Dee -
I immediately thought of the extremely high risk of NEC this little one may
encounter. Anything the mother can due to lower the potential for NEC or
sepsis could save this baby's life. I wonder if the mom's (apparent)
reluctance to BF/provide milk has anything to do with fear of getting
attached to a baby who will be critically ill...?
Supporting Refs: (dozens!) here:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=A
bstract&list_uids=15296589> &db=pubmed&dopt=Abstract&list_uids=15296589
Here's a nice one, can't get much more current or explicit than this:
Adv Neonatal Care. 2003 Jun;3(3):107-20.
Current controversies in the understanding of necrotizing enterocolitis.
Part 1. Noerr B.
Neonatal Intensive Care Unit, Penn State Milton S. Hershey Medical Center,
Mail Code H108, 500 University Dr, PO Box 850, Hershey, PA 17033, USA.
[log in to unmask]
Necrotizing enterocolitis (NEC) has widespread implications for neonates.
While mostly affecting preterm neonates, full-term neonates, especially
those with congenital heart disease, are also at risk. Although the exact
pathogenesis of NEC remains elusive, three major factors, a pathogenic
organism, enteral feedings, and bowel compromise, coalesce in at-risk
neonates to produce bowel injury. Initiation of the inflammatory cascade
likely serves as a common pathway for the disorder. Clinical signs and
symptoms range from mild feeding intolerance with abdominal distension to
catastrophic disease with bowel perforation, peritonitis, and cardiovascular
collapse. Vigilant assessment of at-risk neonates is crucial. When
conservative medical management fails to halt injury, surgical intervention
is often needed. Strategies to decrease the incidence and ultimately prevent
NEC loom on the horizon, such as exclusive use of human breastmilk for
enteral feedings and administration of probiotics.
***********************************************
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
|
