Abstract
Optimal PT infant feeding is unclear. Human milk (HM) may not support rapid extrauterine PT infant growth. We studied growth rate & serum chemistries in PT infants fed HM supplemented with protein, minerals, & trace elements in 49 well PT infants (BW 1000-1500 gm, GA 28-34 wks), assigned to 5 feeding groups: Preterm HM (PHM), PHM with supplement (SPHM), banked HM (BHM); or premature formula (PF), from full enteral intake to 1800 gm wt Significant differences were as follows:
Formula fed infants grew fastest; slowest on BHM. Those on SPHM grew faster than non-supplemented controls. There were no differences among feeding tolerance or NEC. Serum BUN, Ca & alk. phos. levels among groups were different.
Human milk (both PT & banked) supplemented with protein, minerals & trace elements gave PT infants 1000-1500 gm wt. gain. Formula fed infants grew significantly greater than either non-supplemented or supplemented breast fed infants, suggesting that the supplement may need further adjustment.
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Bromberger, P., Saunders, B. & Akins, M. SUPPLEMENTED HUMAN MILK (SPHM) EFFECT ON GROWTH & SERUM BIOCHEMISTRIES IN PRE-TERM (PT) INFANTS. Pediatr Res 18 (Suppl 4), 191 (1984). https://doi.org/10.1203/00006450-198404001-00587
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DOI: https://doi.org/10.1203/00006450-198404001-00587