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Even though NICU care has improved the survival rate for premature infants dramatically, the percent of premature and low birth weight infants continues to rise. Although the benefits of human milk for term infants are well recognized, only recently has attention been paid to the crucial role of nutrition in the long-term outcome in premature infants. The good news is that current research confirms that human milk is especially important for the preterm infant in regards to host defense, gastrointestinal development, special nutrition, and neurodevelopmental outcome. The bad news is that many health care providers and NICUs are not taking full advantage of this “liquid gold,” and are not fully supporting mothers in their desire to provide milk and breastfeed their infants. In Best Medicine: Human Milk in the NICU, neonatalogists Nancy Wight, Jane Morton, and Jae Kim discuss the use of human milk and the support of breastfeeding for the premature infant and for all NICU infants. They provide both the “why” and the “how” to enable health care providers to take full advantage of human milk, and evidence to empower mothers of NICU infants to access needed assistance. They conclude that human milk should be the standard of care for all infants, particularly preterm infants. After reading this book, you will fully appreciate why human milk is the best medicine and the best nutrition for premature infants.
This unique text covers the use of banked, or stored, human milk in the hospital for premature and sick infants, and discusses the advantages of human milk feedings and the elements of hazard or risk introduced by the use of formulas, including rationales for the use of both mother’s own milk and donor human milk in the NICU. This reference also highlights domestic health policies that impact the use of human milk for sick and fragile infants, international models and policies for milk banking, the history of donor milk banking and how it came into being and ethical issues surrounding the delivery of milk banking services and donor human milk in the NICU.
This Nutrients Special Issue focuses on neonatal nutritional advances for inflammatory disorders affecting infants such as necrotizing enterocolitis (NEC). Nutrition can significantly impact the development of certain diseases that afflict infants. This Special Issue aims to bring together the latest research on the role of nutrition in preventing or impacting neonatal disorders. Specifically, this Special Issue focuses on the role of breast milk or donor breast milk and the various components in milk that have been demonstrated to protect against NEC and other inflammatory diseases. This issue provides a comprehensive composite of the advances in nutritional strategies that can modulate or prevent neonatal intestinal disorders.
Improved conditions of care for premature infants have led to markedly increased survival rates over the last few decades, particularly in very low and extremely low birth weight infants. Nutritional measures play a central role in the long-term outcome, health and quality of life of these premature infants. In this publication, leading experts from all 5 continents present the most recent evidence and critical analyses of nutrient requirements and the practice of nutritional care (with the focus on very low birth weight infants) to provide guidance for clinical application. After the introductory chapters, covering nutritional needs and research evidence in a more general manner, topics such as amino acids and proteins, lipids, microminerals and vitamins, parenteral and enteral nutrition as well as approaches to various disease conditions are addressed. Due to its focus on critical appraisals and recommendations, this book is of interest not only for the researcher who wants to keep up to date, but also for the clinician faced with premature infants in his practice.
The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.
The Department of Child and Adolescent Health has developed guidelines on optimal feeding of low birth weight infants in low- and middle-income countries. These guidelines include recommendations on what to feed low-birth weight infants, when to start feeding, how to feed, how often and how much to feed. The guidelines were developed using the process described in the WHO Handbook for Development of Guidelines. Systematic reviews were conducted to answer 18 priority questions identified by the guidelines development group. The population of interest is low-birth weight infants, and the critical outcomes include mortality, severe morbidity, growth and development. The implementation of these guidelines in low- and middle-income countries is expected to improve care and survival of low birth weight infants.
This guide to the problems faced by the parents of a premature infant covers issues both emotional and financial. Completely updated, the book offers the latest information on procedures, equipment, and medication, respiratory treatments, nutrition, follow-up therapies, and more. 15 photos.
Dr. Richard Polin's Neonatology Questions and Controversies series highlights the most challenging aspects of neonatal care, offering trustworthy guidance on up-to-date diagnostic and treatment options in the field. In each volume, renowned experts address the clinical problems of greatest concern to today's practitioners, helping you handle difficult practice issues and provide optimal, evidence-based care to every patient. - Stay fully up to date in this fast-changing field with Gastroenterology and Nutrition, 3rd Edition. - Emerging knowledge about the basic developmental physiology of upper intestinal motility as it relates to reflux and feeding tolerance, and immaturities in motility by altering composition of feedings and pharmacologic means. - New content on genetics and pharmacology, the role of inflammation in systemic diseases in other organs as well as necrotizing enterocolitis, optimizing administration of lipids to preterm infants, and administering lipids to infants who are at high risk for complications secondary to suboptimal lipid therapies. - Current coverage of the composition of human milk and clinical trials that address the efficacy of donor milk in comparison to formula and own mother's milk. - Consistent chapter organization to help you find information quickly and easily. - The most authoritative advice available from world-class neonatologists who share their knowledge of new trends and developments in neonatal care. Purchase each volume individually, or get the entire 7-volume set!Gastroenterology and NutritionHematology, Immunology and GeneticsHemodynamics and CardiologyInfectious Disease and Pharmacology New Volume!Nephrology and Fluid/Electrolyte PhysiologyNeurologyThe Newborn Lung