastmilk consumption on neurodevelopmental outcomes at 6 and 12 months of age in VLBW infants. Adv Neonatal Care. 2003. 3:76–87.
6. Whitelaw A, Heisterkamp G, Sleath K, Acolet D, Richards M. Skin to skin contact for very low birthweight infants and their mothers. Arch Dis Child. 1988. 63:1377–1381.
7. Schanler RJ. The use of human milk for premature infants. Pediatr Clin North Am. 2001. 48:207–219.
8. Schanler RJ, Hurst NM, Lau C. The use of human milk and breastfeeding in premature infants. Clin Perinatol. 1999. 26:379–398.
10. Tyson JE, Kennedy KA. Trophic feedings for parenterally fed infants. Cochrane Database Syst Rev. 2005. (3):CD000504.
11. Darwish Ael M, Dakroury AM, el-Feel MS, Nour NM. Comparative study on breast milk of mothers delivering preterm and term infants--protein, fat and lactose. Nahrung. 1989. 33:249–251.
12. Sin JB. Enteral feeding for preterm infants-benefits and risks. J Korean Soc Neonatol. 2009. 16:121–130.
13. Friel JK, Martin SM, Langdon M, Herzberg GR, Buettner GR. Milk from mothers of both premature and full-term infants provides better antioxidant protection than does infant formula. Pediatr Res. 2002. 51:612–618.
14. Muller G, Bernsau I, Muller W, Weissbarth-Reidel E, Natzchka J. Cow milk protein antigens and antibodies in serum of premature infants during the first 10 days of life. J Pediatr. 1986. 109:869–873.
15. Savilahti E, Järvenpää A-L, Räihä NC. Serum immunoglobulins in preterm infants: comparison of human milk and formula feeding. Pediatrics. 1983. 72:312–316.
16. Murphy JF, Neale ML, Matthews N. Antimicrobial properties of preterm breast milk cells. Arch Dis Child. 1983. 58:198–200.
17. Bode L. Recent advances on structure, metabolism, and function of human milk oligosaccharides. J Nutr. 2006. 136:2127–2130.
18. Birch DG, Birch EE, Hoffman DR, Uauy RD. Retinal development in very-low-birth-weight infants fed diets differing in omega-3 fatty acids. Invest Ophthalmol Vis Sci. 1992. 33:2365–2376.
19. Beyerlein A, Hadders-Algra M, Kennedy K, Fewtrell M, Singhal A, Rosenfeld E, Lucas A, Bouwstra H, Koletzko B, von Kries R. Infant formula supplementation with long-chain polyunsaturated fatty acids has no effect on Bayley developmental scores at 18 months of age--IPD meta-analysis of 4 large clinical trials. J Pediatr Gastroenterol Nutr. 2010. 50:79–84.
20. Wold AE, Adlerberth I. Breast feeding and the intestinal microflora of the infant--implications for protection against infectious diseases. Adv Exp Med Biol. 2000. 478:77–93.
21. Hylander MA, Strobino DM, Dhanireddy R. Human milk feedings and infection among very low birth weight infants. Pediatrics. 1998. 102:e38.
22. Schanler RJ, Shulman RJ, Lau C. Feeding strategies for premature infants: beneficial outcomes of feeding fortified human milk versus preterm formula. Pediatrics. 1999. 103:1150–1157.
23. Kleinman RE, Walker WA. The enteromammary immune system: an important new concept in breast milk host defense. Dig Dis Sci. 1979. 24:876–882.
24. Vohr BR, Poindexter BB, Dusick AM, McKinley LT, Higgins RD, Langer JC, Poole WK. National Institute of Child Health and Human Development National Research Network. Persistent beneficial effects of breast milk ingested in the neonatal intensive care unit on outcomes of extremely low birth weight infants at 30 months of age. Pediatrics. 2007. 120:e953–e959.
25. Lucas A, Morley R, Cole TJ, Lister G, Leeson-Payne C. Breast milk and subsequent intelligence quotient in children born preterm. Lancet. 1992. 339:261–264.
26. Kuschel CA, Harding JE. Multicomponent fortified human milk for promoting growth in preterm infants. Cochrane Database Syst Rev. 2004. (1):CD000343.
27. Chueh H, Kim MJ, Lee Y, Jung J. Growth and clinical efficacy of fortified human milk and premature formula on very low birth weight infants. Korean J Pediatr. 2008. 51:704–712.
28. Sweet L. Expressed breast milk as 'connection' and its influence on the construction of 'motherhood' for mothers of preterm infants: a qualitative study. Int Breastfeed J. 2008. 3:30.
29. Furman L, Minich N, Hack M. Correlates of lactation in mothers of very low birth weight infants. Pediatrics. 2002. 109:e57.
30. Hopkinson JM, Schanler RJ, Garza C. Milk production by mothers of premature infants. Pediatrics. 1988. 81:815–820.
31. Charpak N, Ruiz-Pelaez JG, Figueroa de CZ, Charpak Y. A randomized, controlled trial of kangaroo mother care: results of follow-up at 1 year of corrected age. Pediatrics. 2001. 108:1072–1079.
32. Fewtrell MS, Loh KL, Blake A, Ridout DA, Hawdon JM. Randomized double blind trial of oxytocin nasal spray in mothers expressing breastmilk for preterm infants. Arch Dis Child Fetal Neonatal Ed. 2006. 91:F169–F174.
33. Gunn AJ, Gunn TR, Rabone DL, Breier BH, Blum WF, Gluckman PD. Growth hormone increases breast milk volumes in mothers of preterm infants. Pediatrics. 1996. 98:279–282.
34. Hansen WH, McAndrew S, Harris K, Zimmerman MB. Metoclopramide effect on breastfeeding the preterm infant: a randomized trial. Obstet Gynecol. 2005. 105:383–389.
35. da Silva OP, Knoppert DC, Angelini MM, Forret PA. Effect of domperidone on milk production in mothers of premature newborns a randomized double-blond, placebo-controlled trial. CMAJ. 2001. 164:17–21.
36. Food and Drug Administration. FDA warns against women using unapproved drug, domperidone, to milk production. Web Site: FDA Talk Papers Page. Available at: http://www.fda.gov/bbs/topics/ANSWERS/2004/ANS01292.html.
37. Chen CH, Wang TM, Chang HM, Chi CS. The effect of breast-and bottle-feeding on oxygen saturation and body temperature in preterm infants. J Hum Lact. 2000. 16:21–27.
38. Colaizy TT, Morriss FH. Positive effect of NICU admission on breastfeeding of preterm US infants in 2000 to 2003. J Perinatol. 2008. 28:505–510.
39. Henderson TR, Fay TN, Hamosh M. Effect of Pasteurization on long chain polyunsaturated fatty acid levels and enzyme acitivities of human milk. J Pediatr. 1998. 132:876–878.
40. Van Zoeren-Grobben D, Shirijver J, Van Den Berg H, Berger HM. Human milk vitamin content after pasteurization, storage, or tube feeding. Arch Dis Child. 1987. 62:161–165.
41. Quigley M, Henderson G, Anthony MY, McGuire W. Formula milk versus donor breast milk for feeding preterm or low birth weight infants. Cochrane Database Syst Rev. 2007. (4):CD002971.
42. Singhal A, Cole TJ, Fewtrell M, Lucas A. Breastmilk feeding and lipoprotein profile in adolescents born preterm: follow-up of a prospective randomized study. Lancet. 2004. 363:1571–1578.