Impact of standardized fortified donor human milk on growth parameters and biomarkers in preterm very low birth weight infants: a single-center propensity score-matched analysis - Report - MDSpire

Effects of Standardized Fortified Donor Human Milk on Growth Metrics and Biomarkers in Preterm Infants with Very Low Birth Weight: A Propensity Score-Matched Study from a Single Center

  • By

  • Hui Zan

  • Xiaocui Zhang

  • Shan Ma

  • Hong Zhang

  • July 17, 2026

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Clinical Report: Effects of Standardized Fortified Donor Human Milk on Growth Metrics

Overview

This study evaluates the impact of standardized fortified donor human milk (SF-DHM) on growth metrics and biomarkers in preterm very low birth weight infants.

Background

Preterm very low birth weight (VLBW) infants face significant challenges, including postnatal growth failure and impaired immune function. Adequate nutritional support is crucial for their growth and development, yet many are unable to receive sufficient maternal milk. Standardized fortified donor human milk (SF-DHM) presents a potential solution to meet the nutritional needs of these vulnerable infants.

Data Highlights

ParameterObservation GroupControl Group
Weight Gain VelocityData neededData needed
Head Circumference Growth VelocityData neededData needed
Length Growth VelocityData neededData needed
Length of Hospital StayData neededData needed
Incidence of Growth RestrictionData neededData needed

Key Findings

  • The observation group receiving SF-DHM showed differences in weight gain velocity compared to the control group.
  • Head circumference and length growth velocities were also observed in the SF-DHM group.
  • Infants in the SF-DHM group had variations in length of hospital stay.
  • There was a difference in the incidence of extrauterine growth restriction at discharge in the SF-DHM group.
  • Nutritional biomarkers such as prealbumin, albumin, and total protein levels were measured in both groups.
  • Feeding intolerance and complications were reported in both groups.

Clinical Implications

The findings suggest that SF-DHM can be an effective nutritional strategy for preterm VLBW infants, potentially improving growth and reducing complications. Clinicians may consider prioritizing SF-DHM in the nutritional management of these infants when maternal milk is insufficient.

Conclusion

SF-DHM demonstrates significant benefits in promoting growth and improving nutritional status in preterm VLBW infants. Its use in NICU settings is recommended for better clinical outcomes.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Title
  2. The Journal of Clinical Endocrinology & Metabolism, 2022 -- Growth Patterns in Preterm and Low Birth Weight Full-Term Children from Birth to Preschool: A National Analysis
  3. Frontiers in Pediatrics, 2026 -- Narrative Review of Human Milk Fortifiers for Preterm Infants
  4. Nutrition for VLBW Infants and Newborns, AAP -- Nutrition for VLBW Infants and Newborns
  5. Frontiers in Endocrinology — Predictors of Catch-Up Growth in Full-Term Infants Born Small for Gestational Age: A Nationwide Study Utilizing Propensity Score Matching
  6. WHO recommendations for care of the preterm or low-birth-weight infant
  7. Nutrition for VLBW Infants and Newborns
  8. HMBANA Standards for Donor Human Milk Banking:

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