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Meta
Tag Archives: breast milk
How should we pasteurize donor breast milk?
The standard method of pasteurization of donor breast milk, and I believe the only method approved by HMBANA (the human milk banking association of north america), is similar to what Louis Pasteur himself came up with a couple of centuries … Continue reading
Posted in Neonatal Research
Tagged breast milk, infection control, pasteurization, Randomized Controlled Trials, Sepsis
1 Comment
Donor human milk, not toxic after all!
It was fairly recently that I deconstructed a truly terrible database analysis which claimed that neonatal mortality was dramatically increased among very preterm infants who received mother’s own milk (MoM) and donor human milk (DHM), without any formula or fortifier, … Continue reading
More thoughts about the “toxicity” of donor milk, a case of Reverse Causation
After my recent post, about the study which suggested that donor milk was killing babies, I have been taking a deeper dive into the article, as I prepare a letter to the editor. Only 2 small subsets of the infants … Continue reading
Posted in Neonatal Research
Tagged breast milk, mortality, Necrotising Enterocolitis, Systematic Reviews
1 Comment
Interesting study, impossible results. Donor breast milk is not toxic.
Is it possible that giving artificial formula to babies will prevent 90% of the deaths of very preterm babies, compared to using donor human milk? (Chehrazi M, et al. Outcomes in very preterm infants receiving an exclusive human milk diet, … Continue reading
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
The myth of the “exclusive human milk diet”; fortification options for breast milk.
The Exclusive Human Milk Diet sounds superficially immediately convincing: “We should only give milk products derived from human milk to human babies”. But, is it more than just a catchy phrase? The major company which is responsible for producing a … Continue reading
Maternal breast milk is risky too
Human breast milk, when freshly expressed, contains all sorts of goodies, to use the technical scientific term. Many of which are adversely affected by standard pasteurisation (called Holder pasteurisation, which is very similar to what Louis Pasteur himself invented in … Continue reading
Breast milk fortifiers, a new systematic review
A systematic review has just been published which compares the outcomes of milk fortification with bovine-milk derived fortifier and human-milk derived fortifier. (Grace E, et al. Safety and efficacy of human milk-based fortifier in enterally fed preterm and/or low birthweight … Continue reading
Donor human milk for congenital heart disease?
Newborns with serious Congenital Heart Disease are at risk of intestinal injury which may present in a similar fashion to Necrotising Enterocolitis (NEC). Our local guidelines for eligibility for donor milk from our provincial milk bank include infants with significant … Continue reading
Posted in Neonatal Research
Tagged breast milk, Congenital Heart Disease, Necrotising Enterocolitis
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How fast to feed?
One of the recurring themes in this blog is that good, large enough, prospective RCTs do not necessarily reproduce the results of prior smaller trials, and often do not reproduce the findings of observational studies. Specifically, I have mentioned previously … Continue reading