Human milk fortification strategies for improved in-hospital growth of preterm infants

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Authors

Kemp, Johanna Elizabeth
Wenhold, Friedeburg Anna Maria

Journal Title

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Publisher

Medpharm Publications, NISC (Pty) Ltd, Taylor & Francis, and Informa business

Abstract

Human milk is the preferred feed for preterm infants, yet it may need to be fortified for optimal growth and development. Standard fortification of human milk seldom meets the recommended intake of protein, leading to inadequate post-natal growth. This article aims to critically review different human milk fortification strategies with a focus on in-hospital growth of premature infants in resource-limited settings. Super, adjustable and target fortification are compared to standard fortification. Different growth outcome parameters limit comparability of findings, but super fortification and adjustable fortification present opportunities to explore. More uniform growth outcome assessment is recommended. Practical implementation and costeffectiveness in the local setting need to be investigated.

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Keywords

Fortification, Human milk, Preterm infant

Sustainable Development Goals

Citation

JE Kemp & FAM Wenhold (2016) Human milk fortification strategies for improved in-hospital growth of preterm infants, South African Journal of Clinical Nutrition, 29:4, 157-164, DOI: 10.1080/16070658.2016.1217646.