Open AccessTolerance in Preterm Infants Fed Exclusively with Human Milk. Prospective Analytic Study
Author(s) -
Pasqua Anna Quitadamo,
Chiara Cisternino,
Carmela Parente,
Paola Lurdo,
Massimiliano Copetti,
Giuseppina Palumbo,
Maria Assunta Gentile,
Pierpaolo Cristalli
Publication year - 2020
Publication title -
nursing and health care
Language(s) - English
Resource type - Journals
ISSN - 2573-3877
DOI - 10.33805/2573.3877.145
Subject(s) - incidence (geometry) , medicine , prospective cohort study , zoology , pediatrics , biology , mathematics , geometry
Human milk is the best feeding for premature infants. When Own Mother’s Milk (OMM) is insufficient or unavailable, the alternative is represented by the Donor Milk (DM). OMM and DM must be fortified to support the adequate growth. Objectives: Evaluation of the food tolerance on preterm fed exclusively with fortified Human Milk (HM).Materials and Methods: This prospective analysis has been performed on a sample of 48 preterm with GA ≤ 32 weeks. Gastric Residual (GR), Vomiting (V) and Feeding Suspension (FS) are the parameters performed. We identified two categories (OMM/DM) and 4 groups: newborns fed exclusively with OMM (EOMM), with prevalent OMM (POMM), with exclusively DM (EDM) and with prevalent DM (PDM).Results: The overall incidence of GRs was 18%, the incidence of bilious residuals was 4%, the incidence of Vs was 4.5%, there was no indication of blood in the stool, the total percentage of days of FS was 12.7%. There was no statistical correlation between the incidence of GR, V, FS in the two categories (OMM/DM). The relationship between the kind of feeding and the GA or the BW was not statistically significant.Conclusions: The study highlights the irreplaceability of the OMM in feeding the preterm and that the DM is a valid substitute of OMM.