L'Alimentation infantile / James Akré

Titre : L'Alimentation infantile : bases physiologiques Type de document : texte imprimé Auteurs : James Akré, Auteur ; OMS, Auteur Editeur : WHO - World Health Organization Année de publication : 1989 Importance : 112 p. ISBN/ISSN/EAN : 92-406-8671-1 Langues : Français (fre) Catégories : Alimentation Besoin nutritif Complément alimentaire Composition du lait Contraception Contre indication Croissance et développement Développement des glandes mammaires Grossesse Lactation Nourrisson et enfant de 0 à 2 ans Nourrisson très faible poids à la naissance Nutrition du nourrisson Nutrition prénatale Oligoélément Pathologie infectieuse Physiologie Placenta Vitamine Index. décimale : OU Ouvrages Résumé : Cette publication fait le point sur les informations scientifiques concernant le développement physiologique au cours de la période prénatale et de la première année et ses implications sur l'alimentation infantile. Elle insiste sur les modes d'alimentation les plus appropriés en se fondant sur les qualités nutritionnelles des denrées et les besoins nutritionnels changeants du nourrisson. Cette publication présente les bases scientifiques permettant d'établir des recommandations sur l'alimentation infantile en prenant en compte les denrées disponibles et les pratiques locales. Permalink : ./index.php?lvl=notice_display&id=104

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Human-Based Human Milk Fortifier as Rescue Therapy in Very Low Birth Weight Infants Demonstrating Intolerance to Bovine-Based Human Milk Fortifier / Amanjot Sandhu in Breastfeeding Medicine, Vol 12, n°9 (Novembre 2017)

[article]  inBreastfeeding Medicine > Vol 12, n°9 (Novembre 2017) . - pp. 570-573 Titre : Human-Based Human Milk Fortifier as Rescue Therapy in Very Low Birth Weight Infants Demonstrating Intolerance to Bovine-Based Human Milk Fortifier Type de document : texte imprimé Auteurs : Amanjot Sandhu, Auteur ; Sharla Fast, Auteur ; Kari Bonnar, Auteur ; Ronald John Baier, Auteur ; Michael Narvey, Auteur Année de publication : 2017 Article en page(s) : pp. 570-573 Langues : Anglais (eng) Catégories : Canada Etude de cas ou de cohorte Etude expérimentale Grand prématuré (avant 34 semaines) Impact Nourrisson très faible poids à la naissance Réanimation néonatale Mots-clés : Fortifiant à base de protéines bovines, fortifiant à base de lait maternel, intolérance Résumé : "Objective: To describe the results of utilizing a human milk-based human milk fortifier (HMHMF) as rescue therapy to meet nutritional requirements in very low birth weight and preterm infants demonstrating feeding intolerance to bovine-based human milk fortifier (BHMF) in the Canadian Neonatal Intensive Care Unit (NICU) setting. Materials and Methods: At two Level III NICUs in Winnipeg, MB, Canada, a rescue protocol was implemented to provide HMHMF for infants demonstrating intolerance to BHMF. To qualify for rescue, infants were required to experience two episodes of significant gastrointestinal (GI) symptoms associated with fortification with BHMF. A case series report was conducted retrospectively examining the success of rescue therapy, growth rates, protein, and calorie intakes before and after initiation of HMHMF in seven infants. Results: Seven infants (birth weight 723 ± 247 g, gestation 25.3 ± 3.4 weeks) were treated with rescue fortification with HMHMF. All infants were transitioned off parenteral nutrition (PN) without relapse of GI symptoms. Growth rate, protein, and calorie intakes improved with the use of HMHMF. Conclusions: Very low birth weight and preterm infants with GI intolerance to BHMF were successfully rescued with use of HMHMF. Improvements in growth were achieved without need for supplementation with PN through achievement of sufficient enteral calorie and protein intakes."[résumé de l'auteur] Permalink : ./index.php?lvl=notice_display&id=848 [article]

Randomized Controlled Trial on Effect of Intermittent Early Versus Late Kangaroo Mother Care on Human Milk Feeding in Low-Birth-Weight Neonates / Dhaarani Jayaraman in Journal of Human Lactation, Vol. 33, n°3 (Août 2017)

[article]  inJournal of Human Lactation > Vol. 33, n°3 (Août 2017) . - pp. 533-539 Titre : Randomized Controlled Trial on Effect of Intermittent Early Versus Late Kangaroo Mother Care on Human Milk Feeding in Low-Birth-Weight Neonates Type de document : texte imprimé Auteurs : Dhaarani Jayaraman, Auteur ; Kanya Mukhopadhyay, Auteur ; Anil Kumar Bhalla, Auteur Année de publication : 2017 Article en page(s) : pp. 533-539 Langues : Anglais (eng) Catégories : Allaitement exclusif Apnée Croissance et développement Essai contrôlé randomisé Etude Kangourou Mortalité Nourrisson très faible poids à la naissance Poids de naissance Prématuré (avant 37 semaines) Ventilation Résumé : "Background: Breastfeeding at discharge among sick low-birth-weight (LBW) infants is low despite counseling and intervention like kangaroo mother care (KMC). Research aim: The aim was to study the effects of early initiation of KMC on exclusive human milk feeding, growth, mortality, and morbidities in LBW neonates compared with late initiation of KMC during the hospital stay and postdischarge. Methods: A randomized controlled trial was conducted in level 2 and 3 areas of a tertiary care neonatal unit over 15 months. Inborn neonates weighing 1 to 1.8 kg and hemodynamically stable were randomized to receive either early KMC, initiated within the first 4 days of life, or late KMC (off respiratory support and intravenous fluids). Follow-up was until 1 month postdischarge. Outcomes were proportion of infants achieving exclusive human milk feeding and direct breastfeeding, growth, mortality and morbidities during hospital stay, and postdischarge feeding and KMC practices until 1 month. Results: The early KMC group (n = 80) achieved significantly higher exclusive human milk feeding (86% vs. 45%, p < .001) and direct breastfeeding (49% vs. 30%, p = .021) in hospital and almost exclusive human milk feeding (73% vs. 36%, p < .001) until 1 month postdischarge than the late KMC group (n = 80). The incidence of apnea (11.9% vs. 20%, p = .027) and recurrent apnea requiring ventilation (8.8% vs. 15%, p = .02) were significantly reduced in the early KMC group. There was no significant difference in mortality, morbidities, and growth during the hospital stay and postdischarge. Conclusion: Early KMC significantly increased exclusive human milk feeding and direct breastfeeding in LBW infants." [Résumé de l'auteur] Permalink : ./index.php?lvl=notice_display&id=751 [article]

Wide Variability in Caloric Density of Expressed Human Milk Can Lead to Major Underestimation or Overestimation of Nutrient Content / Charles W. Sauer in Journal of Human Lactation, Vol. 33, n°2 (Mai 2017)

[article]  inJournal of Human Lactation > Vol. 33, n°2 (Mai 2017) . - pp. 341-350 Titre : Wide Variability in Caloric Density of Expressed Human Milk Can Lead to Major Underestimation or Overestimation of Nutrient Content Type de document : texte imprimé Auteurs : Charles W. Sauer, Auteur ; Mallory A. Boutin, Auteur ; Jae H. Kim, Auteur Année de publication : 2017 Article en page(s) : pp. 341-350 Langues : Anglais (eng) Catégories : Composition du lait Croissance et développement Expression du lait Nourrisson très faible poids à la naissance Poids de naissance Résumé : "Background: Very-low-birth-weight infants continue to face significant difficulties with postnatal growth. Human milk is the optimal form of nutrition for infants but may exhibit variation in nutrient content. Objective: This study aimed to perform macronutrient analysis on expressed human milk from mothers whose babies are hospitalized in the neonatal intensive care unit. Methods: Up to five human milk samples per participant were analyzed for protein, carbohydrate, and fat content using reference chemical analyses (Kjeldahl for protein, high pressure liquid chromatography for carbohydrates, and Mojonnier for fat). Calorie content was calculated. Results: A total of 64 samples from 24 participants was analyzed. Wide variability was found in calorie, protein, carbohydrate, and fat composition. The authors found an average of 17.9 kcal/ounce, with only 34% of samples falling within 10% of the expected caloric density. Conclusion: The assumption that human milk contains 20 kcal/ounce is no longer supported based on this study. This supports promoting an individualized nutrition strategy as a crucial aspect to optimal nutrition." [Résumé de l'auteur] Permalink : ./index.php?lvl=notice_display&id=685 [article]

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