Evidence map›Paper›PMID 30565323›Full record

ReviewActa paediatrica (Oslo, Norway : 1992)2019

Review shows that donor milk does not promote the growth and development of preterm infants as well as maternal milk.

Anna-Lena Hård, Anders K Nilsson, Anna-My Lund, Ingrid Hansen-Pupp, Lois E H Smith, Ann Hellström

Registry-linked trialOpen access · hybridAbstract readComparative StudyReview
In one paragraph

Review in Acta paediatrica (Oslo, Norway : 1992), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06843278 (Donor Breast Milk and Serum Ferritin Levels in Very Preterm Infants), which is not on this map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06843278 completednot on this mapstarted 2022, after this paper: background citation

Donor Breast Milk and Serum Ferritin Levels in Very Preterm Infants: A Prospective, Observational Study

TypeobservationalSponsorAdventHealthRan2022 to 2024Enrolled34ConditionsFerritin Levels in Very Preterm InfantsArmsmaternal breast milk, Donor breast milk
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Impact of fortifiers on donor milk nutrient composition: An experimental study.JPEN. Journal of parenteral and enteral nutrition · 2026
    Article
  5. Observational
  6. Article
  7. Article
  8. Exclusive human milk diet is associated with lower risk of motor function impairment at three years of corrected age.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. Human milk pH is associated with fortification, postpartum day, and maternal dietary intake in preterm mother-infant dyads.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Anna-Lena HårdDepartment of Ophthalmology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-2440-2851
Anders K NilssonDepartment of Ophthalmology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Anna-My LundDepartment of Pediatrics, Institute of Clinical Sciences Lund, Lund University and Skane University Hospital, Lund, Sweden.
Ingrid Hansen-PuppDepartment of Pediatrics, Institute of Clinical Sciences Lund, Lund University and Skane University Hospital, Lund, Sweden.
Lois E H SmithDepartment of Ophthalmology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Ann HellströmDepartment of Ophthalmology, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
University of Gothenburg · SELund University · SEBoston Children's Hospital · US

Funding

Dietary control of angiogenesis in retinopathy modelsR01EY017017 · NEI · BOSTON CHILDREN'S HOSPITAL · PI Zhongjie Fu, Lois Smith · 2006 to 2026
$11.8M
Novel therapies to inhibit Diabetic RetinopathyR24EY024864 · NEI · UNIVERSITY OF CALIFORNIA-IRVINE · PI KERN, TIMOTHY S · 2015 to 2019
$8.1M
Mouse Neurodevelopmental Behavior CoreU54HD090255 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI CHEN, CHINFEI · 2016 to 2020
$5.2M
NEI NIH HHS R01 EY017017NEI NIH HHS R24 EY024864NICHD NIH HHS U54 HD090255
6 · The paper itself

Abstract

aimThis nonsystematic review examined differences in the composition of raw maternal breastmilk and pasteurised donor milk and possible health effects on preterm infants.

methodsWe searched PubMed up to July 2018 for studies published in English that focused on four comparisons as follows: raw maternal milk versus donor milk, human milk before and after Holder pasteurisation, milk from mothers who delivered preterm and at term and milk collected during early and late lactation. We also searched for possible effects of the milk components, as well as the effects of maternal and donor milk on preterm infants' health.

resultsRaw maternal milk contained factors involved in antioxidant and anti-inflammatory defence, gut microbiome establishment and the maturation of immune defences, food tolerability and metabolism. Many of these factors were reduced or abolished in processed donor milk. Both maternal milk and donor milk have been associated with a reduced incidence of necrotising enterocolitis. High-dose feeding with maternal milk during the neonatal period reportedly reduced the risk of other morbidities and promoted growth and neurodevelopment.

conclusionMany of the components in raw maternal breastmilk were lacking in pasteurised donor milk, which was inferior in promoting the growth and development of very preterm infants.

Indexed as

Breast FeedingMilk, HumanHumansInfant, NewbornInfant Nutritional Physiological PhenomenaInfant, PrematureTissue DonorsDonor milkMaternal milkMorbidityPasteurisationPreterm

Identifiers

PMID30565323
PMCPMC6520191
OpenAlexW2904674957

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.