Review highlights the importance of donor human milk being available for very low birth weight infants.

Review highlights the importance of donor human milk being available for very low birth weight infants.
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DOI:
10.1111/apa.16296
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发表时间:
2022-06
期刊:
影响因子:
3.8
通讯作者:
Picaud, Jean-Charles
Picaud, Jean-Charles
中科院分区:
医学4区
文献类型:
--
作者:
Picaud, Jean-Charles

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本文的目的是审查的作用,捐赠母乳发挥照顾极低出生体重儿(VLBW)。本次审查的重点是截至2021年8月8日以英文和法文发表的学术论文和背景资料。供体母乳为住院新生儿的成功母乳喂养提供了有用的桥梁,并且不会对母亲自己的母乳使用和出院时的母乳喂养率产生负面影响。它有助于预防早产的主要并发症,特别是月经后36周的坏死性小肠结肠炎,这在以牛奶为基础的配方奶粉喂养的婴儿中更为常见。当它被仔细强化时,它支持大多数早产儿的出生后生长。组织良好、可获取的母乳库必须满足住院婴儿的需求,捐赠母乳必须优先用于从中获得最大健康益处的患者,包括极早产儿和足月或近足月出生的外科消化道畸形或先天性心脏病患者。由组织良好的母乳库分发的安全、高质量的供体母乳对于最脆弱的住院新生儿至关重要。
The aim of this paper was to review the role that donor human milk plays in caring for very low birth weight (VLBW) infants. This review focussed on academic papers and background information published in English and French up to 8 August 2021. Donor human milk provides a useful bridge to successful breastfeeding in hospitalised neonates and does not have a negative impact on the use of mother's own milk and breastfeeding rates at discharge. It helps to prevent key complications of prematurity, particularly necrotising enterocolitis up to 36 weeks of postmenstrual age, which is more common in infants fed formulas based on cows' milk. When it is carefully fortified, it supports the postnatal growth of the majority of very preterm infants. Well‐organised, accessible human milk banks are required to cover the needs of hospitalised infants, and donor human milk must be prioritised for patients who derive the greatest health benefit from it. These include very preterm infants and those born at term, or near term, with surgical digestive malformations or congenital heart disease. Safe, high‐quality donor human milk, which is distributed by well‐organised human milk banks, is essential for the most vulnerable hospitalised neonates.
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