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  • Original Article
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Maternal milk feedings reduce sepsis, necrotizing enterocolitis and improve outcomes of premature infants

Journal of Perinatology volume 38, pages 71–74 (2018)Cite this article

Subjects

Abstract

Objective:

Human milk (donor milk (DM) and/or maternal milk (MM)) feedings protect against late onset sepsis (LOS), necrotizing enterocolitis (NEC) and death. However, DM lacks many anti-infective components of MM. Therefore, we studied exclusive MM feedings to evaluate the full effect of human milk on infectious and other outcomes in premature infants.

Study design:

All infants born before 33 weeks postmenstrual age (PMA) who received exclusive (>95%) MM or exclusive preterm formula (PF) were included in this prospective investigation.

Results:

Sixty-three infants (53%) received MM and 55 infants (47%) received PF. Both groups had similar baseline characteristics. Infants in the MM group achieved full enteral nutrition sooner (14±8 vs 19±15 days, P<0.03) and required a shorter duration of central venous lines (14±10 vs 22±21, P<0.005). Fewer infants in the MM group developed LOS (9 vs 19, P<0.05) and pneumonia (8 vs 16, P<0.05) than PF infants. Only one MM and five PF infants developed NEC (Bell stage ⩾II). Logistic regression analysis using PMA and prolonged rupture of membranes as covariates demonstrated an increased rate of NEC (odds ratio=8.85, CI=1.01 to 25.17, P=0.048) in PF infants. Periventricular leukomalacia (PVL) was more common in PF (4 vs 0, P=0.04) than in MM infants.

Conclusion:

Feedings of MM advanced more rapidly and were associated with fewer infections than PF. A possible protective effect of MM against PVL, not previously described, may be related to its immune and anti-inflammatory components.

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Acknowledgements

This work was supported by NIH Grant RO1 HD059143.

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Authors and Affiliations

  1. Division of Neonatology, Department of Pediatrics, University of Florida College of Medicine – Jacksonville, Jacksonville, FL, USA

    J Cortez, K Makker, R Sharma & M L Hudak

  2. Center for Health Equity and Quality Research, University of Florida College of Medicine – Jacksonville, Jacksonville, FL, USA

    D F Kraemer

  3. Division of Neonatology, Department of Pediatrics, University of Florida College of Medicine – Gainesville, Gainesville, FL, USA

    J Neu

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  1. J Cortez
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Correspondence to K Makker.

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Cortez, J., Makker, K., Kraemer, D. et al. Maternal milk feedings reduce sepsis, necrotizing enterocolitis and improve outcomes of premature infants. J Perinatol 38, 71–74 (2018). https://doi.org/10.1038/jp.2017.149

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