BREAST MILK for infants with congenital heart disease

With a lower risk of complications with increased feeding results and growth, BREAST MILK is highly recommended as the best intake for infants with congenital heart disease (Congenital Heart Defects).

Jessica a. Davis of the UPMC children's Hospital of Pittsburgh and Diane l. Spatz PhD from the school of nursing of the University of Pennsylvania, Philadelphia, reviewing and analyzing six studies on the benefits of BREAST MILK and breastfeeding for infants with CHD.

They concluded,  "for the outstanding evidence of improved outcomes associated with the determination of a sick baby to BREAST FEED, BREAST MILK should be considered a medical intervention for infants with CHD."

Congenital heart disease is the most common categories of birth defects, was diagnosed in an estimated 1 in 1,000 newborn babies and infants every year. But while the benefits of BREAST MILK for premature babies healthy and well documented, there is limited data regarding its role in improving the outcome for infants with CHD. The researchers examine the evidence about the benefits of BREAST MILK on the main outcomes for infants with CHD.

Necrotizing enterocolitis (NEC) is a serious complication where there is damage to the intestines. Based on research that shows that exclusive BREAST MILK diet can reduce the incidence of NEC in preterm infants, the same recommendations apply for infants with CHD.

Chylothorax is a rare complication in chest surgery which is characterized by abnormal drainage of lymph fluid around the lungs, with the risk of severe adverse outcomes. Research has shown that reading the fat from the BREAST MILK itself allows the baby to continue to receive diet BREAST MILK during treatment for chylothorax.

Infants with CHD risk also having difficulty eating led to growth and weight gain are not adequate. Research has shown that BREAST MILK diet can increase the weight in infants with heart disease. But because of other pressing concerns at this critical babies, breastfeeding or alternative approaches to provide BREAST MILK is often not seen as a high priority.

 "Breast milk is important to protect infants with CHD from infection, reducing the risk of NEC, promote tolerance and protect the baby's brain development/upgrade, " wrote Davis and Dr. Spatz. Based on this evidence, they believe that health professionals have an ethical duty to help families make informed decisions about feeding to their babies with CHD.

The author outlines a 10-step model Dr. Spatz to promote and protect breastfeeding and breast feeding for infants with CHD. The recommendations include measures to ensure the initiation and maintenance of supply of BREAST MILK, both with breastfeeding or pumping. If necessary, the donated pasteurized BREAST MILK can serve as a liaison to the BREAST MILK itself.

Other measures include ensuring contact skin-to-skin as soon as possible after birth and support the ability of mothers to breastfeed and monitor your intake and growth of BREAST MILK to their babies.

 "Breast milk is the intervention rescue soul for infants with CHD and health professionals must prioritise help families to make decisions the feeding that informed and ensure that mothers of infants with CHD can reach the purpose of breastfeeding their personal,  "said Dr. Spatz.

CHD itself can be detected before birth through ultrasound or neonatal during the physical examination. Screening oksimetri the pulse of a simple non-invasive in the newborn can identify infants with CHD or with noncardiac causes of hipoksemia before returning to the House.

In 2011, the Screening Panel recommended the U.S. changed to include screening of CHD, although individual States determine how to implement these procedures. In 2016, 48 countries have policies or recommendations for screening CHD, although not mandatory.

As a component of routine screening for newborns, screening CHD does not require special approval, but parents must be notified that the screening must be made accompanied by explanations that early screening before getting out of the hospital meant to ensure that infants with CHD is identified and treated. Early and appropriate intervention is associated with adult survival rate of over 82%.

Countries that have implemented mandatory screening for CHD, able to reduce significantly the level of infant mortality due to CHD with a decrease of 33% to 50%.

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28 January 2022 at 14:24 delete

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