Alonso Díaz, Clara Utrera Torres, María Isabel Alba Romero, Concepción de Flores Antón, Beatriz López Maestro, María Lora Pablos, David Pallás Alonso, Carmen Rosa
Prácticas de alimentación con leche materna en recién nacidos menores de 1.500 g o de menos de 32 semanas. [artículo] - Anales de pediatría (Barcelona, Spain:2003), 2016 - 85(1):26-33.
Formato Vancouver:
Alonso Díaz C, Utrera Torres I, de Alba Romero C, Flores Antón B, López Maestro M, Lora Pablos D et al. Prácticas de alimentación con leche materna en recién nacidos menores de 1.500 g o de menos de 32 semanas. An Pediatr (Barc). 2016 Jul;85(1):26-33.
PMID: 26458522
Contiene 23 referencias
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.
Prácticas de alimentación con leche materna en recién nacidos menores de 1.500 g o de menos de 32 semanas. [artículo] - Anales de pediatría (Barcelona, Spain:2003), 2016 - 85(1):26-33.
Formato Vancouver:
Alonso Díaz C, Utrera Torres I, de Alba Romero C, Flores Antón B, López Maestro M, Lora Pablos D et al. Prácticas de alimentación con leche materna en recién nacidos menores de 1.500 g o de menos de 32 semanas. An Pediatr (Barc). 2016 Jul;85(1):26-33.
PMID: 26458522
Contiene 23 referencias
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.
