[Feeding practices with human milk in newborns less than 1.500 g or less than 32 weeks].

Abstract

INTRODUCTION There is currently no unified policy on either breastfeeding support or enteral nutrition practices, as regards human milk (HM) in pre-term newborns. The aim of this study was to describe breastfeeding support measures, as well as the use of HM in very preterm infants in Spanish public hospitals. METHOD A questionnaire on enteral feeding practices was distributed. Data were analysed from units caring for newborns less than 32 weeks or 1,500g. A univariate analysis was performed comparing level ii and iii care units. RESULTS There was a 91% response rate. A total of 93 units cared for infants less than 32 weeks or 1,500g (17 level ii and 76 level iii), and 49% of the units recorded the breastfeeding rate on discharge. Around 75% (70/93) had a guideline on managing HM (level iii 81 vs. level ii 47%, P=.002), and 25% had access to donor human milk. Just under half (46%) started trophic feeding in the first 6h. Target enteral feeding volume in stable preterm infants was ≥ 180ml/kg/day in 89% of the units (level iii 93% vs. level ii 70%, P =.017). HM fortifier was used in 96% of the units. In 92%, it was added when the required enteral volume was tolerated. In 59% of the units, adjustments in the quantity of fortifier were made according to weight, and in 36%, it depended on analytical criteria. Some units (9%) used pure protein fortifier. CONCLUSIONS There is a marked variability in breastfeeding support measures and in feeding practices of preterm infants in Spanish neonatal units.

DOI: 10.1016/j.anpedi.2015.08.013

Cite this paper

@article{AlonsoDaz2016FeedingPW, title={[Feeding practices with human milk in newborns less than 1.500 g or less than 32 weeks].}, author={Clara Alonso-D{\'i}az and Isabel Utrera-Torres and Concepci{\'o}n de Alba-Romero and Beatriz Flores-Ant{\'o}n and Mar{\'i}a L{\'o}pez-Maestro and David Lora-Pablos and Carmen Rosa Pall{\'a}s-Alonso}, journal={Anales de pediatria}, year={2016}, volume={85 1}, pages={26-33} }