Edwards Taryn M, Spatz Diane L
Newborn/Infant Intensive Care Unit, Children's Hospital of Philadelphia, PA 19104, USA.
Adv Neonatal Care. 2012 Oct;12(5):273-8; quiz 279-80. doi: 10.1097/ANC.0b013e31825eb094.
Vulnerable infants are at an increased risk for feeding intolerance due to immaturity or dysfunction (ie, congenital anomaly or obstruction) of the gastrointestinal system and/or hemodynamic instability. Symptoms of feeding intolerance include vomiting, water-loss stools, increased abdominal girth, and increased gastric residuals. It has been well documented that human milk provides optimal nutrition for infants and decreases the incidence of feeding intolerance. Donor human milk can be used for these at-risk infants to supplement the mother's own milk supply if insufficient or if the mother has decided not to or is unable to provide human milk for her infant. Establishing a donor human milk program within your institution will allow an opportunity for all vulnerable infants to receive an exclusive human milk diet.
由于胃肠道系统不成熟或功能障碍（如先天性异常或梗阻）和/或血流动力学不稳定，脆弱婴儿出现喂养不耐受的风险增加。喂养不耐受的症状包括呕吐、水样便、腹围增加和胃残余量增加。已有充分文献证明，母乳为婴儿提供最佳营养，并可降低喂养不耐受的发生率。如果母亲自身乳汁供应不足，或母亲决定不提供或无法为婴儿提供母乳，捐赠母乳可用于这些高危婴儿，以补充母亲的乳汁供应。在您的机构内建立捐赠母乳项目，将为所有脆弱婴儿提供接受纯母乳喂养的机会。
