The role of breast milk fortifier in the post-discharge nutrition of preterm infants

Kenny McCormick, Caroline King, Sara Clarke, Chris Jarvis, Mark Johnson, Helen Parretti, Nora Greene, Joanna Males

Research output: Contribution to journalArticlepeer-review

Abstract

Infants born prematurely are often discharged from hospital before 37 weeks post menstrual age. While breastfeeding will meet all the nutritional requirements of full-term infants, these preterm infants may need enhanced levels of protein, minerals and possibly energy to ensure optimum growth, bone mineralisation and neurological development. To meet these additional nutrient needs in the neonatal unit, it is currently recommended that multinutrient breast milk fortifier is added to maternal breast milk. There may also be benefits in continuing to provide fortified milk after discharge, potentially including improved growth and preserving breastfeeding, and this is increasingly becoming a recognised practice in some neonatal units. This article presents the discussion and consensus of a multidisciplinary panel of neonatologists, neonatal dietitians, a GP and a neonatal outreach nurse. The aim is to develop guidance on providing safe and effective nutritional supplementation for preterm infants after discharge in order to maintain optimal growth. This guidance is aimed at community healthcare staff and is based on the limited evidence available, using shared best practice and expertise.
Original languageEnglish
Pages (from-to)42-48
Number of pages7
JournalBritish Journal of Hospital Medicine
Volume82
Issue number3
DOIs
Publication statusPublished - 2 Mar 2021

Keywords

  • Breast milk
  • Breastfeeding
  • Fortification
  • Preterm infants

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