Tag Archives: Breast-feeding

Supporting Breast Milk production in the NICU

A recent confluence of 3 reviews, one on breastfeeding specifically in the NICU (Hilditch C, et al. Effect of Neonatal Unit Interventions Designed to Increase Breastfeeding in Preterm Infants: An Overview of Systematic Reviews. Neonatology. 2024;121(4):411-20) another on the evidence … Continue reading

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Breast is Best; is Fresher Better?

A recurrent problem in the NICU is “bandwagon-jumping”. An intervention with some preliminary positive data, and a possible physiologic rationale is widely adopted and made part of QI bundles with little or no reliable evidence that it is either effective … Continue reading

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Artificial Formulae and NEC. It is not necessarily the protein source!

As mentioned several times recently, artificial formula seems to lead to an increase in Necrotising Enterocolitis, compared to donor milk. Of note, the trials in the Cochrane Systematic Review include both those with the entire diet being formula or donor … Continue reading

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Neonatal Updates

Corvaglia L, Martini S, Battistini B, Rucci P, Aceti A, Faldella G. Bolus versus continuous feeding: effects on splanchnic and cerebral tissue oxygenation in healthy preterm infants. Pediatr Res. 2014. During a 6 hour period, preterm infants had either a … Continue reading

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Pacifiers (soothers, dummies) are friendly to babies

The baby friendly initiative has been a force for improving breast-feeding rates, with many sensible parts to the program. Unfortunately some of it isn’t evidence based, such as the prohibition of what I will call soothers. I’m originally from England … Continue reading

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