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捐赠母乳对早产儿喂养的益处。

Benefits of donor milk in the feeding of preterm infants.

机构信息

SCDU Neonatology, Università degli Studi di Torino, Italy.

出版信息

Early Hum Dev. 2013 Oct;89 Suppl 2:S3-6. doi: 10.1016/j.earlhumdev.2013.07.008. Epub 2013 Aug 6.

Abstract

Mother's own milk is widely recognized as the optimal feeding for term infants, but also provides health benefits that are of vital importance for sick and preterm infants in neonatal intensive care units (NICUs), even though the growth and neurodevelopmental needs of very premature infants are best met by appropriate fortification of human milk (HM). When mother's milk is unavailable or in short supply, donor milk (DM) represents the second best alternative and, although some nutritional elements are inactivated by the pasteurization process, it still has documented advantages compared to formula. Occasionally, the concern that the use of DM might decrease breastfeeding is being raised, but reports exist in literature showing that the use of donor HM in the NICU increases breastfeeding rates at discharge for VLBW infants. The demonstrated benefits of HM highlight the importance of educating health care professionals in breastfeeding support.

摘要

母乳被广泛认为是足月婴儿的最佳喂养方式,但对于新生儿重症监护病房(NICU)中患病和早产儿也有重要的健康益处,即使早产儿的生长和神经发育需求可以通过适当强化人乳(HM)来满足。当母乳无法获得或供应不足时,捐赠母乳(DM)是第二佳选择,尽管巴氏消毒过程会使一些营养成分失活,但与配方奶相比,它仍具有已证明的优势。偶尔会有人担心使用 DM 可能会减少母乳喂养,但文献中有报道表明,在 NICU 中使用捐赠 HM 会增加极低出生体重儿出院时的母乳喂养率。HM 的这些益处强调了对医疗保健专业人员进行母乳喂养支持教育的重要性。

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