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Titre : | Does Feeding Previously Frozen (Thawed) Fortified Human Milk Increase the Incidence of Lactobezoar (Milk Curd) Obstruction? A Retrospective Cohort Study in One Large Neonatal Intensive Care Unit (2021) |
Type de document : | Article |
Dans : | Journal of the academy of nutrition and dietetics (Vol. 121, n° 7, July 2021) |
Note générale : | https://doi.org/10.1016/j.jand.2021.01.008 |
Langues: | Anglais |
Mots-clés: | human milk ; Human milk storage ; Breast milk storage ; Lactobezoar ; Milk curd obstruction |
Résumé : |
Background
Current recommendations suggest that it is appropriate to store human milk (HM) for up to 24 hours following fortification despite any changes that may occur in fortified HM over time. However, a recent publication suggested fortified frozen HM should be thawed and fed within 12 hours of fortification due to the risk of lactobezoar or milk curd obstruction. Objective This study investigated whether lactobezoar (milk curd) formation increased when frozen fortified HM was thawed and fed within 12 hours vs 12 to 24 hours postfortification in the neonatal intensive care unit (NICU) at Childrens Hospital of Orange County to determine if practice changes were warranted. Design This study was a retrospective cohort study. Participants/setting All infants admitted to the Childrens Hospital of Orange County NICU for calendar years 2018-2019 who were fed fortified human milk (n = 802) were included in the study. Exposure variable Feedings using previously frozen (thawed) fortified HM. Main outcome measure Lactobezoar or milk curd formation. Statistical analysis Descriptive analyses were used for statistical analysis. Results Of the 107,602 feedings prepared with fortified thawed HM, 68% (72,602) were used within 12 hours of preparation and 32% (34,499) were stored for 12 to 24 hours before administration. The NICU at Childrens Hospital of Orange County did not identify any lactobezoar formation or milk curd obstruction in either group. Conclusions Data from this study support recommendations for a maximum storage time for thawed, fortified HM of 24 hours. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267221000290 |