Dawodu A H, Osibanjo O, Damole I O
College of Medicine, King Faisal University, Dammam, Saudi Arabia.
East Afr Med J. 1990 Dec;67(12):873-7.
Nutrient composition was determined in breast milk obtained by manual expression from 12 mothers who delivered prematurely (mean 32 weeks) and 15 mothers who delivered at term (mean 39.4 weeks), on days 3, 7, 14, 21 and 28 postpartum. Complete 24-hour milk expressed by five term mothers and seven preterm mothers on days 7, 14, 21 and 28 lactational ages was also recorded. In both preterm and term mothers' milk, lactose and fact concentrations increased with lactational age, while protein and mineral concentrations decreased. The preterm mothers' milk contained higher concentrations of protein, fat and minerals and lower concentrations of lactose than term mothers's milk. The fat and caloric density of milk of the mothers in this study, who were mostly of low social class, was lower than that reported from Western countries. The implication of this finding for feeding premature infants in developing countries is discussed.
对12名早产(平均32周)母亲和15名足月产(平均39.4周)母亲产后第3天、第7天、第14天、第21天和第28天手动挤出的母乳进行营养成分测定。还记录了5名足月母亲和7名早产母亲在泌乳龄第7天、第14天、第21天和第28天挤出的完整24小时母乳量。早产和足月母亲的母乳中,乳糖和脂肪浓度随泌乳龄增加,而蛋白质和矿物质浓度降低。早产母亲的母乳中蛋白质、脂肪和矿物质浓度高于足月母亲的母乳,乳糖浓度则低于足月母亲的母乳。本研究中大多为社会经济地位较低的母亲所产母乳的脂肪和热量密度低于西方国家的报道。讨论了这一发现对发展中国家喂养早产儿的意义。