In:
Zeitschrift für Geburtshilfe und Neonatologie, Georg Thieme Verlag KG, Vol. 227, No. 01 ( 2023-02), p. 51-57
Kurzfassung:
Background The advantage of breast milk feeding, and supplementation of
probiotics is well known and proven. However, the lack of reliable amounts of colostrum and/or transient breast milk during the first few postnatal
days might inhibit timely enteral nutrition. Methods The aim of this nationwide survey in German Level-1 neonatal
intensive care units (NICUs) was to collect data regarding the management of feeding in the first days of life in very low birth weight infants (VLBWIs,
birth weight 〈 1500 g). In addition, we analyzed differences in
the use of probiotics. An online survey was sent to all 163 Level-1 NICUs in Germany. Results 110/163 (67.5%) hospitals participated in our
study. One-fifth of all participants used exclusively breast milk. The reported incidence of necrotizing enterocolitis (NEC) was lower in NICUs that exclusively
used breast milk in VLBWIs (p=0.08). Two-thirds start enteral feeding independent of gestational age during the first 12 hours postnatally
with either breast milk or formula. 80% of all participants checked gastric residuals routinely. The use of probiotics differs widely concerning
duration and interruption during antibiotic therapy. Conclusion The exclusive use of breast milk is associated with a lower
incidence of NEC. The result of our survey emphasizes the paramount importance of nutrition with mother`s milk. In case of insufficient availability of
mother`s milk, the use of human donor milk still appears to be superior to formula feeding. The implementation of human donor milk banks should
therefore be promoted.
Materialart:
Online-Ressource
ISSN:
0948-2393
,
1439-1651
Sprache:
Englisch
Verlag:
Georg Thieme Verlag KG
Publikationsdatum:
2023
