Human milk fortification strategies for improved in-hospital growth of preterm infants
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Date
Authors
Kemp, Johanna Elizabeth
Wenhold, Friedeburg Anna Maria
Journal Title
Journal ISSN
Volume Title
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.
Description
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.