Human milk-derived fortifiers are linked with feed extension due to Hypoglycemia in infants <1250 g or <30 weeks: a matched retrospective chart review

Objective To investigate differences in hypoglycemia and extended feed prescriptions among premature infants provided bovine-derived human milk fortifiers (Bov-fort) with mother’s milk or formula vs human milk-derived human milk fortifiers (HM-fort) with mother’s milk or donor human milk. Study desi...

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Veröffentlicht in:Journal of perinatology 2023-05, Vol.43 (5), p.624-628
Hauptverfasser: Ackley, Danielle, Wang, Hongyue, D’Angio, Carl T., Meyers, Jeffrey, Young, Bridget E.
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container_end_page 628
container_issue 5
container_start_page 624
container_title Journal of perinatology
container_volume 43
creator Ackley, Danielle
Wang, Hongyue
D’Angio, Carl T.
Meyers, Jeffrey
Young, Bridget E.
description Objective To investigate differences in hypoglycemia and extended feed prescriptions among premature infants provided bovine-derived human milk fortifiers (Bov-fort) with mother’s milk or formula vs human milk-derived human milk fortifiers (HM-fort) with mother’s milk or donor human milk. Study design This was a retrospective chart review ( n  = 98). Infants receiving HM-fort were matched with infants receiving Bov-fort. Blood glucose values and feed orders were retrieved from the electronic medical record. Results Prevalence of ever having blood glucose
doi_str_mv 10.1038/s41372-023-01654-z
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Study design This was a retrospective chart review ( n  = 98). Infants receiving HM-fort were matched with infants receiving Bov-fort. Blood glucose values and feed orders were retrieved from the electronic medical record. Results Prevalence of ever having blood glucose &lt;60 mg/dL was 39.1% in the HM-fort group vs. 23.9% in the Bov-fort group ( p  = 0.09). Blood glucose ≤45 mg/dL occurred in 17.4% of HM-fort vs 4.3% in Bov-fort ( p  = 0.07). Feeds were extended for any reason in 55% of HM-fort vs. 20% of Bov-fort ( p  &lt; 0.01). Feed extension due to hypoglycemia occurred in 24% of HM-fort vs. 0% of Bov-fort ( p  &lt; 0.01). Conclusion Predominately HM-based feeds are associated with feed extension due to hypoglycemia. Prospective research is warranted to elucidate underlying mechanisms.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-023-01654-z</identifier><identifier>PMID: 36991141</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/308/409 ; 692/700/1720 ; Animals ; Blood ; Blood Glucose ; Breast milk ; Breastfeeding &amp; lactation ; Cattle ; Charts ; Electronic health records ; Electronic medical records ; Food fortification ; Glucose ; Humans ; Hypoglycemia ; Infant ; Infants ; Medicine ; Medicine &amp; Public Health ; Milk ; Milk, Human ; Pediatric Surgery ; Pediatrics ; Premature babies ; Prospective Studies ; Retrospective Studies</subject><ispartof>Journal of perinatology, 2023-05, Vol.43 (5), p.624-628</ispartof><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. 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Study design This was a retrospective chart review ( n  = 98). Infants receiving HM-fort were matched with infants receiving Bov-fort. Blood glucose values and feed orders were retrieved from the electronic medical record. Results Prevalence of ever having blood glucose &lt;60 mg/dL was 39.1% in the HM-fort group vs. 23.9% in the Bov-fort group ( p  = 0.09). Blood glucose ≤45 mg/dL occurred in 17.4% of HM-fort vs 4.3% in Bov-fort ( p  = 0.07). Feeds were extended for any reason in 55% of HM-fort vs. 20% of Bov-fort ( p  &lt; 0.01). Feed extension due to hypoglycemia occurred in 24% of HM-fort vs. 0% of Bov-fort ( p  &lt; 0.01). Conclusion Predominately HM-based feeds are associated with feed extension due to hypoglycemia. 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Study design This was a retrospective chart review ( n  = 98). Infants receiving HM-fort were matched with infants receiving Bov-fort. Blood glucose values and feed orders were retrieved from the electronic medical record. Results Prevalence of ever having blood glucose &lt;60 mg/dL was 39.1% in the HM-fort group vs. 23.9% in the Bov-fort group ( p  = 0.09). Blood glucose ≤45 mg/dL occurred in 17.4% of HM-fort vs 4.3% in Bov-fort ( p  = 0.07). Feeds were extended for any reason in 55% of HM-fort vs. 20% of Bov-fort ( p  &lt; 0.01). Feed extension due to hypoglycemia occurred in 24% of HM-fort vs. 0% of Bov-fort ( p  &lt; 0.01). Conclusion Predominately HM-based feeds are associated with feed extension due to hypoglycemia. 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subjects 692/308/409
692/700/1720
Animals
Blood
Blood Glucose
Breast milk
Breastfeeding & lactation
Cattle
Charts
Electronic health records
Electronic medical records
Food fortification
Glucose
Humans
Hypoglycemia
Infant
Infants
Medicine
Medicine & Public Health
Milk
Milk, Human
Pediatric Surgery
Pediatrics
Premature babies
Prospective Studies
Retrospective Studies
title Human milk-derived fortifiers are linked with feed extension due to Hypoglycemia in infants <1250 g or <30 weeks: a matched retrospective chart review
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