Gutiérrez-Padilla JA, Padilla-Muñoz H, Ramírez-Ramírez FJ, López-Sandoval J, Gutiérrez-González H, Galván-García VF, Martínez-Verónica R, Ortega-Gómez L, Gutiérrez-González I, Gutiérrez-Hermosillo FM, Rejón-Estrada LG, Gómez-Reyes M, Pérez Rulfo-Ibarra D, Angulo-Castellanos E

Language: Spanish
References: 10
Page: 220-224
PDF size: 538.52 Kb.

ABSTRACT

Introduction. Neonatal nutritional support is the most important issue related to survival in the intensive care unit. The milk of the infant's own mother is the cornerstone in this process; nevertheless, there are situations when it is not available. In the 90's, ready-to-use formulas were introduced in order to be used as an additional resource.
Material y Methods. Descriptive longitudinal study including 2893 neonates (NNs) of the intensive care unit over a 7 year period. The sample was divided into two groups: prior to 2005, NNs fed with powdered milk formula and after 2005, NNs fed with ready-to-use milk formulas and assessing the existence of gastrointestinal complications. The statistical analysis was conducted using the SSPS 18 program.
Results. 2893 NNs were included, of which 69% were male and 31% female; 67.5% of all the NNs had a preterm birth. No significant difference was found with regards to the existence of gastrointestinal complications when comparing the use of the two different types of milk formulas, although the risk of complications among such groups was not determined. A sub-group was established to compare and analyze NNs born preterm and at full term; a positive correlation was found in the group of NNs born at full term.
Discussion. The benefits of ready-to-use formulas over powdered formulas used in the nutritional medical course of NNs in the intensive care unit are not clear yet although significant differences were observed. Therefore, it is recommended that more studies are conducted in order to determine such advantages.

REFERENCES

1. Hunter PR. Application of Hazard Analysis Critical Control Point (HACCP) to the handling of expressed breast milk on a neonatal unit. J Hosp Infec 1991; 17: 139-146.

2. Steele C, Short R. Centralized Infant Formula Preparation Room in the Neonatal Intensive Care Unit Reduces Incidenceof Microbial Contamination. Research and Professional Briefs. J Am Diet Assoc 2008; 108: 1700-1703.

3. Becker DS. Interdisciplinary HACCP in acute care. Management in Food and Nutrition Systems. 2004:4.

4. Henry BW, et al. Implementing a HACCP plan with pediatric formula preparation. PNPG Post. 200; Fall:4-5.

5. Vargas-Leguás H, et al. Guía para la elaboración de fórmulas infantiles en polvo en el medio hospitalario. Sistema de análisis de peligros y puntos de control crítico. Anales de Pediatría 2009; 70(6): 586-593.

6. Cardoso I, et al. Introducción Precoz de Sustitutos de Lactancia Materna e Incidencia de Lactancia Materna Exclusiva al Mes de Vida. Rev. chil. pediatr. 2010; 81(4): 326-332.

7. Turck D, Van Goudoever JBH. Neonatal and Infant Nutrition, Breastfeeding. Nutrition and Growth: Yearbook 2014. World Rev Nutr Diet. Basel, Karger 2014; 109: 23-35.

8. Walker TC, et al. Early feeding factors associated with exclusive versus partial human milk feeding in neonates receiving intensive care. J Perinatol. 2014 Apr 17. doi: 10.1038/jp.2014.63.

9. Borschel MW, et al. Growth of Healthy Term Infants Fed Ready-to-Feed and Powdered Forms of an Extensively Hydrolyzed Casein-Based Infant Formula. A Randomized, Blinded, Controlled Trial. Clinical Pediatrics 2014; 53(6): 585-592. 10.Ijumba P, et al. Social circumstances that drive early introduction of formula milk: an exploratory qualitative study in a peri-urban South African community. Matern Child Nutr. 2014; 10(1): 102-11.

10. 11.Chantry CJ, et al. In-Hospital Formula Use Increases Early Breastfeeding Cessation Among First-Time Mothers Intending to Exclusively Breastfeed. The Journal of Pediatrics 2014; 164(6): 1339-1345.