Journal
CLINICS IN PERINATOLOGY
Volume 46, Issue 1, Pages 77-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.clp.2018.09.005
Keywords
Mother's own milk; Breastmilk; Human milk; Oropharyngeal; Oral immune; Oral care; Premature; NEC; Oropharyngeal milk; Oropharyngeal colostrum; Oropharyngeal therapy
Categories
Funding
- Gerber Foundation [3877]
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Oropharyngeal administration of mother's own milk-placing drops of milk directly onto the neonate's oral mucosa may serve to (ex utero) mimic the protective effects of amniotic fluid for the extremely low birth weight infant; providing protection against necrotizing enterocolitis. This article presents current evidence to support biological plausibility for the use of OroPharyngeal Therapy with Mother's Own Milk (OPT MOM) as an immunomodulatory therapy; an adjunct to enteral feeds of mother's milk administered via a nasogastric or orogastric tube. Current methods and techniques are reviewed, published evidence to guide clinical practice will be presented, and controversies in practice will be addressed.
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