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Aleali, Farid, fallahi, minoo, Kazemian, Mohammad, Fakhraee, Seyyed Hossein, Afjeh, Abolfazl. (1396). Longitudinal Changes in the Macronutrient Contents of Breast Milk in the Mothers with Preterm Delivery. , 9(1), 29-36. doi: 10.22038/ijn.2018.22783.1272
Farid Aleali; minoo fallahi; Mohammad Kazemian; Seyyed Hossein Fakhraee; Abolfazl Afjeh. "Longitudinal Changes in the Macronutrient Contents of Breast Milk in the Mothers with Preterm Delivery". , 9, 1, 1396, 29-36. doi: 10.22038/ijn.2018.22783.1272
Aleali, Farid, fallahi, minoo, Kazemian, Mohammad, Fakhraee, Seyyed Hossein, Afjeh, Abolfazl. (1396). 'Longitudinal Changes in the Macronutrient Contents of Breast Milk in the Mothers with Preterm Delivery', , 9(1), pp. 29-36. doi: 10.22038/ijn.2018.22783.1272
Aleali, Farid, fallahi, minoo, Kazemian, Mohammad, Fakhraee, Seyyed Hossein, Afjeh, Abolfazl. Longitudinal Changes in the Macronutrient Contents of Breast Milk in the Mothers with Preterm Delivery. , 1396; 9(1): 29-36. doi: 10.22038/ijn.2018.22783.1272

Longitudinal Changes in the Macronutrient Contents of Breast Milk in the Mothers with Preterm Delivery

Iranian Journal of Neonatology
مقاله 5، دوره 9، شماره 1، خرداد 2018، صفحه 29-36    اصل مقاله (768.26 K)
شناسه دیجیتال (DOI): 10.22038/ijn.2018.22783.1272
نویسندگان
Farid Aleali1؛ minoo fallahi* 2؛ Mohammad Kazemian1؛ Seyyed Hossein Fakhraee1؛ Abolfazl Afjeh1
1Neonatal Health Research Center, Research Institute for Children Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2Neonatal Health Research Center, Research Institute for Children’s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
چکیده
Background: Contents of breast milk may change during the first weeks after childbirth, especially in preterm deliveries. The present study aimed to determine the macronutrient contents of breast milk in the mothers with preterm delivery.
Methods: This prospective-descriptive study was conducted in Mahdieh Hospital in Tehran, Iran in 2015. Participants included the mothers with preterm delivery, whose infants had a gestational age of Results: In total, 51 mothers were enrolled in the study. Mean gestational age and birth weight of the neonates were 28.44±2.20 weeks and 1064±260 grams, respectively. Mean age and body mass index (BMI) of the mothers were 27.5±5.6 years and 26.44±17.54-40 kg/m2, respectively. In terms of socioeconomic status, 28 participants (60.8%) were categorized as class II (simple workers), and 20 mothers (45.4%) received basic prenatal care. During weeks 2-3 of delivery, the fat and calorie contents of breast milk increased significantly. However, protein content of breast milk was variable, and the carbohydrate level was observed to decrease. No significant associations were observed between the maternal age, socioeconomic status, BMI, and number of twins with the contents of breast milk, while the mode of delivery and level of prenatal care had significant effects on the protein level of breast milk.
Conclusion: According to the results, the levels of macronutrients in the breast milk of the mothers with preterm delivery were variable and within the normal range during the first four weeks of delivery.
 
کلیدواژه‌ها
Breast milk؛ Macronutrients؛ Preterm delivery؛ Preterm infant
مراجع

1. Martin CR, Ling PR, Blackburn GL. Review of infant feeding: key features of breast milk and infant formula. Nutrients. 2016; 8(5):279.

 2. Gidrewicz DA, Fenton TR. A systematic review and meta-analysis of the nutrient content of preterm and term breast milk. BMC Pediatr. 2014; 14:216.

3. Nikniaz L, Mahdavi R, Arefhoesseini S, Khiabani MS. Association between fat content of breast milk and maternal nutritional status and infants’ weight in Tabriz, Iran. Malays J Nutr. 2009; 15(1):37-44.

 4. Nimbalkar S, Vasa RK. Changes in preterm breast milk composition with advancing infant age. Indian Pediatr. 2014; 51(12):966-7.

 5. Hsu YC, Chen CH, Lin MC, Tsai CR, Liang JT, Wang TM. Changes in preterm breast milk nutrient content in the first month. Pediatr Neonatol. 2014; 55(6):449-54.

 6. Underwood MA. Human milk for the premature infant. Pediatr Clin. 2013; 60(1):189-207.

 7. Rehman MU, Narchi H. Metabolic bone disease in the preterm infant: current state and future directions. World J Methodol. 2015; 5(3):115-21.

8. de Halleux V, Close A, Stalport S, Studzinski F, Habibi F, Rigo J. Advantages of individualized fortification of human milk for preterm infants. Arch Pediatr. 2007; 14(Suppl 1):S5-10.

9. Ballard O, Morrow AL. Human milk composition: nutrients and bioactive factors. Pediatr Clin North Am. 2013; 60(1):49-74.

10. Verma A, Shrimali L. Maternal body mass index and pregnancy outcome. J Clin Diagn Res. 2012; 6(9):1531-3.

11. Yeoh PL, Hornetz K, Dahlui M. Antenatal care utilisation and content between low-risk and high-risk pregnant women. PLoS One. 2016; 11(3):e0152167.

12. Zachariassen G, Fenger-Gron J, Hviid MV, Halken S. The content of macronutrients in milk from mothers of very preterm infants is highly variable. Dan Med J. 2013; 60(6):A4631.

13. Menjo A, Mizuno K, MuraseM, Nishida Y, Taki M, Itabashi K, et al. Bedside analysis of human milk for adjustable nutrition strategy. Acta Paediatr. 2009; 98(2):380-4.

 14. Bertino E, Giuliani F, Baricco M, Peila C, Cester E, Vassia C, et al. Benefits of human milk in preterm infant feeding. J Pediatr Neonat Individ Med. 2012; 1(1):19-24.

 15. Dizdar EA, Sari FN, Degirmencioglu H, Canpolat FE, Oguz SS, Uras N, et al. Effect of mode of delivery on macronutrient content of breast milk. J Matern Fetal Neonatal Med. 2014; 27(11):1099-102.

 16. Yang T, Zhang Y, Ning Y, You L, Ma D, Zheng Y, et al. Breast milk macronutrient composition and the associated factors in urban Chinese mothers. Chin Med J. 2014; 127(9):1721-5. 17. De Halleux V, Rigo J .Variability in human milk composition: benefit of individualized fortification in very-low-birth-weight infants. Am J Clin Nutr. 2013; 98(2):529S-35S.

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