Donor milk intake and infant growth in a South African neonatal unit: a cohort study

Autor: Hayley Sparks, Lucy Linley, Jennifer L. Beaumont, Daniel T. Robinson
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: International Breastfeeding Journal, Vol 13, Iss 1, Pp 1-7 (2018)
Druh dokumentu: article
ISSN: 1746-4358
DOI: 10.1186/s13006-018-0183-8
Popis: Abstract Background Implications of donor milk feedings on infant growth in resource limited settings remain uncertain. This knowledge gap includes the impact of donor milk availability on infant intake of mother’s own milk. Therefore, this investigation aimed to measure intake and growth in infants receiving donor milk when born to women from resource limited backgrounds with high rates of human immunodeficiency virus (HIV). Methods A retrospective cohort study enrolled eligible infants admitted to a South African combined neonatal intensive and secondary high care unit, within a one year admission period during 2015, with signed consent for donor milk feedings. A certified milk bank provided donor milk. Daily nutritional intake during the first month was recorded. Details included proportional intake of donor milk, mother’s own milk and infant formula. The primary outcome of infant growth velocity from day back to birth weight to discharge was calculated when length of stay was ≥14 days. Analyses primarily used T-tests; mixed effects models compared weekly calorie intake. Results One hundred five infants with donor milk consent were born at 30.9 ± 3.6 weeks of gestation, weighing 1389 ± 708 g. Forty percent of mothers had HIV. Infant growth velocity did not differ based on percent of feedings as donor milk (≥ 50%: 11.8 ± 4.9 g/kg/d;
Databáze: Directory of Open Access Journals
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