Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Haiden, N.
Supplementary feeding in hospital for breastfed mature neonates and late preterm infants-Update 2017. Consensus paper of the Nutrition Commission of the Austrian Society of Pediatrics and Adolescent Medicine (OGKJ)
MONATSSCHR KINDERH. 2018; 166(7): 605-610.
Doi: 10.1007/s00112-018-0440-3
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- Abstract:
- Breastfeeding or rather feeding of breast milk is the most complete form of nutrition for infants, with a range of benefits for health, growth, immunity, and development. Postpartum mothers should receive maximum support from the caregiving team to enhance the ability to breastfeed their newborn infants. Exclusive breastfeeding is an adequate nutrition for most healthy term infants during their first days of life and later on. There are only a few conditions when supplementary feeding is appropriate and medically indicated. The Academy of Breastfeeding Medicine (ABM) provided feasible position papers giving consideration to the "Baby-friendly hospital initiative" by the World Health Organization (WHO), defining the circumstances under which supplementary feeding is indicated. These are indications caused by the infant (e.g. weight loss > 10%) as well as indications caused by the mother (e.g. short-term medication contraindicating breastfeeding). If supplementary feeding is necessary, expression of breast milk from the infant's own mother or pasteurized human donor milk should be first choice. If human milk is not available infant formulas should be used. For so-called late preterm infants (from 34+ 0 to 36+ 6 weeks of gestation) breast milk is the first choice of nutrition during the first days of life and later on; however, late preterm infants have special nutritional needs and increased risk of medical problems; therefore, these patients need more support. Enrichment of breast milk with fortifiers, pumping after breastfeeding and evaluation of post-feeding weights are helpful to monitor and optimize appropriate growth of late preterm infants.
- Find related publications in this database (Keywords)
- Breastmilk
- Weight loss
- Lactation
- Postpartum period
- Nutritional requirement