Abstract Ref Number = APCP1252
OUTCOME OF PRETERM INFANT WHO GET BREAST MILK IN NEONATAL INTENSIVE CARE UNIT
dwi lestari avianti,Mahendra Tri Arif S,Kartika Darma Handayani,Dina Angelika,Martono Tri Utomo,Risa Etika,Agus Harianto
RSUD Dr Soetomo Surabaya Department of Child Health, Faculty of Medicine, Universitas Airlangga Dr Soetomo Hospital, Surabaya, Indonesia
Background : Breast milk is the best nutrition that has immunological benefit for preterm infants. Breast milk also has economic value by reducing the complications and morbidity in preterm infants being treated in neonatal intensive care unit (NICU). The aim of this study is to asses the outcome of preterm infants who get breast milk in NICU.
Material : A retrospective study was performed in NICU Dr. Soetomo hospital Surabaya from April 2016 to April 2018. Preterm infants (28-36 weeks gestational age) with birth weight ? 850g were enrolled in this study and classified into exclusive breast milk, partial breast milk and formula milk group. The variable, such as necrotizing enterocolitis (NEC), duration of IV line, late onset of sepsis, weight increments, feeding tolerance, length of stay and total hospitalization cost were obtained from medical record. The Kruskal-Wallis test used to compare between groups with P <0.05 was considered significant.
Results : A total of 729 preterm infants, 129 (17.7%) get exclusive breast milk, 378 (51.9%) partial breast milk, and 222 (30.4%) formula milk. The median weight increments/day were 22 (12-46) vs 40 (28-59) g (P <0.001), median IV line duration 3 (2-7) vs 7 (6-10) days (P <0.001) and median hospitalization cost 3.1 (2.1-4.2) vs 5 (4.4-6.2) million rupiah (P <0.001) in breast milk vs formula milk group. No difference were found on NEC events, late onset of sepsis, feeding tolerance and length of stay.
Conclusions : Preterm infants who get breast milk require shorter duration of IV line use and lower NICU costs.
Keywords: Preterm infants neonatal intensive care unit breast milk outcome