The preferred feeding for all NICU infants is human milk, preferably started on day 1. If mother’s own milk is not immediately available, the clinician should consider the use of heat-treated donor human milk (DHM), which has most of the properties of fresh human milk (immunoglobulins, growth and developmental hormones, enzymes, anti-inflammatory factors, etc.), is sterile, and reduces NEC while improving feeding tolerance. The use of human milk and human milk-derived products has been steadily increasing in world-wide NICUs. In many areas of the USA, it is the standard of care. We will explore the benefits and risks of various donor human milk products, as well as the cost-effectiveness, and challenges for NICUs in using these products.
Learning Objectives:
Objective 1: List the key goals of nutritional therapy for preterm and other ill NICU infants.
Objective 2: Discuss at least 2 benefits and 2 concerns of banked donor human milk in the NICU.
Objective 3: Describe currently available human milk-derived products for preterm infants.
Objective 4: Propose possible ways to improve the availability of human milk in the NICU.
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