Weight Gain Clinical Trial
Official title:
Prolacta Compare. Growth and Weight Gain in Extremely Low Birth Weight Infants Fed an Exclusively Human Milk Based Diet With Prolacta®
Preterm infants are susceptible to postnatal growth restriction. Breast milk is the
recommended source of nutrition for preterm infants. As preterm infants have enhanced
nutritional requirements, multicomponent fortifiers are added to breast milk in order to
establish adequate growth.
Due to the various benefits of human milk feds to preterm infants, a human milk fortifier
based on donor milk (Prolact+6 H2MF® Prolacta, City of Industry, California) has been
developed. With this study, the investigators want to evaluate the effect of human milk
fortification on weight gain in extremely low birth weight infants (ELBW, <1000g birth
weight) in comparison to bovine fortification.
Preterm infants are susceptible to postnatal growth restriction. Breast milk is the
recommended source of nutrition for preterm infants. Many positive short-term health effects
like prevention necrotizing enterocolitis , effects on gut development and immunological
issues are associated with breast milk feedings.
The composition of breast milk usually meets the nutritional demands of term infants. As
preterm infants have enhanced nutritional requirements, multicomponent fortifiers are added
to breast milk in order to establish adequate growth and proper neurodevelopmental outcome.
Due to the various benefits of human milk feds to preterm infants, a human milk fortifier
based on donor milk (Prolact+6 H2MF® Prolacta, City of Industry, California) has been
developed. This human milk fortifier contains more energy and protein than bovine milk
fortifiers. So far, accurate data on growth and weight gain under an exclusive diet with
human milk and the human milk fortifier Prolact+6H2MF®are missing. With this study, the
investigators want to evaluate the impact of a human milk based fortifier on weight gain in
extremely low birth weight infants (ELBW, <1000g birth weight) in comparison to bovine milk
based fortifier.
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