Recommendations on Breastfeeding Management for Preterm Infants
| 1. All preterm infants should receive human milk. |
| • Human milk should be fortified, with protein, minerals, and vitamins to ensure optimal nutrient intake for infants weighing <1500 g at birth. |
| • Pasteurized donor human milk, appropriately fortified, should be used if mother’s own milk is unavailable or its use is contraindicated. |
| 2. Methods and training protocols for manual and mechanical milk expression must be available to mothers. |
| 3. Neonatal intensive care units should possess evidence-based protocols for collection, storage, and labeling of human milk.150 |
| 4. Neonatal intensive care units should prevent the misadministration of human milk (http://www.cdc.gov/breastfeeding/recommendations/other_mothers_milk.htm). |
| 5. There are no data to support routinely culturing human milk for bacterial or other organisms.151 |
| 1. All preterm infants should receive human milk. |
| • Human milk should be fortified, with protein, minerals, and vitamins to ensure optimal nutrient intake for infants weighing <1500 g at birth. |
| • Pasteurized donor human milk, appropriately fortified, should be used if mother’s own milk is unavailable or its use is contraindicated. |
| 2. Methods and training protocols for manual and mechanical milk expression must be available to mothers. |
| 3. Neonatal intensive care units should possess evidence-based protocols for collection, storage, and labeling of human milk.150 |
| 4. Neonatal intensive care units should prevent the misadministration of human milk (http://www.cdc.gov/breastfeeding/recommendations/other_mothers_milk.htm). |
| 5. There are no data to support routinely culturing human milk for bacterial or other organisms.151 |