Analysis of the mature milk composition of women giving birth prematurely and on time
DOI:
https://doi.org/10.12775/JEHS.2023.13.02.022Keywords
breast milk analysis, breastfeeding, preterm milk, mature milkAbstract
Introduction: The composition of breast milk is not consistent; its variability is determined by the nutritional needs of the baby: duration of pregnancy, phases of a single feeding, lactation period, variability of fat concentration.
The aim: To assess the energy and essential nutrients content in mature milk from mothers delivering preterm and full-term infants.
Material and methods: 75 women participated in the study, at 4 weeks postpartum. The study sample was divided into three groups according to the duration of pregnancy: G1>=32 weeks of pregnancy, G2) 33-36 weeks of pregnancy, G3) <=37 weeks of pregnancy. The analysis of breast milk composition was performed with the Miris Human Milk Analysis analyser.
Results: The pregnancy duration of a sample of women participating in the study does not differentiate the nutritional composition and energy content in breast milk (p>0.05) analysed in the fourth week of lactation.
Conclusions: The assessment of the milk from women who gave birth on time and prematurely showed no significant differences in protein, fats, carbohydrates and energy content considering the same stage of lactation. However, it should be emphasised that not only is human milk considered to be a nutrient but also functional food. Due to the content of enzymes, hormones and growth factors, breast milk has a protective function. It is a part of treatment for premature babies. Nevertheless, the results of our study indicate the need for further research measuring the macronutrients of human milk in order to individualize more the nutritional approach for a particularly demanding group of newborns, which may help optimize their growth and development.
References
Banaszkiewicz A. Pokarm kobiecy – skład i funkcja. W: Karmienie piersią w teorii
i praktyce. Podręcznik dla doradców i konsultantów laktacyjnych oraz położnych, pielęgniarek i leka-rzy. Pr. zbior. pod red. Nehring-Gugulska M., Żukowska-Rubik M., Pietkiewicz A. Wydawnictwo Me-dycyna Praktyczna, Kraków 2017; 51−57.
Nehring-Gugulska M., Pietkiewicz A. Korzyści wynikające z karmienia piersią.
W: Karmienie piersią w teorii i praktyce. Podręcznik dla doradców i konsultantów laktacyjnych oraz położnych, pielęgniarek i lekarzy. Pr. zbior. pod red.
Nehring-Gugulska M., Żukowska-Rubik M., Pietkiewicz A. Wydawnictwo Medycyna Praktyczna, Kra-ków, 2017; 43−50.
Wesołowska A. Pokarm jako żywność funkcjonalna. W: Certyfikowany Doradca Laktacyjny. Podręcznik dla uczestnika kursu. Pr. zbior. pod red. Nehring-Gugulska M., Żukowska-Rubik M., Pietkiewicz A. CNoL/FTK, Warszawa 2009; 34–44.
Callen J., Pinelli J. A review of the literature examining the benefits and challenges, incidence and dura-tion, and barriers to breastfeeding in preterm infants.
Adv Neonatal Care, 2005; 5: 72−88. DOI: 10.1016/j.adnc.2004.12.003
Italianer M.F., Naninck E.F.G., Roelants J. A., van der Horst G.T.J., Reiss I.K.M., van Goudoever J.B., Joosten K.F.M., Chaves I., Vermeulen M.J. Circadian Variation in Human Milk Composition, a Syste-matic Review. Nutrients, 2020; 12: 1−16.
DOI:10.3390/nu12082328
Bauer, J., Gerss, J. Longitud in alanalysis of macronutrients and minerals in human milk produced by mothers of preterm infants. Clin Nutr., 2011; 30, 215-220.
DOI:10.1016/j.clnu.2010.08.003
Dritsakou K., Liosis G.,Valsami G., Polychronopoulos E., Skouroliakou M. The impact of maternal- and neonatal-associated factors on human milk's macronutrients and energy. J. Matern.-Fetal Neonatal Med. 2017; DOI:10.1080/14767058.2016.1212329.
Underwood M.A. Human milk for the premature infant. Pediatr Clin North Am., 2013; 60(1): 189–207. DOI:10.1016/j.pcl.2012.09.008
Figueiredo B., Canário C., Field T. Breastfeeding is negatively affected by prenatal depression and re-duces postpartum depression. Psychol Med., 2014; 44: 927–936. DOI:10.1017/S0033291713001530
O'Brien C.E., Krebs N.F., Westcott J.L., Dong F. Relationships among plasma zinc, plasma prolactin, milk transfer, and milk zinc in lactating women. J Hum Lact., 2007; 23(2): 179–183. DOI:10.1177/0890334407300021
Beijers R.J., Graaf F.V., Schaafsma A., Siemensma A.D. Composition of premature breast-milk during lactation: constant digestible protein content (as in full term milk). Early Hum Dev, 1992; 29: 351−356. DOI:10.1016/0378-3782(92)90191-i
Chrustek A., Dombrowska-Pali A., Olszewska-Słonina D. Analysis of the composition and antioxidant status of breast milk in women giving birth prematurely and on time. PLoS ONE, 2021;16(7): 1-11. DOI:10.1371/journal.pone.0255252
Fischer Fumeaux C.J., Garcia-Rodenas C.L., De Castro C.A., Courtet-Compondu M.C., Thakkar S.K., Beauport L., Tolsa J.F., Affolter M. Longitudinal Analysis of Macronutrient Composition in Preterm and Term Human Milk: A Prospective Cohort Study. Nutrients. 2019; 11(7):1525. DOI:10.3390/nu11071525
Gidrewicz D.A., Fenton T.R. A systematic review and meta-analysis of the nutrient content of preterm and term breast milk. BMC Pediatr. 2014; 14: 216.
DOI:10.1186/1471-2431-14-216
Boyce C., Watson M., Lazidis G., Reeve S., Dods K., Simmer K., McLeod G. Preterm human milk composition: A systematic literature review. Br. J. Nutr. 2016; 116: 1033–1045. DOI:10.1017/S0007114516003007
Agostoni C., Buonocore G., Carnielli V.P., De Curtis M., Darmaun D., Decsi T., Domellof M., Embleton N.D., Fusch C., Genzel-Boroviczeny O., Goulet O., Kalhan S.C., Kolacek S., Koletzko B., Lapillonne A., Mihatsch W., Moreno L., Neu J., Poindexter B., Puntis J., Putet G., Rigo J., Riskin A., Salle B., Sauer P., Shamir R., Szajewska H., Thureen P., Turck D., van Goudoever J.B., Ziegler E.E. ESPGHAN Committee on N: Enteral nutrient supply for preterm infants: commentary from the European Society of Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition. J Pediatric Gastroenterol Nutr. 2010, 50 (1): 85-91. DOI:10.1097/MPG.0b013e3181adaee0.
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