Tag Archives: breast milk

Maternal breast milk is risky too

Posted on 12 May 2022 by Keith Barrington

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 →

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Breast milk fortifiers, a new systematic review

Posted on 21 September 2020 by Keith Barrington

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 →

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Donor human milk for congenital heart disease?

Posted on 26 November 2019 by Keith Barrington

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 →

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How fast to feed?

Posted on 14 October 2019 by Keith Barrington

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 →

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Why is MOM best? part 2

Posted on 10 October 2019 by Keith Barrington

MOM is best, because it leads to the lowest incidence of NEC; but why? (if you didn’t read part 1, MOM is Mother’s Own Milk) The impacts of milk processing which create the differences in milk composition, detailed in my … Continue reading →

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Why is MOM best?

Posted on 10 October 2019 by Keith Barrington

Mother’s Own Milk (MOM) seems to be the best base for enteral nutrition of the preterm infant, in terms of the risk of infection, the risk of Enterocolitis (NEC) and, probably, long term neurodevelopment. Reasonably good data show that replacing … Continue reading →

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Prebiotics and preterms and probiotics.

Posted on 25 October 2018 by Keith Barrington

A selection of recent publications, regarding the issues in the title, that I find interesting and which seem to tell a consistent story. From Nick Embleton’s group the following interesting study (Stewart CJ, et al. Longitudinal development of the gut … Continue reading →

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Mother’s milk is best, but how best to use it?

Posted on 4 October 2018 by Keith Barrington

A survey of practices in Germany, Austria, and Switzerland (the German speaking part) demonstrates the range of practices for handling mother’s own breast milk in very preterm babies. Klotz D, et al. Handling of Breast Milk by Neonatal Units: Large … Continue reading →

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Even more thoughts on breast milk fortification

Posted on 18 June 2018 by Keith Barrington

I thought I would discuss the new study by O’Connor and colleagues in a little more detail (O’Connor DL, et al. Nutrient enrichment of human milk with human and bovine milk-based fortifiers for infants born weighing <1250 g: a randomized … Continue reading →

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More on breast milk fortification

Posted on 15 June 2018 by Keith Barrington

The trial that I mentioned in my previous post on this topic, that I said had not been published, has now been published! O’Connor DL, et al. Nutrient enrichment of human milk with human and bovine milk-based fortifiers for infants … Continue reading →

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