Robert HustonNorthwest Newborn Specialists, PC and Pediatrix Medical Group, USA
Title: Fortification of Human Milk at Lower Feeding Volumes Improves Growth in Infants <1250 g Birth Weight
This presentation will review studies of fortification strategies that have a goal of improving growth of infants <1250 g Birth Weight. The presentation will include a discussion of the goals for growth including the influence of birth and discharge post menstrual age on expectations for weight gain. The relationship of weight gain velocity to changes in z-score will be discussed as well as the relationship of changes in z-score to neurodevelopmental outcome. Studies suggest that fortifying human milk feedings at lower feeding volumes is safe and does improve growth outcomes in the NICU at least for infants who are fed human milk fortified with a human milk based fortifier.
Robert Huston received his fellowship training in Neonatology at Oregon Health Sciences University, Portland, Oregon, where he was mentored by Drs. S. Gorham Babson, Gerda Benda, and John Reynolds with an emphasis on neonatal nutrition. He is one of five founding members Northwest Newborn Specialists, PC in Portland, Oregon, who currently provide medical directors for and staff the neonatal intensive care units at Randall Children’s Hospital at Legacy Emanuel, Providence St. Vincent Medical Center, and Providence Portland Medical Center in Portland Oregon, as well as, Legacy Salmon Creek Medical Center in Vancouver, Washington. Huston is board-certified in pediatrics and neonatal-perinatal medicine by the American Board of Pediatrics. He is Chair of the Neonatal Nutrition and Pharmacy Multisite Committee for Northwest Newborn Specialists. Research publications include studies of parenteral trace metals, parenteral calcium and phosphate compatibility, nutrient balance studies, and human milk fortification.