Breast milk vs' formula

1
Breast milk vs. formula

• Formula
• Nutritional advantages
• Composition known, low variation
• Nonnutritional advantages
• No risk of infection
• Availability

2
Breast milk vs. formula

• Breast milk
• Nutritional advantages
• Species-specific proteins
• Fat digestion facilitated - fat globule, lipase
  activity
• Carbohydrates - oligosaccharides, lactose -
  stool consistency
• High bioavailability of Ca, Zn, Fe etc

3
Breast milk vs. formula

• Breast milk
• Nonnutritional advantages
• Improved cognitive and visual function
• Enhanced gastrointestinal maturity and
  tolerance
• Antiinfective properties - less septicemia
• Less NEC, ROP
• Faster full enteral feeding
• Shorter duration of hospitalization

4
Studies needed in ELBWI

• Postdischarge growth when breast fed
• How to supplement breast-fed infants
• minerals
• protein
• LCPUFA!?
• Long term effects of BM in ELBWI
• bone mineralisation
• health development
• Beikost what/when?

5
Studies needed in ELBWI

• Postdischarge growth when breast fed
• How to supplement breast-fed infants
• minerals
• protein
• LCPUFA!?
• Long term effects of BM in ELBWI
• bone mineralisation
• health development
• Beikost what/when?

6
(No Transcript)
7
(No Transcript)
8
(No Transcript)
9
Formula for ELBWI

• Postdischarge formula needed
• Nonnutritive aspects studies needed
• oligosaccharides
• nucleotides
• lactoferrin

10
Iron

• dosage
• how often
• how long
• erythropoietin/ red cell transfusions