101. Policy of feeding very preterm infants with their mother's own fresh expressed milk was associated with a reduced risk of bronchopulmonary dysplasia.
- Author
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Dicky, Odile, Ehlinger, Virginie, Montjaux, Nathalie, Gremmo‐Féger, Gisèle, Sizun, Jacques, Rozé, Jean‐Christophe, Arnaud, Catherine, Casper, Charlotte, Ancel, Pierre‐Yves, Azcona, Barbara, Bedu, Antoine, Biran, Valérie, Boubred, Farid, Cambonie, Gilles, Chollat, Clément, Claris, Olivier, Desfrere, Luc, Gascoin, Géraldine, Hascoet, Jean‐Michel, and Lapillonne, Alexandre
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PREMATURE infant nutrition , *BREAST milk , *BRONCHOPULMONARY dysplasia , *PUBLIC health , *NEONATAL intensive care , *FOOD pasteurization , *LOW birth weight , *DISEASE risk factors , *ARTIFICIAL feeding , *COMPARATIVE studies , *PREMATURE infants , *RESEARCH methodology , *MEDICAL cooperation , *QUESTIONNAIRES , *RESEARCH , *WEIGHT gain , *EVALUATION research , *HOSPITAL mortality - Abstract
Aim: Since 2005, the French Food Safety Agency has recommended that very preterm or low-birthweight babies should be fed with pasteurised, expressed breastmilk, and feeding policies on this vary widely in French neonatal units. We investigated the differences between using a mother's expressed milk, in fresh or pasteurised forms, for very preterm infants.Methods: This observational multicentre study analysed data on 926 very preterm infants: 636 from neonatal units who used the mother's own fresh milk and 290 who used the mother's milk after pasteurisation. We analysed necrotising enterocolitis, bronchopulmonary dysplasia, in-hospital mortality, late-onset sepsis, weight gain, length of hospital stay, the duration of parenteral nutrition and the duration of enteral feeding with a nasogastric tube. Multivariate analyses were conducted to assess the impact of maternal milk policies.Results: After adjustment, there was a reduced risk of bronchopulmonary dysplasia in the fresh milk group with an odds ratio of 0.40 and 95% confidence interval of 0.27-0.67 (p < 0.001). No other statistically significant differences were observed.Conclusion: Feeding very preterm infants with their mother's expressed fresh milk was associated with a reduced risk of bronchopulmonary dysplasia, and further investigations are needed to evaluate the clinical impact of this practice. [ABSTRACT FROM AUTHOR]- Published
- 2017
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