Parker Leslie A, Koernere Rebecca, Fordham Keliy, Bubshait Hussah, Eugene Alissandre, Gefre Adrienne, Bendixen Marion
College of Nursing, University of Florida, Box 100187 College of Nursing, Gainesville, FL, USA.
College of Nursing, University of Florida, Box 100187 College of Nursing, Gainesville, FL, USA.
Crit Care Nurs Clin North Am. 2024 Mar;36(1):119-133. doi: 10.1016/j.cnc.2023.09.002. Epub 2023 Oct 16.
Mother's own milk (MOM) is known to decrease complications in preterm infants and when unavailable, it is recommended that preterm very low-birth weight infants be fed donor human milk (DHM). Due to the pasteurization, processing, and lactation stage of donors, DHM does not contain the same nutritional, immunologic, and microbial components as MOM. This review summarizes the differences between MOM and DHM, the potential effects on health outcomes, and the clinical implications of these differences. Finally, implications for research and clinical practice are discussed.
已知母乳可降低早产儿的并发症发生率，若无法获得母乳，则建议对早产极低出生体重儿喂食捐赠人乳（DHM）。由于捐赠者的巴氏杀菌、加工过程以及泌乳阶段等因素，捐赠人乳所含的营养、免疫和微生物成分与母乳不同。本综述总结了母乳与捐赠人乳之间的差异、对健康结局的潜在影响以及这些差异的临床意义。最后，还讨论了对研究和临床实践的启示。
