Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis: A National Cohort Study
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- Exclusive breast milk vs. formula feeding showed no significant difference in time to full enteral feeds in uncomplicated gastroschisis.
- NEC rates were similar between exclusive breast milk and formula-supplemented groups in this gastroschisis cohort.
- Duration of parenteral nutrition and hospital length of stay were comparable regardless of feeding type.
- Feeding choice (breast milk vs. formula) does not appear to impact short-term outcomes in uncomplicated gastroschisis cases.
- Clinicians can counsel families that formula supplementation is a safe option when exclusive breastfeeding is not feasible.
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Does exclusive breast milk intake affect outcomes and uncomplicated gastroschisis? I'm Alex Halpern, general surgery resident from George Washington University working with Cincinnati Children's, and this is an article that you should know. The team at McMaster University performed a retrospective review looking at infants born between 2014 and 2022 with uncomplicated gastroschisis to try to answer this question. They found that the infants with exclusive breast milk intake and the ones with supplemental or exclusive formula intake had similar outcomes, with no significant differences between the groups in time to reach full enteral feeds, duration of parenteral nutrition, rates of necrotizing enterocolitis. And length of stay in the hospital. So it seems like formula intake versus exclusive breast milk intake does not really affect outcomes in uncomplicated gastroschisis. Does this information change your practice at all? Let us know what you think in the comments below.