NEC RESOURCES

Human Milk and the Prevention of Necrotizing Enterocoli

 This extensive and informative video by the NEC Society​ stresses the importance of using human milk for preventing Necrotizing Enterocolitis as opposed to cow milk-based baby formula..

Or​ganizations that offer education, support and resources about NEC

  • NEC Society
    A non-profit organization dedicated to protecting premature infants from necrotizing enterocolitis and reducing the occurrence. They provide up-to-date information on NEC-related issues and offer many resources for those impacted by NEC.  Extensive information stresseing the importance of using human milk for preventing Necrotizing Enterocolitis as opposed to bovine based baby formula..
  • The Morgan Learly Vaughan Fund
    ​A NEC-specific, non-profit organization that is focused on increasing research and public awareness of NEC.
  • Team Grayson
    Raise awareness and find cures for diseases that impact newborns and preemies including NEC​           

Organizations that offer advice to assist parents and families of premature infants

  • Preemie Parent Alliance - Newborn Hope                                                                               An organization Committed to the support of preemie parents. This site provides resources and support programs to parents of preemies, babies born with special health-care needs and those who have experienced loss due to these or other complications.
  • Hand to Hold
    A Parent Organization for Fragile Babies.
  • Graham's Foundation
    Supporting preemies through advocation and research.
  • Peekaboo ICU
    Information designed for clinicians and for parents of preemies during the NICU experience.

Brochures

;          Explaing that babies who receive human milk have a lower risk of getting NEC​ than those on bovine                     based baby formula.           All parents need to know that preemies need breast milk not cow milk-based baby formula.            One of the most important a mother can do is to pump milk for her baby, and stressing the importance               of human milk as opposed to bovine based baby formula.

Apps

​​Peekaboo ICU App
  • An app designed for parents of preemies during their NICU experience.  Stressing mother's own milk over cow milk-based baby formula and including  an extensive feeding guide providing special preemie nutritional information to parents. Including a pumping log for mothers to record and keep track of milk production over time on a special custom graph.

Online Support Groups

          The NEC Society Connects online Inspire community hopes to elevate the conversation around NEC by            fostering awareness, patient-family empowerment and NEC-related resources. Notes one of the most                important things parents should know is no cow milk-baseded baby formula: "Preemies should receive              a 100% breast milk diet." 

Top Children's Hospitals

Resources and Publications 

Webinars provided by the NEC Society

             Compared to bovine based baby formula, feeding vulnerable infants mothers milk offers the best                        protection against NEC              Human milk is one of the best ways to help prevent necrotizing enterocolitis in premature and                             vulnerable infants. When mother's own milk is not available, pasteurized donor milk is the next best                     option, not bovine based baby formula. Feeding vulnerable infants mothers milk offers the best protection against NEC

 Additional NEC Resources

Timeline

​For over thirty (30) years the manufacturers of baby formula have known or should have known, that their cow milk based baby formula products could cause necrotizing enterocolitis. 

1990
Breast milk and neonatal necrotising enterocolitis
​Study on 926 preterm infants found that NEC was six to ten times more common in infants fed cow milk-bades baby formula. Among babies born at more than 30 weeks' gestation confirmed necrotising enterocolitis was rare in those whose diet included breast milk; it was 20 times more common in those fed cow milk-based baby formula.

2010
Human Milk Fortification Increases Bnip3 Expression Associated With Intestinal Cell Death In Vitro
Journal of Pediatrics published a study in 2010, that established when premature babies were fed an exclusive diet of mother’s milk, donor milk, and human milk fortifier, these babies were 90% less likely to develop surgical NEC, as ossosed to being fed only cow milk-bader baby formula.

2011
The Surgeon General's Call to Action to Support Breastfeeding
The U.S. Surgeon General published a report in 2011 stating formula feeding with cow milk based bady formula is associated with higher rates of of NEC.  In the same report, the Surgeon General concluded that premature infants who are not breastfed are 138% more likely to develop NEC.

2014
Evidence-based feeding strategies before and after the development of necrotizing enterocolitis
It is well established that the risk is increased by the administration of cow milk-baded baby formula and decreased by the administration of breast milk.

2015
In time: human milk is the feeding strategy to prevent necrotizing enterocolitis
“There is a 50% reduction in the rate of NEC and/or LOS and a shortened length of hospital stay among the extremely low birth weight infants receiving MOM [mother’s own milk]… as ossosed to Bovine based formula

2016
Beyond Necrotizing Enterocolitis Prevention: Improving Outcomes with an Exclusive Human Milk–Based Diet
A study of 1,587 infants was published in the scientific medical journal Breastfeeding Medicine. This study found that extremely premature infants who received an exclusive human milk–based diet had a significantly lower incidence of NEC and mortality than those receiving cow bovile baby formula.

2017 
Current Knowledge of Necrotizing Enterocolitis in Preterm Infants and the Impact of Different Types of Enteral Nutrition Products
​A paper was published that compared two Randomized Clinical Trials. The paper found, “both trials found that an exclusive [Human Milk] diet results in a lower incidence of NEC. The paper also concluded that the use of DHM or bovine cowcmilk-based baby formula significantly increased the risk of NEC. 

2021
Breastfeeding and the Use of Human Milk
The Official Journal of The American Academy of Pediatrics published a study that included the following … “Meta-analyses of 4 randomized clinical trials performed over the period 1983 to 2005 support the conclusion that feeding preterm infants human milk is associated with a significant reduction (58%) in the incidence of necrotizing enterocolitis (NEC) than a bovine based formula. A more recent study of preterm infants fed an exclusive human milk diet compared with those fed human milk supplemented with cow-milk-based baby formula products noted a 77% reduction in NEC. One case of NEC could be prevented if 10 infants received an exclusive human milk diet, and 1 case of NEC requiring surgery or resulting in death could be prevented if 8 infants received an exclusive human milk diet.”


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