The Impact of Exclusive Human Milk Diet on Short-term Growth of Very Preterm Infants

Overview

Journal J Perinatol

Specialty Gynecology & Obstetrics

Date 2024 Apr 27

PMID 38678082

Authors

Fu-Sheng Chou

Jing Zhang

Cammie Nguyen

Giulia M Faison

Lindsey R Thompson

Maria Fe B Villosis

Karine Barseghyan

Ashwini Lakshmanan

Affiliations

Soon will be listed here.

Abstract

Objectives: The impact of exclusive human milk diet (EHMD) on postnatal growth remains controversial. This study aims to investigate the association between EHMD and short-term growth.

Methods: This multicenter retrospective study aims to compare growth between the EHMD and non-EHMD groups among infants <32 weeks of gestation. Primary outcomes include weight, length, and head circumference growth trajectories between birth and 34 weeks postmenstrual age. Sensitivity and subgroup analyses were performed.

Results: An EHMD was independently associated with poorer length growth, especially in infants born at ≥28 weeks' gestation or those exposed to hypertensive disorders of pregnancy. While initiating fortification at <26 kcal/oz on an EHMD showed inferior growth, initiating fortification at ≥26 kcal/oz was associated with improved weight growth, and similar length and head circumference growth when compared to the non-EHMD group.

Conclusions: An EHMD with initial fortification at ≥26 kcal/oz may be implemented to avoid bovine milk exposure while sustaining comparable growth.

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