Gastric Emptying and Curding of Pasteurized Donor Human Milk and Mother's Own Milk in Preterm Infants.
We evaluated the effects of fortification and composition on gastric emptying and curding in un/fortified pairs of mother's own milk (MOM, n = 17) and pasteurized donor human milk (PDHM, n = 15) in preterm infants. Retained meal proportions (%) and curding were determined from sonography. Immediate and subsequent postprandial % were higher for PDHM (23%, P = 0.026; 15%, P = 0.006) and fortified meals (31.5%; 8.8%, both P < 0.001), whereas higher casein, whey, and lactose concentrations were associated with lower immediate postprandial % (all P < 0.006). Curding did not affect emptying. Influences of fortification, pasteurization, and differing breast milk compositions are small and unlikely implicated in preterm feeding intolerance.
*School of Chemistry and Biochemistry †Centre for Neonatal Research and Education, School of Paediatrics and Child Health, University of Western Australia, Crawley, Australia.
Sharon L
SL
Perrella
Anna R
AR
Hepworth
Zoya
Z
Gridneva
Karen N
KN
Simmer
Peter E
PE
Hartmann
Donna T
DT
Geddes
D002364:Caseins / Q000008:administration & dosage; D005260:Female; D005527:Food, Fortified; D005746:Gastric Emptying; D005865:Gestational Age; D006801:Humans; D007223:Infant; D007227:Infant Nutritional Physiological Phenomena; D007231:Infant, Newborn; D007234:Infant, Premature; D007785:Lactose / Q000008:administration & dosage; D008297:Male; D008895:Milk, Human; D009035:Mothers; D061352:Pasteurization; D000067796:Whey / Q000008:administration & dosage
D002364:Caseins; D007785:Lactose