Human-Milk Feeding after NICU Discharge

2009 ◽  
Vol 28 (6) ◽  
pp. 381-389 ◽  
Author(s):  
Barbara Wheeler
Keyword(s):  
Human Milk ◽  
Preterm Infants ◽  
Infant Health ◽  
Outcome Variable ◽  
Canadian City ◽  
Mother's Milk ◽  
Main Outcome Variable ◽  
Mother’S Milk ◽  
To Receive ◽  
Milk Feeding

Purpose:Difficulty with breastfeeding is common, and challenges are particularly pronounced for mothers of ill or preterm infants. This study explores the breastfeeding experiences of mothers of these at-risk infants to determine their breastfeeding patterns and to better understand reasons they prematurely stop breastfeeding and/or human-milk feeding (HMF).Design:A qualitative, longitudinal, descriptive design was used.Sample:The sample consisted of 144 mothers whose preterm or ill infants were cared for in either an NICU or an intermediate care nursery in a large central Canadian city; 112 mothers completed data collection to six weeks after their infants were discharged from the hospital.Main Outcome Variable:The main outcome variable was continued breastfeeding or HMF of formerly ill or preterm infants at one and six weeks after their discharge from the hospital.Results:Of infants who were being fed mother’s milk when discharged from the hospital, 71 percent continued to receive at least some mother’s milk at six weeks after discharge. Mothers reported that their own physical and emotional problems, infant health concerns, and lack of time and support were reasons for discontinuing provision of human milk.

scholarly journals Cost analysis showed that feeding preterm infants with donor human milk was significantly more expensive than mother’s milk or formula

2019 ◽  
Vol 109 (5) ◽  
pp. 959-966 ◽  
Author(s):  
Josefine Fengler ◽  
Matthias Heckmann ◽  
Anja Lange ◽  
Axel Kramer ◽  
Steffen Flessa
Keyword(s):  
Cost Analysis ◽  
Human Milk ◽  
Preterm Infants ◽  
Donor Human Milk ◽  
Mother's Milk ◽  
Mother’S Milk

scholarly journals Milk Fat Globule Glycoproteins in Human Milk and in Gastric Aspirates of Mother's Milk-Fed Preterm Infants

1998 ◽  
Vol 44 (4) ◽  
pp. 499-506 ◽  
Author(s):  
Jerry A Peterson ◽  
Margit Hamosh ◽  
Ciaran D Scallan ◽  
Roberto L Ceriani ◽  
Theresa R Henderson ◽  
...  
Keyword(s):  
Human Milk ◽  
Preterm Infants ◽  
Milk Fat ◽  
Milk Fat Globule ◽  
Mother's Milk ◽  
Fat Globule ◽  
Mother’S Milk

scholarly journals Growth Benefits of Own Mother’s Milk in Preterm Infants Fed Daily Individualized Fortified Human Milk

Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 772 ◽  
Author(s):  
Virginie de Halleux ◽  
Catherine Pieltain ◽  
Thibault Senterre ◽  
Frédéric Studzinski ◽  
Catheline Kessen ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Human Milk ◽  
Preterm Infants ◽  
Premature Infants ◽  
Vlbw Infants ◽  
Beneficial Effects ◽  
Mother's Milk ◽  
Mother’S Milk ◽  
Gain Length ◽  
Length Gain

The influence of types of human milk (HM)—raw own mother’s milk (OMM), pasteurized OMM, and donor milk (DM)—was evaluated for growth in premature infants fed exclusively HM with controlled nutritional intakes using daily individualized HM fortification (IHMF). Growth and nutritional intakes were prospectively collected in preterm infants (<32 weeks) fed IHMF and compared in infants fed predominantly (≥75%) OMM and DM. The influence of HM types (raw OMM, pasteurized OMM, and DM) on growth were also evaluated in the whole population. One-hundred and one preterm infants (birth weight 970 ± 255 g, gestational age 27.8 ± 1.9 weeks) were included. Energy (143 ± 8 vs. 141 ± 6 kcal/kg/day; p = 0.15) and protein intakes (4.17 ± 0.15 vs. 4.15 ± 0.14 g/kg/day; p = 0.51) were similar in both groups. Infants receiving predominantly OMM (n = 37), gained significantly more weight (19.8 ± 2.0 vs. 18.2 ± 2.2 g/kg/day; p = 0.002) and length (1.17 ± 0.26 vs. 0.99 ± 0.36 cm/week; p = 0.020) than those fed predominantly DM (n = 33). Stepwise multivariate analysis (n = 101) suggests that raw OMM was the major determinant of growth, contributing 22.7% of weight gain. Length gain was also related to OMM (raw + pasteurized) intakes, explaining 4.0% of length gain. In conclusion, at daily controlled similar protein and energy intakes, OMM had significant beneficial effects on weight and length versus DM in VLBW infants. This difference could be partially explained by the use of raw OMM.

Elevated Sound Levels within a Busy NICU

2005 ◽  
Vol 24 (6) ◽  
pp. 33-37 ◽  
Author(s):  
Charlene Krueger ◽  
Susan Wall ◽  
Leslie Parker ◽  
Rose Nealis
Keyword(s):  
Preterm Infants ◽  
Noise Level ◽  
Sound Level ◽  
Behavioral Effects ◽  
Outcome Variable ◽  
Sound Levels ◽  
Main Outcome Variable

Purpose: Elevated sound levels in the NICU may contribute to undesirable physiologic and behavioral effects in preterm infants. This study describes sound levels in a busy NICU in the southeastern U.S. and compares the findings with recommended NICU noise level standards.Design: NICU sound levels were recorded continuously at nine different locations within the NICU. Hourly measurements of loudness equivalent (Leq) sound level, sound level exceeded 10 percent of the time (L10), and maximum sound level (Lmax) were determined.Sample: Sound levels were sampled from nine different locations within the NICU.Main Outcome Variable: Sound levels are described using the hourly, A-weighted Leq, L10, and Lmax.Results: The overall average hourly Leq (M = 60.44 dB, range = 55–68 dB), L10 (M = 59.26 dB, range = 55–66 dB), and Lmax (M = 78.39, range = 69–93 dB) were often above the recommended sound levels (hourly Leq <50 dB, L10 <55 dB, and 1-second Lmax <70 dB). In addition, certain times of day, such as 6–7 AM and 10 AM–12 noon, were noisier than other times of day.

scholarly journals Effects of kefir consumption on carbohydrate profile of mother’s milk

2021 ◽  
Vol 11 (9) ◽  
pp. 473
Author(s):  
Tuğçe Tok Kurt ◽  
Çağlar Gökırmaklı ◽  
Zeynep B Guzel-Seydim
Keyword(s):  
Immune System ◽  
Human Milk ◽  
Control Group ◽  
Birth Mothers ◽  
Pathogenic Organism ◽  
Liquid Chromatographic Method ◽  
Mother's Milk ◽  
Mother’S Milk ◽  
The Rich ◽  
Liquid Chromatographic

Background: Human milk contains the nutrients necessary for the growth and development of babies as it contains essential bioactive components to support the immune system. Galactooligosaccharides which are important indigestible prebiotics, help multiply the growth of beneficial microorganisms selectively and inhibit the growth of the pathogenic organism. The nutrition of the mother is essential since it affects the composition of mother’s milk. Kefir affects the digestive system, lactose intolerance immune system, anti-microbial effects, probiotic and prebiotic features. However, there is no report on how kefir consumption may have effects on composition of mother’s milk. In this aspect, this study aimed to determine the effects of kefir consumption on the carbohydrate profiles of the mother’s milk. Methods: This study started immediately after birth, mothers were fed with 500 ml/day of kefir made from kefir grains for 30 days in the KF group. Mothers who are in the control group (KI) continued their regular diet. Mother’s milk was collected on the 10th, 20th, and 30th day and stored at 4ºC. Carbohydrate profile including GOS was determined using the liquid chromatographic method with the HI-PLEX column.Results: The mean lactose concentrations of mother’s milk who consumed kefir were 4,68; 4,72; 5,89 g/100ml on days 10th, 20th, and 30th, respectively. Glucose concentrations were 0,29; 0,08; 0,21 g/100ml on 10th, 20th, 30th days, respectively. For the mother’s milk samples in the control group, the averages of lactose concentration were 5,42; 5,73; 5,51 g/100ml on days 10th, 20th, and 30th. GOS peaks were specified depending on the rich content of prebiotics. Conclusion: Consumption of authentic kefir may have effect on carbohydrate profile, including GOS of mother’s milk. Keywords: Human milk, kefir, prebiotic, galactooligosaccharides  

Concentrating human milk: an innovative point-of-care device designed to increase human milk feeding options for preterm infants

2020 ◽  
Author(s):  
Elizabeth R. Schinkel ◽  
Elizabeth R. Nelson ◽  
Bridget E. Young ◽  
Robin M. Bernstein ◽  
Sarah N. Taylor ◽  
...  
Keyword(s):  
Human Milk ◽  
Preterm Infants ◽  
Point Of Care ◽  
Milk Feeding

scholarly journals Mothers’ Breastfeeding Experiences in the NICU

2011 ◽  
Vol 30 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Camille A. Boucher ◽  
Paola M. Brazal ◽  
Cynthia Graham-Certosini ◽  
Kathryn Carnaghan-Sherrard ◽  
Nancy Feeley
Keyword(s):  
Preterm Infants ◽  
Premature Infants ◽  
Outcome Variable ◽  
Breastfeeding Initiation ◽  
Extensive Literature ◽  
Convenience Sample ◽  
Maternal Experience ◽  
Personal Motivation ◽  
Qualitative Descriptive ◽  
Main Outcome Variable

AbstractPurpose: There is extensive literature on the physical and physiologic benefits of breastfeeding premature infants. Less is known about mothers’ perceptions of their own breastfeeding experience. This study explored the maternal experience of breastfeeding initiation and progression in the NICU.Design: A qualitative, descriptive design.Sample: A convenience sample of ten mothers was recruited from a Level III NICU. The sample included mothers of infants between 33 and 36 weeks gestational time at the time of the interview who had been in the NICU for at least five days.Main Outcome Variable: Mothers’ breastfeeding experiences with preterm infants in an NICU.Results: Mothers described their breastfeeding experiences in terms of maintaining milk production, the regimen of the NICU, mother as learner, personal motivation, and forming attachments.

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