Benefits of Breast Milk in Extreme Premature Newborns: Clinical Case Volume 1 - Issue 4

Espíndola Díaz A¹, Gema Ruiz Espinoza¹ and Guillermo Padrón Arredondo²*

• ¹Servicio de Banco de Leche del hospital General Playa del Carmen, Q Roo México, Mexico
• ²Departamento de Investigación, del hospital General Playa del Carmen, Q. Roo México, Mexico

Received: February 07, 2020   Published: February 18, 2020

Corresponding author: Guillermo Padrón Arredondo, Departamento de Investigación, del hospital General Playa del Carmen, Q Roo México, Mexico

 

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Abstract

Introduction: Late preterm infants are those born between 34 to 36 weeks and 6 days of gestation. The incidence of these premature babies reaches up to 20% between 1990 and 2006 in the United States. Although these premature babies may be born with similar size to term children, they are less mature and suffer from greater morbidity and mortality.

Clinical case: Female of 29 weeks of gestation with weight of 495 g, size of 30.5 cm, product of mother of 32 years of age. At birth, it requires mechanical ventilation and presents grade III necrotizing enterocolitis, jaundice of the newborn at one week of age and hypoglycemia, patent ductus arteriosus, bronchopulmonary dysplasia and grade I retinopathy in zone II of both eyes. Receive ibuprofen for pharmacological closure of permeability, glucose solution /kg /min> 6 and phototherapy for 7 days. It begins orally after 26 days of being born with homologous breast milk in a progressive manner; the mother-babysitter program was indicated for 25 days and breast on demand. He graduated after 79 days of hospitalization with a weight of 1750 g and a corrected gestation week of 40.2 with breast milk exclusively.

Discussion: The nutrient content of human milk varies with the age of the product whether it is term or preterm and the protein content decreases after birth, becoming less than half of its content in colostrum. Donated human milk has been shown to have protective properties against necrotizing enterocolitis, bronchopulmonary dysplasia, serious infections, and neurodevelopmental disorders.

Keywords: Human Milk; Donor Human Milk; Growth Morbidity; Very Low Birth Weight; Breast Milk

Summary| Introduction| Clinical Case| Discussion| References|