Abstract

Feeding from own mother’s milk is not always an option for preterm infants, and choosing between alternative means of feeding should be made in light of their effect on infants’ health. In this work, we aimed to present evidence regarding feeding pre-term infants with human milk, either own mother’s or donor milk (DM), and the potential effects on growth and other health related outcomes. Exclusive breastfeeding (BF) remains the optimal option, whereas feeding with DM as a sole diet or supplemental to maternal milk confers immunological advantages and fewer rates of necrotising enterocolitis against preterm formula feeding, yet the latter results in greater growth velocity. Literature gaps in the use of DM, practical suggestions for choosing suitable feeding means (i.e. continuous support of BF, adequate education regarding feeding preterm infants, including DM), and future perspectives on the potential effects of dietary manipulations of the maternal diet, are also discussed.

摘要

早产儿并非总是以自己的母乳喂养，而应根据对婴儿健康的影响，在其他喂养方式之间进行选择。在这项工作中，我们旨在提供有关为早产婴儿喂母乳或母乳（DM）以及对生长和其他与健康相关的潜在影响的证据。纯母乳喂养（BF）仍然是最佳选择，而以DM作为唯一饮食或补充母乳喂养具有免疫学上的优势，对早产儿配方奶喂养的坏死性小肠结肠炎发生率更低，但后者可提高生长速度。在使用DM方面存在文献空白，选择合适的喂养方式的实用建议（例如，对BF的持续支持，对喂养早产儿的充分教育，