Tolerance of preterm formula versus pasteurized donor human milk in very preterm infants: A randomized non-inferiority trial

Simonetta Costa, Luca Maggio, Giovanni Alighieri, Giovanni Barone, Francesco Cota, Giovanni Vento

Research output: Contribution to journalArticle

Abstract

Background: Human milk (HM) is the best feeding for premature infants. When own mother's milk (OMM) is insufficient or unavailable, pasteurized donor human milk (PDHM) and preterm formula (PF) are the alternative nutritional sources, but the benefits of donor milk over formula are not defined. This study aimed to assess whether, in the absence of OMM, the PF could guarantee a feeding tolerance not inferior to that seen with the use of PDHM during the first two weeks of life of very preterm infants. Methods: Infants with gestational age (GA) of ≤32 weeks who started enteral feeding within the first 7 days of life were randomized to receive PDHM or PF as a supplement to the OMM insufficient or unavailable. The primary outcome was the day of life when full enteral feeding (FEF) of 150 mL/Kg/d was achieved. Results: Seventy infants were randomized, 35 in the PF group (GA 30.2 ± 1.7 weeks; BW 1342 ± 275 g), 35 in the PDHM group (GA 30 ± 1.9 weeks; BW 1365 ± 332 g). The time to achieve FEF was the same for infants fed with PF and for infants fed with PDHM (12.3 ± 7.0 days vs 12.8 ± 6.5). Conclusions: This trial shows that PF could be a valid alternative for the early feeding of very preterm infants when OMM is insufficient or unavailable. Trial registration: UMIN000013922. Date of formal registration: December 31, 2014.

Original languageEnglish
Article number96
JournalItalian Journal of Pediatrics
Volume44
Issue number1
DOIs
Publication statusPublished - Aug 16 2018

Keywords

  • Feeding tolerance
  • Pasteurized donor human milk
  • Preterm formula
  • Very preterm infant

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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