{"id":23628,"date":"2015-10-01T00:00:00","date_gmt":"2018-12-03T20:32:05","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/feeding-practices-with-human-milk-in-newborns-less-than-1500\/"},"modified":"2018-12-03T21:32:05","modified_gmt":"2018-12-03T20:32:05","slug":"feeding-practices-with-human-milk-in-newborns-less-than-1500","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/feeding-practices-with-human-milk-in-newborns-less-than-1500\/","title":{"rendered":"[Feeding practices with human milk in newborns less than 1.500 g or less than 32 weeks]."},"content":{"rendered":"

INTRODUCTION<\/strong>
\nThere is currently no unified policy on either breastfeeding support or enteral nutrition practices, as regards human milk (HM) in pre-term newborns. The aim of this study was to describe breastfeeding support measures, as well as the use of HM in very preterm infants in Spanish public hospitals.<\/p>\n

METHOD<\/strong>
\nA questionnaire on enteral feeding practices was distributed. Data were analysed from units caring for newborns less than 32 weeks or 1,500g. A univariate analysis was performed comparing level ii and iii care units.<\/p>\n

RESULTS<\/strong>
\nThere was a 91% response rate. A total of 93 units cared for infants less than 32 weeks or 1,500g (17 level ii and 76 level iii), and 49% of the units recorded the breastfeeding rate on discharge. Around 75% (70\/93) had a guideline on managing HM (level iii 81 vs. level ii 47%, P=.002), and 25% had access to donor human milk. Just under half (46%) started trophic feeding in the first 6h. Target enteral feeding volume in stable preterm infants was ≥ 180ml\/kg\/day in 89% of the units (level iii 93% vs. level ii 70%, P =.017). HM fortifier was used in 96% of the units. In 92%, it was added when the required enteral volume was tolerated. In 59% of the units, adjustments in the quantity of fortifier were made according to weight, and in 36%, it depended on analytical criteria. Some units (9%) used pure protein fortifier.<\/p>\n

CONCLUSIONS<\/strong>
\nThere is a marked variability in breastfeeding support measures and in feeding practices of preterm infants in Spanish neonatal units.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-23628","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Servicio de Neonatolog\u00eda, Hospital 12 de Octubre, Madrid, Espa\u00f1a. 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