Promoting Human Milk and Breastfeeding for the Very Low Birth Weight Infant

Author:

Parker Margaret G.1,Stellwagen Lisa M.23,Noble Lawrence45,Kim Jae H.6,Poindexter Brenda B.7,Puopolo Karen M.8,

Affiliation:

1. Department of Pediatrics, Boston Medical Center, School of Medicine, Boston University, Boston, Massachusetts

2. University of California Health Milk Bank, San Diego, California

3. Department of Pediatrics, University of California, San Diego, Health, San Diego, California

4. Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York

5. New York City Health + Hospitals/Elmhurst

6. Division of Neonatology, Perinatal Institute, Cincinnati Children’s Hospital Medical Center and College of Medicine, University of Cincinnati, Cincinnati, Ohio

7. Children’s Healthcare of Atlanta and School of Medicine, Emory University, Atlanta, Georgia

8. Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, and Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania

Abstract

Provision of mother’s own milk for hospitalized very low birth weight (VLBW) (≤1500 g) infants in the NICU provides short- and long-term health benefits. Mother’s own milk, appropriately fortified, is the optimal nutrition source for VLBW infants. Every mother should receive information about the critical importance of mother's own milk to the health of a VLBW infant. Pasteurized human donor milk is recommended when mother’s own milk is not available or sufficient. Neonatal health care providers can support lactation in the NICU and potentially reduce disparities in the provision of mother’s own milk by providing institutional supports for early and frequent milk expression and by promoting skin-to-skin contact and direct breastfeeding, when appropriate. Promotion of human milk and breastfeeding for VLBW infants requires multidisciplinary and system-wide adoption of lactation support practices.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

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