Background and Aims Establishment of enteral feeding is crucial in gastroschisis. Breastmilk may be protective against early complications. Mothers are counselled by breast feeding advisors in our institution. We reviewed initial and discharge feed in a cohort of simple and complex cases.
Methods Retrospective analysis of feeding outcomes in 46 patients between August 2008 and Jan 2012 in a single centre. Complex cases were defined as those with closed gastroschsisis, bowel atresia, perforation, obstruction or necrosis, stoma or necrotising enterocolitis.
Results Maternal milk (MEBM) was initiated in 42 (91%) infants. MEBM and donor breast milk for 2(4.5%) and specialised formula(SF) for 2(4.5%).
Discharge feed was all or part breast milk in 78% of the SG group versus 20% in the CG, p=0.0001. It was breast milk exclusively in 52% of the SG group versus 7% of the CG, p=0.0025. Median days to full feeds were 16 in the SG versus 67 in the CG, p<0.0001.
Conclusions CG cases were less likely to be receiving any breast milk on discharge. This has implications for medical and parental expectations of potential outcome.