The Effect of a Continuous Milk Warming System on Weight Gain in Very Low Birth-Weight Infants: A Randomized Controlled Trial. (August 2021)

• Record Type: Journal Article
• Authors: Bedwell, Susan M.; Buster, Barbara; Sekar, Krishnamurthy
• Other Names: Dowling Donna section editor.; Parker Leslie section editor.
• Is Part Of: Advances in neonatal care. Volume 21:Number 4(2021)
• Publication Date: 2021-08
• Subjects: breast milk -- feeding -- human milk -- premature infant -- temperature; Newborn infants -- Medical care -- Periodicals; Newborn infants -- Diseases -- Nursing -- Periodicals; Premature infants -- Hospital care -- Periodicals; 618.9201
• DOI: 10.1097/ANC.0000000000000818
• Languages: English
• ISSNs: 1536-0903

Abstract

Abstract : Background: Few studies support the practice of warming human milk before feeding. No studies have compared the method of warming milk and its effect on growth, particularly in preterm infants. Purpose: To evaluate growth in preterm infants receiving continuously warmed human milk as compared with infants receiving human milk warmed in a hot water bath before feeding. Methods: Forty-four infants less than 32 weeks' gestation admitted to a regional referral level IV neonatal intensive care unit in south central United States were randomly assigned to either the experimental group (continuous warming: n = 22) or the control group (hot water bath: n =22) for 10 days. All infants were on full human milk feedings (120-130 kcal/kg/d) as part of a standardized feeding protocol. Tolerance and weight gain over the 10-day period were used to evaluate the effectiveness of continuous milk warming. Results: There was a significant difference in weight gain for infants receiving continuously warmed milk compared with infants receiving standard warmed milk (203.73 ± 70.71 vs 271.95 ± 67.40, P = .002). Implications for Practice: The use of continuous milk warming improves weight gain in very low birth-weight infants.