Analysis of the energy content of human milk using the creamatocrit technique according to the form of milk extraction in mothers of preterm newborns

Authors

DOI:

https://doi.org/10.47456/rbps.v25i4.40684

Keywords:

Human milk, Milk extraction, Premature newborn

Abstract

 

 Introduction: Generally, preterm newborns cannot be fed orally and human milk can be expressed (by manual expression or with the aid of a pump) and administered by gastric tube. The human milk of the mothers of these newborns has macronutrients in different concentrations, when compared to the milk of the mothers of full-term newborns. However, the effect of the different techniques of expressing breast milk on the composition of macronutrients and energy content is still unclear. Objective: To evaluate and compare the energy content of raw human milk from mothers of preterm newborns according to the way of expression. Methods: Aliquots of 0.5 ml of raw human milk extracted by electric pump and manual milking were evaluated, first determining the creamatocrit and then, through the application of mathematical formulas, the energy content. Results: 114 sam­ples of raw human milk (colostrum and mature milk) extracted by electric pump and manual milking were evaluated. The average energy content obtained was 53.9 ± 11.6 kcal/dl in pump extraction and 58.2 ± 14.2 kcal/dl in colostrum and the average energy content in mature milk was 61.7 ± 13.2 kcal/dl in pump extraction and of 64.7 ± 13.1 kcal/dl. However, the differences are not statistically signifi­cant. Conclusion: The milking method does not seem to interfere with the energy content of human milk from mothers of preterm newborns.

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Author Biographies

Marcelle Campos Araujo, Instituto Nacional em Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira

Enfermeira. Doutoranda em Pesquisa Clínica Aplicada do IFF/FIOCRUZ. Mestre em Enfermagem pela Universidade Federal do Estado do Rio de Janeiro/UNIRIO (2008). Especialista em Enfermagem Neonatal pelo Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira /FIOCRUZ (2002) e em Gestão hospitalar pelo IEP/HSL (2017). 

Adriana Duarte Rocha, Instituto Nacional em Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira / Fiocruz

Pós Doutorado em Ciências pela Fiocruz. Pesquisadora em Saúde Publica da Fundação Oswaldo Cruz na área de Fonoaudiologia Neonatal. Docente do Programa de Pós-Graduação em Pesquisa Aplicada a Saude da Criança e da Mulher.

Michelli Freitas da Silva, Instituto Nacional em Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira

Possui graduação em Enfermagem pela Universidade Federal Fluminense e pós-graduação em Neonatologia no Instituto Fernandes Figueira / FIOCRUZ. Mestre em Ciências pela Fiocruz.

Maria Elisabeth Lopes Moreira, Instituto Nacional em Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira

Possui mestrado em Saúde da Mulher e da Criança pela Fundação Oswaldo Cruz (1992) e Doutorado em Saúde da Criança e do Adolescente pela Universidade de São Paulo (1997). Atualmente é professor titular da Fundação Oswaldo Cruz na Pós-graduação em Saúde da Criança e da Mulher e da Rede Dor. Membro da Society for Pediatric Research. Pesquisador II CNPq

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Published

2024-02-29

How to Cite

1.
Campos Araujo M, Duarte Rocha A, Freitas da Silva M, Lopes Moreira ME. Analysis of the energy content of human milk using the creamatocrit technique according to the form of milk extraction in mothers of preterm newborns. RBPS [Internet]. 2024 Feb. 29 [cited 2024 Jul. 18];25(4):23-8. Available from: https://periodicos.ufes.br/rbps/article/view/40684

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Artigos Originais