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Program Title:
Achieving Optimal Growth for VLBW Infants While Improving Outcomes with an Exclusive Human-Milk Based Diet
Program Date and Location:
Monday, December 11th 2017
12:45-13:45 ET
Marriott Marquis Washington DC
University of DC/Catholic University Room
(Lower Level Below Main Lobby)
Program Overview:
This program will assist in neonatologists disseminating important knowledge on recent research on the positive impact that an exclusive human milk based diet can have on VLBW infants. At the conclusion of this program, participants will be able to summarize benefits of human milk and an exclusive human milk-based diet as it relates to preterm infants, describe recently published literature comparing growth of infants receiving an exclusive human milk-based diet compared to a bovine-based diet, and develop strategies to promote adequate growth of infants receiving an exclusive human milk-based diet.
Compared to preterm infant formula, mother's own milk during the birth hospitalization in VLBW infants has been shown to reduce the incidence and severity of prematurity related-morbidities, including necrotizing enterocolitis (NEC), late-onset sepsis, bronchopulmonary dysplasia, and severe retinopathy of prematurity.2-4 Intake of mother's own milk by preterm infants has also been associated with improved neurodevelopmental outcomes compared with formula diets, and has been shown to be dose dependent.1,5,6 Recently, similar findings have been found with the use of an exclusive human milk based diet with a significant reduction in NEC, sepsis, BPD and severe ROP. Human milk fed infants had better outcomes with adequate growth similar to bovine fed infants.7
Physician Accreditation Statement:
Nemours is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Nemours designates this live material for a maximum of 1.0 AMA PRA Category 1 Credit(TM). Physicians should claim only the credit commensurate with the extent of their participation in this activity.
Nursing Accreditation Statement:
Educational Review Systems is an approved provider of continuing education in nursing by ASNA, an accredited provider by the ANCC/Commission on Accreditation. Provider #5-115. This program is approved for 1.0 hour of continuing nursing education. Educational Review Systems is also approved for nursing continuing education by the state of California, the state of Florida and the District of Columbia.
Dietitian Accreditation Statement:
Educational Review Systems (Provider number ED002) is a Continuing Professional Education (CPE) AccreditedProvider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 1.0 hour or 1.0 continuing professional education unit (CPEU) for completion of this program/material.
This program is supported by an educational grant from Prolacta Biosciences, Inc.
1. Colaizy TT. Donor Human Milk for VLBWs: Patterns of Usage, Outcomes, and Unanswered Questions. Curr Opin Pediatr 2015;27(2):172-76;
2. Schanler RJ, Shulman RJ, Lau C. Feeding strategies for premature infants: beneficial outcomes of beeding fortified human milk versus preterm
formula. Pediatrics 1999;103(6, pt 1):1150-57;
3. Schanler RJ, Lau C, Hurst NM, Smith EOB. Randomized trial of donor human milk versus preterm formula as substitutes for mothers’ own milk in
the feeding of extremely premature infants. Pediatrics 2005;116(2):400-406;
4. Maayan-Metzger A, Avivi S, Schushan-Eisen I, Kuint J. Human milk versus formula feeding among preterm infants: short-term outcomes. Am J
Perinatol 2012;29(2):121-126;
5. Vohr BR, Poindexter BB, Dusick AM, et al. NICHD Neonatal Research Network. Beneficial effects of breast milk in the neonatal intensive care unit
on the developmental outcome of extremely low birth weight infants at 18 months of age. Pediatrics. 2006;118(1):e115-e123;
6. Vohr BR, Poindexter BB, Dusick AM, et al. National Institute of Child Health and Human Development National Research Network. Persistent
beneficial effects of breast milk ingested in the neonatal intensive care unit on outcomes of extremely low birth weight infants at 30 months of age.
Pediatrics 2007;120(4):e953-e959
7. Hair AB, Peluso AM, Hawthorne KM, et al. Beyond necrotizing entercolitis prevention: improving outcomes with an exclusive human milk-based
diet. Breastfeed Med 2016;11(2):70-74
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