Department of Pediatrics, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Department of Pediatrics, University of California, San Diego, School of Medicine, San Diego, CA, USA.
J Perinatol. 2024 Sep;44(9):1377-1381. doi: 10.1038/s41372-024-02029-8. Epub 2024 Jun 15.
Clinicians caring for small, vulnerable newborns increasingly have access to specific nutritional information about human milk through point-of-care analyzers and labeled products. It is critical for clinicians to recognize that there is considerable variability in how human milk nutritional data are derived and reported, which impacts the interpretation of nutritional values, comparison of nutritional data between products, and ultimately the ability to deliver optimal nutritional care. This article distills key issues that will enable clinicians to interpret human milk nutritional labels/analysis more effectively, ultimately allowing them to make better decisions about dietary strategies. We aim to empower clinicians to ask questions about milk sampling techniques, reported nutrient values, analysis techniques, and milk bank pooling practices. This knowledge can put human milk nutrient values in context, improve clinical care, and help to drive more rigorous research for exploring the impact of human milk feeding on infant outcomes.
临床医生在照顾弱小的新生儿时，通过即时分析器和标签产品，越来越多地获得有关人乳的具体营养信息。对于临床医生来说，重要的是要认识到人乳营养数据的得出和报告方式存在很大差异，这会影响营养值的解释、产品之间营养数据的比较，以及最终提供最佳营养护理的能力。本文提炼了一些关键问题，使临床医生能够更有效地解读人乳营养标签/分析，最终能够更好地做出有关饮食策略的决策。我们的目标是使临床医生能够提出有关牛奶采样技术、报告营养素值、分析技术和牛奶库汇集实践的问题。这些知识可以使人乳营养素值的背景更清晰，改善临床护理，并有助于推动更严格的研究，以探索人乳喂养对婴儿结果的影响。
