Recommendations to promote breast milk feeding and enhance nutritional care for preterm infants in the Asia-Pacific region: Highlights from a roundtable discussion of key opinion leaders

Fook Choe Cheah, Tian Lee Tan, Ursula Herulah, Charisma Dilantika, Leilani Muhardi, Girish Deshpande, Rinawati Rohsiswatmo, Satish Saluja, Ruurd Van Elburg

Research output: Contribution to journalShort surveypeer-review

Abstract

Introduction: Preterm infants are vulnerable to nutritional deficiencies, thus optimal nutrition is crucial in promoting growth among these infants. However, socio-cultural complexities and limited resources in the Asia-Pacific demands a judicious approach in implementing nutritional care that is pragmatic to align with current evidence-based recommendations. Methods: A roundtable meeting was held in Jakarta in 2017 for key opinion leaders in neonatology from the Asia- Pacific to discuss issues when delivering nutritional care in this region and the unique circumstances encountered. Results: Priority areas discussed include: (i) breast milk feeding, (ii) donor milk bank/sharing, (iii) human milk fortification, and (iv) nutrient-enriched breast milk substitutes. Socio-cultural practices impeding breastfeeding, insufficient maternity leave, the religious issue of milk kinship, and limited availability of specialty nutritional care products were among the most challenging factors. Conclusion: The group proposed recommendations to enhance breastfeeding uptake, accessibility to a complete portfolio of specialty nutritional care products, and encouraging more active collaborations to engage policy makers in addressing these contemporary issues.

Original languageEnglish
Pages (from-to)201-207
Number of pages7
JournalMalaysian Journal of Nutrition
Volume27
Issue number2
DOIs
Publication statusPublished - 2021

Keywords

  • Breastfeeding
  • donor human milk
  • human milk fortifier
  • milk kinship
  • preterm infant

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