Dilemmas in human milk fortification.

Dilemmas in human milk fortification.
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DOI:
10.1038/s41372-022-01502-6
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发表时间:
2023-01
影响因子:
2.9
通讯作者:
Good, Misty
Good, Misty
中科院分区:
医学3区
文献类型:
--
作者:
Hair, Amy B.;Scottoline, Brian;Good, Misty

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强化母乳是照顾极低出生体重(VLBW)婴儿的标准,是支持足够的出生后生长和发育所必需的。获得足够的生长速度和防止生长停滞对于发展新生儿大脑和优化长期神经发育结果至关重要。母乳是喂养早产儿的黄金标准营养,然而,它不能提供支持极低出生体重儿生长所需的营养。在决定使用母乳(如果可用)或捐献者母乳之后,围绕使用哪种防御剂、何时防御工事和防御工事的持续时间的额外处理决定,存在许多两难境地。在这篇文章中,我们将回顾母乳与供体母乳的区别,不同类型的母乳强化剂,最佳的强化时机,并讨论何时停止母乳强化。
Fortification of human milk is the standard of care for very low birth weight (VLBW) infants and is required to support adequate postnatal growth and development. Achieving adequate growth velocity and preventing growth faltering is critical for the developing neonatal brain and optimizing long-term neurodevelopmental outcomes. Mother’s milk is the gold standard nutrition to feed preterm infants, however, it does not provide the nutrients needed to support the growth of VLBW infants. After the decision is made to use mother’s milk (if available) or alternatively, donor human milk, many dilemmas exist with regards to additional treatment decisions surrounding the type of fortification to use, when to fortify, and the duration of fortification. In this article, we will review the differences in mother’s milk compared to donor milk, the different types of human milk fortifiers, the optimal timing of fortification, and discuss when to discontinue human milk fortification.
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