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Home > Baby Mine News Center > Human milk still best bet for premature newborns' survival

Human milk still best bet for premature newborns' survival

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Human milk still best bet for premature newborns' survival

by Dr. Grant Morrow

Before the 20 th century, many newborns died if they could not breastfeed because of the widespread infectious diarrhea that plagued bottlefed infants. The advent of refrigeration and changes in the protein of formulas cut mortality rates, but many premature babies could not tolerate the cow-milk formulas.

It was not until the late 1940s that scientists began to study the factors and components in milk and determine the best course for small or sick newborns.

Scientists found that full-term infants who were fed high-protein formulas gained weight faster than those fed low-protein formulas. However, careful studies showed that although these infants grew faster, they were more lethargic and had certain abnormal blood values and higher mortality rates than the group fed lowprotein formulas. Although protein is an essential nutrient, too much can be harmful.

Human milk has a lower protein content than other mammalian milk. Cow milk, for example, contains three times as much protein as human milk. Since the liver and kidneys of premature infants are not fully developed, they cannot adequately excrete the breakdown products of protein.

The result is that acid and ammonia accumulate in the blood and, if not corrected, may lead to poor organ function and damage to developing brain cells.

Pharmaceutical companies have done a good job of producing special formulas for premature infants. While these products have improved the protein content, they still don’t mimic unique factors of human milk such as infection-fighting antibodies, hormones, growth factors, enzymes and essential fats that are particularly important for small premature infants.

In our intensive-care nurseries, all premature infants who weigh less than 2 pounds at birth are recommended to receive human milk. For those children whose mothers cannot collect their own breast milk, human milk is available through the Mother’s Milk Bank of Ohio, in Franklin County.

Not only does human milk give these children extra safety factors, it reduces the risk of serious infections.

These sophisticated medical advances, together with the increased availability of human milk, give lowbirth-weight infants an excellent chance to grow and survive.

Dr. Grant Morrow is medical director of the Columbus Children’s Research Institute at Children’s Hospital. morrowg@pediatrics.ohio-state.edu

http://www.columbusdispatch.com/science/science.php?story=dispatch/2006/03/28/20060328-C5-01.html

 

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