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A simple step to improve fat and energy delivery of human milk delivered via bottle-feeding pump: An experimental study.
- Source :
-
JPEN. Journal of parenteral and enteral nutrition [JPEN J Parenter Enteral Nutr] 2024 Aug; Vol. 48 (6), pp. 686-692. Date of Electronic Publication: 2024 Jun 17. - Publication Year :
- 2024
-
Abstract
- Background: Enteral feeding pump systems deliver decreased amounts of macronutrients in human milk to neonates. This study determined the macronutrient loss associated with a bottle-feeding pump system and the effect of manually mixing the human milk during extended feeds.<br />Methods: Macronutrient content from samples of donor human milk was analyzed after simulated extended feeds with a bottle-feeding pump system, using a human milk analyzer. Simulations were repeated using manual mixing of the bottle every 30 min during feeding. The percentage of the baseline was calculated, and one-sample t tests and analysis of variance compared the effect of manual mixing and the duration of feeding on macronutrient delivery.<br />Results: The delivery of fat and energy was lower over time, but manual mixing considerably improved retention. The length of feeding impacted fat delivery, with less fat delivered over time (P < 0.001). Manually mixing significantly increased fat delivery (P < 0.001). Similar results were found for energy, with a significant reduction in energy delivery over time (P < 0.001) and significantly more energy delivered with mixing (P < 0.001). Mixing and the duration of feeding had minimal effect on protein or carbohydrate delivery.<br />Conclusions: Bottle-feeding pump systems are associated with a significant reduction in the delivery of fat and energy of donor human milk. The manual mixing of donor human milk during prolonged feeds is a simple way to improve fat and energy delivery to the neonate.<br /> (© 2024 The Author(s). Journal of Parenteral and Enteral Nutrition published by Wiley Periodicals LLC on behalf of American Society for Parenteral and Enteral Nutrition.)
- Subjects :
- Humans
Infant, Newborn
Infant Nutritional Physiological Phenomena
Dietary Proteins administration & dosage
Dietary Proteins analysis
Nutrients analysis
Female
Milk, Human
Dietary Fats administration & dosage
Dietary Fats analysis
Enteral Nutrition methods
Enteral Nutrition instrumentation
Energy Intake
Bottle Feeding
Subjects
Details
- Language :
- English
- ISSN :
- 1941-2444
- Volume :
- 48
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- JPEN. Journal of parenteral and enteral nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 38884597
- Full Text :
- https://doi.org/10.1002/jpen.2659