Tag Archive for: Mesterséges táplálás

A hibás tápszerrel táplált csecsemőket idegrendszeri károsodás miatt még mindig kezelik

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A két, kizárólag szójatápszerrel táplált, és B1 vitamin (tiamin) hiány miatt encephalopathiában meghalt izraeli csecsemő halála után egy évvel, kilenc gyermeket súlyos idegrendszeri károsodás miatt még mindig kezelnek.
Bár rendszeresen vesznek tőlük vért és vannak kitéve egyéb vizsgálatoknak, többük nem érez fájdalmat és sohasem sír. Egy némrég készült izraeli dokumentumfilm bemutatta a legsúlyosabban sérült gyermekeket, akik csak bámulnak a semmibe, és alig képesek mozogni. Míg néhány kezelt gyermek állpota javul, mások károsodása visszafordíthatatlannak látszik.

A két csecsemő halála után mindösszesen 35 olyan babát találtak, akiket hónapokig kizárólag a B1 vitamint nem tartalmazó szójatápszerrel tápláltak. Őket azonnal tiamin injekciókkal kezdték kezelni. Közülük tíz csecsemőnek jelenleg nincsen semmilyen tünete, de a hosszútávú idegrendszeri károsodások lehetősége miatt szoros megfigyelés alatt állnak.
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Monitoring Compliance With The International Code of Marketing of Breastmilk Substitutes in West Africa

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United Nations’ agencies, governmental and non-governmental institutions, professionals, and scientists have for many years emphasised the importance of breast feeding for the optimal growth and development of children. In 1981, the World Health Assembly adopted the International Code of Marketing of Breastmilk Substitutes as a minimum international standard to ensure the proper use of breast milk substitutes. The code is based on adequate information and appropriate marketing and distribution practices.
In west Africa, few countries have adopted national policies to implement these principles. This is of concern as recent findings suggest that bottle feeding is being encouraged by the increased value placed on “modern” behaviours and through contact with western health practices, exposure to mass media, and aggressive marketing of breast milk substitutes.
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Double-Blind, Randomized Trial of Long-Chain Polyunsaturated Fatty Acid Supplementation in Formula Fed to Preterm Infants

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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

Abstract

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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Health Care Costs of Formula-feeding in the First Year of Life

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Thomas M. Ball, Anne L. Wright
PEDIATRICS Vol. 103 No. 4 April 1999, pp. 870-876

Abstract

Objective. To determine the excess cost of health care services for three illnesses in formula-fed infants in the first year of life, after adjusting for potential confounders.

Methods. Frequency of health service utilization for three illnesses (lower respiratory tract illnesses, otitis media, and gastrointestinal illness) in the first year of life was assessed in relation to duration of exclusive breastfeeding in the Tucson Children’s Respiratory Study (n = 944) and the Dundee Community Study (Scottish study, n = 644). Infants in both studies were healthy at birth and represented nonselected, population-based samples.
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Violations of the international code of marketing of breast milk substitutes: prevalence in four countries

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The World Health Organisation estimates that 1.5 million babies could be prevented from dying each year if women breast fed their infants (exclusively for about 6 months and until infants were 2 years old). Where a mother uses an alternative to breast milk to feed her baby, it is important that she makes an informed decision and that she has not been pressured by commercial promotions to use a substitute. The international code of marketing of breast milk substitutes was adopted by the World Health Assembly in 1981 to encourage breast feeding and to protect mothers from pressure to use substitutes for breast milk.
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