Tag Archive for: Koraszülöttek szoptatása

Incubators versus mothers’ arms: body temperature conservation in very-low-birth-weight premature infants

A. C. Mellien
J Obstet Gynecol Neonatal Nurs. 2001 Mar-Apr;30(2):157-64.

OBJECTIVE: To determine whether there is a significant difference between the temperatures of very-low-birth-weight (VLBW) premature infants in the incubator and in the mothers’ arms.

DESIGN: Repeated measures, with random assignment to treatment order and the infants serving as their own controls.

SETTING: A 40-bed tertiary-level nursery in a university teaching hospital.

PARTICIPANTS: A convenience sample of 20 preterm infants weighing 1,095 to 1,500 g and from 30 to 37 weeks postconceptional age. The infants were screened for factors that would interfere with temperature maintenance.

MAIN OUTCOME MEASURES: Axillary temperatures were measured with an electronic thermometer for equal periods of time in incubators and mothers’ arms.
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Mothers’ Decisions to Change From Formula to Mothers’ Milk for Very-Low-Birth-Weight Infants

Donna Jo Miracle, Paula P. Meier and Patricia A. Bennett

J Obstet Gynecol Neonatal Nurs. 2004 Nov-Dec;33(6):692-703.

Objective: The purpose of this study was to examine maternal decisions about providing milk for a very-low-birth-weight (VLBW) infant, when the initial maternal intent was to formula-feed.

Design: Using prospective, purposive sampling, semistructured interviews were conducted with 21 of 23 eligible mothers over a 9-month period. Audio-recorded data were transcribed verbatim, coded, categorized, and subjected to dimensional analysis.

Setting: The study took place in a 52-bed, tertiary urban neonatal intensive-care unit.

Patients/Participants: Mean maternal age was 26.5 years (range = 18–38), and mean infant birth weight and gestational age were 705.4 g (range = 504–1,310), and 25.8 weeks (range = 23–33), respectively.
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Human Milk Feedings and Infection Among Very Low Birth Weight Infants

Mary Ann Hylander, Donna M. StrobinoDagger , and Ramasubbareddy Dhanireddy

PEDIATRICS Vol. 102 No. 3 September 1998, p. e38


Background. Preterm infants are immunologically immature at birth. Previous studies have demonstrated that human milk protects against infection in full-term infants, but there are few studies of its effect for preterm infants.

Objective. To examine the effect of human milk feedings on infection incidence among very low birth weight (VLBW) infants during their initial hospitalization.

Study Design. The sample consisted of 212 consecutive VLBW infants admitted to the Georgetown University Medical Center neonatal intensive care unit (NICU) during 1992-1993 and surviving to receive enteral feeding.
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A randomised controlled trial to compare methods of milk expression after preterm delivery

E Jonesa, P W Dimmockb, S A Spencera

Arch Dis Child Fetal Neonatal Ed 2001;85:F91-F95 ( September )


OBJECTIVES – Primary: to compare sequential and simultaneous breast pumping on volume of milk expressed and its fat content. Secondary: to measure the effect of breast massage on milk volume and fat content.

DESIGN: Sequential randomised controlled trial.

SETTING: Neonatal intensive care unit, North Staffordshire Hospital NHS Trust.

SUBJECTS: Data on 36 women were analysed; 19 women used simultaneous pumping and 17 used sequential pumping.

INTERVENTIONS: Women were randomly allocated to use either simultaneous (both breasts simultaneously) or sequential (one breast then the other) milk expression.
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Koraszülött szoptatása

Sok türelemmel és szeretettel a koraszülött kisbabát is megtaníthatjuk szopni. Ez néha meglepően könnyen megy, néha pedig nehéz és küzdelmes út vezet az anyamellig.

A koraszülésekre általában váratlanul kerül sor, az éretlen kisbaba válságos helyzetben lehet, állapotától és súlyától függően hosszú kórházi kezelésre kell számítani. A nagy találkozás, amire a szülők készültek, elmarad (legalábbis egyelőre), helyette az intenzív koraszülött részleg kezdetben biztosan sokkoló látványával szembesülünk. A sok inkubátor egyikében a mi apró csecsemőnk fekszik, körös-körül gépek, csövek, infúzió, lélegeztetőgép. Bizony idő kell hozzá, míg a szülők feldolgozzák, ami történt, s az első napokban-hetekben talán az orvosok sem tudnak sok biztatót mondani.
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Double-Blind, Randomized Trial of Long-Chain Polyunsaturated Fatty Acid Supplementation in Formula Fed to Preterm Infants

Fewtrell MS, Morley R, Abbott RA, Singhal A, Isaacs EB, Stephenson T, MacFadyen U, Lucas A.
PEDIATRICS Vol. 110 No. 1 July 2002, pp. 73-82


Objective. We tested the hypothesis that balanced addition of long-chain polyunsaturated fatty acid (LCPUFA) to preterm formula during the first weeks of life would confer long-term neurodevelopmental advantage in a double-blind, randomized, controlled trial of preterm formula with and without preformed LCPUFA.

Methods. The participants were 195 formula-fed preterm infants (birth weight <1750 g, gestation <37 weeks) from 2 UK neonatal units and 88 breast milk-fed infants. Main outcome measures were Bayley Mental Developmental Index (MDI) and Psychomotor Developmental Index (PDI) at 18 months and Knobloch, Passamanick and Sherrard’s Developmental Screening Inventory at 9 months’ corrected age.
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Lactogenesis and the Effects of Insulin-Dependent Diabetes Mellitus and Prematurity

Peter Hartmann and Mark Cregan

J. Nutr. 131: 3016S–3020S, November 2001.


The initiation of lactation (lactogenesis II) by the mother must be synchronized to the delivery of the infant, permitting the transition of the newborn from continuous nourishment from the umbilical cord to comparable but intermittent life support from its mother’s breasts. The onset of lactogenesis II can be adversely affected by a variety of factors.

Over 80% of women who have delivered prematurely and are expressing milk for their infant had a compromised initiation of lactation, that is one or more lactogenesis II markers (lactose, citrate, sodium and total protein) in their milk > 3 SD from the mean of the full-term women on d 5 postpartum.
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Randomised trial of early diet in preterm babies and later intelligence quotient

Lucas A, Morley R, Cole TJ.
BMJ. 1998 Nov 28;317(7171):1481-7.


OBJECTIVES: To determine whether perinatal nutrition influences cognitive function at 7 1/2 – 8 years in children born preterm.

DESIGN: Randomised, blinded nutritional intervention trial. Blinded follow up at 7 1/2 – 8 years.

SETTING: Intervention phase in two neonatal units; follow up in a clinic or school setting.

SUBJECTS: 424 preterm infants who weighed under 1850 g at birth; 360 of those who survived were tested at 7 1/2 – 8 years.

INTERVENTIONS: Standard infant formula versus nutrient enriched preterm formula randomly assigned as sole diet (trial A) or supplements to maternal milk (trial B) fed for a mean of 1 month.
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Kangaroo Mother Care and the Bonding Hypothesis

Réjean Tessier, Marta Cristo, Stella Velez, Marta Girón, SW, Zita Figueroa de Calume, Juan G. Ruiz-Paláez, Yves Charpak, Nathalie Charpak

PEDIATRICS Vol. 102 No. 2 August 1998, p. e17


Kangaroo mother care (KMC) was first suggested in 1978 by Dr Edgar Rey in Bogotá, Colombia. It was developed initially as a way of compensating for the overcrowding and scarcity of resources in hospitals caring for low birth weight (LBW) infants. The term KMC is derived from practice similarities to marsupial caregiving, ie, the premature infant is kept warm in the maternal pouch and close to the breasts for unlimited feeding.
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