Fracture and fortified breast milk in an extremely preterm infant
Article first published online: 19 AUG 2003
Journal of Paediatrics and Child Health
Volume 39, Issue 6, pages 470–473, August 2001
How to Cite
Sharp, M. and Simmer, K. (2003), Fracture and fortified breast milk in an extremely preterm infant. Journal of Paediatrics and Child Health, 39: 470–473. doi: 10.1046/j.1440-1754.2003.00192.x
- Issue published online: 19 AUG 2003
- Article first published online: 19 AUG 2003
- Accepted for publication 31 October 2002.
- human milk fortifier;
- metabolic bone disease;
Abstract: Metabolic bone disease (MBD) in the newborn predominantly affects preterm infants. The risk of MBD is inversely proportional to gestational age and birthweight, and directly related to postnatal complications. Poor bone mineralization has been shown in 55% of infants born at less than 1000 g. Optimal nutrition for very preterm infants is thought to be mother's own milk but supplementation is required to meet dietary requirements. However, there is insufficient evidence to determine that supplementation of human milk with commercial fortifiers has an effect on bone mineral content. We report a case of severe MBD with fractures in an extremely preterm infant who was fed with fortified mother's milk.