Human milk bank and personalized nutrition in the NICU: a narrative review

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dc.contributor.authorSánchez Luna, Manuel Ramón
dc.contributor.authorCaballero Martin, Sylvia
dc.contributor.authorSánchez Gómez de Orgaz, Carmen
dc.date.accessioned2024-02-06T09:39:26Z
dc.date.available2024-02-06T09:39:26Z
dc.date.issued2020-11-27
dc.description.abstractThe number of infants born preterm including extremely premature babies is rising worldwide, particularly in low- and middle-income countries, which challenge neonatologists and milk banks for the provision of the most adequate nutrition for successful infant's growth and development. The benefits of mother's own milk (MOM) have been extensively recognized, but the use of donor milk (DM) is a commonly routine practice in preterm neonates admitted to the NICU. Pasteurized mature milk from milk banks is not the same composition than the mother's colostrum and premature milk, the characteristics of which protect the infant from the risk for necrotizing enterocolitis, late-onset sepsis, and other comorbidities associated with prematurity. The development of a personalized nutrition unit (PNU) allows to obtain DM from mothers who have their infants admitted to the NICU and produce an excess of milk, a practice that matches MOM by gestational age and the stage of lactation, ensuring an adequate composition of DM to target the nutritional requirements of premature infants.Conclusion: This narrative review presents salient data of our current knowledge and concerns regarding milk feeding of preterm infants in the NICU, with special emphasis on personalized DM as a result of establishing a PNU. What is Known: • Donor milk bank is mature or pooled milk from lactating mothers at different stages of lactation. • Milk composition varies by gestational age and stage of lactation. What is New: • Donor milk from mothers delivered prematurely have the most adequate composition for preterm infant feeding. • Personalized nutrition for premature infants with preterm donor milk is feasible
dc.description.departmentDepto. de Salud Pública y Materno - Infantil
dc.description.facultyFac. de Medicina
dc.description.refereedTRUE
dc.description.statuspub
dc.identifier.citationSánchez Luna, M., Martin, S.C. & Gómez-de-Orgaz, C.S. Human milk bank and personalized nutrition in the NICU: a narrative review. Eur J Pediatr 180, 1327–1333 (2021). https://doi.org/10.1007/s00431-020-03887-y
dc.identifier.doi10.1007/s00431-020-03887-y
dc.identifier.issn0340-6199
dc.identifier.issn1432-1076
dc.identifier.urihttps://hdl.handle.net/20.500.14352/99319
dc.journal.titleEuropean Journal of Pediatrics (EJPE)
dc.language.isoeng
dc.page.final1333
dc.page.initial1327
dc.publisherhttps://link.springer.com/article/10.1007/s00431-020-03887-y
dc.rights.accessRightsrestricted access
dc.subject.cdu616-053.3
dc.subject.keywordDonor milk
dc.subject.keywordMilk bank
dc.subject.keywordPersonalized nutrition
dc.subject.keywordPrematurity
dc.subject.ucmCiencias Biomédicas
dc.subject.unesco32 Ciencias Médicas
dc.titleHuman milk bank and personalized nutrition in the NICU: a narrative review
dc.typejournal article
dc.type.hasVersionVoR
dc.volume.number180
dspace.entity.typePublication
relation.isAuthorOfPublication032e09d4-eceb-4c2b-8911-c17fac9bd356
relation.isAuthorOfPublication.latestForDiscovery032e09d4-eceb-4c2b-8911-c17fac9bd356
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