Ahmed, J.S.

Athuman, S.K.

SocioEconomic Challenges Journal (Sumy State University)

EFFICIENCY OF MATERNAL MILK ON MORBIDITY AT NEWBORNS WITH VERY LOW BODY 
WEIGHT AT BIRTH 
Athuman Salim Kihara, Ahmed Jarin Sultana, 6
th–year students 
Scientific supervisor – E. K. Redko 
Sumy State University, department of paediatrics with the course of medical genetics 
 
Purpose: To define the effect of volume of feed maternal milk on neonatal morbidity at newborns with very 
low body weight (VLBW) at birth (<1500 gramme).  
Materials: Analyzed 58 in-patient  of prematurely born babies with VLBW, which in 2009-2011  during the 
first 3 days of life in the Neonatal intensive care unit and in future they were transferred the department of prematurely 
newborn of SumyRegionalChildHospital. All babies  breast milk (the method of introduction of milk was determined by 
severity of the condition). Middle body weight at birth is 1056 gramme; middle gestational ages -28 weeks; 57% - boys; 
43% - girls; all of prematurely born babies outlived 6 weeks of post-conceptual age. O: frequent development of 
infectious processes and Systemic Inflammation Response Syndrome (SIRS) after 5 days of life, icterus, apnoe, 
necrotizing enterocolitis (NEK), bronchopulmonary dysplasia (BPD), ALV - duration, retinopathy of prematurity.  
Methods: All of newborns parted on 3 groups depending on the volume of the maternal milk which they  
every day.І group (8 persons – 14%) children  no more than 24 ml/kg of maternal milk in days during 4 weeks; ІІ group 
(27 persons – 46%) prematurely born, which  25-49 ml/kg of milk in days; ІІІ  group (23 infants – 40%) – all more than 
50 ml/kg of milk daily. Daily requirement in a feed was filled by the adapted mixturesor parenteraly. Possible 
intercommunication of neonatal morbidity and volume of the daily graduated doses of breast milk (1-24, 25-49, and 50 
and more than ml/kg in days) was studied. 
Results:  
Groups 
 
SIRS 
(аbs/%) 
 
Apnoe 
(аbs/%) 
Meningitis, 
Pneumonia 
and 
other(аbs/%) 
Icterus 
(аbs/%) 
NEK 
(аbs/%) 
BPD 
(аbs/%) 
AVL (more 
than 3 
days) 
(аbs/%) 
Retino- 
pathy 
(аbs/%) 
І 3/37,5% 7/87,5% 6/75% 7/87,5% 2/25% 1/12,5% 6 (75%) 1/12,5% 
ІІ 9/33,3% 23/85,2% 24/89% 23/85,2% 9/33,3% 4/14,8% 20/74,07% 2/7,4% 
ІІІ 2/8,69% 19/82,6 11/47,3% 20/86,9% 6/26,08% 3/13,04% 17/73,91% 2/8,69% 
Conclusions: Daily threshold amount - 50 ml/kg of maternal milk during 4 weeks for certain reduces 
frequency of development of postnatalinfection at newborns, especially SIRS, but does not reduce other morbidity. 
 


Efficiency of maternal milk on morbidity at newborns with very low body weight at birth

Electronic Sumy State University Institutional Repository

EFFICIENCY OF MATERNAL MILK ON MORBIDITY AT NEWBORNS WITH VERY LOW BODY WEIGHT AT BIRTH Athuman Salim Kihara, Ahmed Jarin Sultana, 6th–year students Scientific supervisor – E. K. Redko Sumy State University, department of paediatrics with the course of medical genetics  Purpose: To define the effect of volume of feed maternal milk on neonatal morbidity at newborns with very low body weight (VLBW) at birth (<1500 gramme).  Materials: Analyzed 58 in-patient  of prematurely born babies with VLBW, which in 2009-2011  during the first 3 days of life in the Neonatal intensive care unit and in future they were transferred the department of prematurely newborn of SumyRegionalChildHospital. All babies  breast milk (the method of introduction of milk was determined by severity of the condition). Middle body weight at birth is 1056 gramme; middle gestational ages -28 weeks; 57% - boys; 43% - girls; all of prematurely born babies outlived 6 weeks of post-conceptual age. O: frequent development of infectious processes and Systemic Inflammation Response Syndrome (SIRS) after 5 days of life, icterus, apnoe, necrotizing enterocolitis (NEK), bronchopulmonary dysplasia (BPD), ALV - duration, retinopathy of prematurity.  Methods: All of newborns parted on 3 groups depending on the volume of the maternal milk which they  every day.І group (8 persons – 14%) children  no more than 24 ml/kg of maternal milk in days during 4 weeks; ІІ group (27 persons – 46%) prematurely born, which  25-49 ml/kg of milk in days; ІІІ  group (23 infants – 40%) – all more than 50 ml/kg of milk daily. Daily requirement in a feed was filled by the adapted mixturesor parenteraly. Possible intercommunication of neonatal morbidity and volume of the daily graduated doses of breast milk (1-24, 25-49, and 50 and more than ml/kg in days) was studied. Results:  Groups  SIRS (аbs/%)  Apnoe (аbs/%) Meningitis, Pneumonia and other(аbs/%) Icterus (аbs/%) NEK (аbs/%) BPD (аbs/%) AVL (more than 3 days) (аbs/%) Retino- pathy (аbs/%) І 3/37,5% 7/87,5% 6/75% 7/87,5% 2/25% 1/12,5% 6 (75%) 1/12,5% ІІ 9/33,3% 23/85,2% 24/89% 23/85,2% 9/33,3% 4/14,8% 20/74,07% 2/7,4% ІІІ 2/8,69% 19/82,6 11/47,3% 20/86,9% 6/26,08% 3/13,04% 17/73,91% 2/8,69% Conclusions: Daily threshold amount - 50 ml/kg of maternal milk during 4 weeks for certain reduces frequency of development of postnatalinfection at newborns, especially SIRS, but does not reduce other morbidity.  

https://essuir.sumdu.edu.ua/bitstream/123456789/27540/1/Athuman.pdf

Efficiency of maternal milk on morbidity at newborns with very low body weight at birth

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SocioEconomic Challenges Journal (Sumy State University)

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