A suggested role for precolostrum in preterm and sick newborn infants

Acta Paediatr Scand. 1983 Jan;72(1):13-7. doi: 10.1111/j.1651-2227.1983.tb09656.x.

Abstract

Samples of precolostrum (colostrum gravidarum), colostrum and mature milk obtained from five women during their antenatal and postnatal periods were measured for IgA, IgG, IgM, alpha-1-antitrypsin, lactoferrin, lysozyme, B1A globulin (C3) and B1E globulin (C4) by single radial immunodiffusion. Protein concentrations in precolostrum were equal to or greater than those found in colostrum obtained during the first 12-48 hours following delivery. Secretion of precolostrum is common, occurs early in the antenatal period and may often be of considerable volume. The anti-microbial proteins contained within this milk can be preserved intact by freezing. This represents an untapped pool of bacteriostatic proteins with specific activity against neonatal pathogens. We suggest that a potential protective effect against serious infection may be obtained by administering precolostrum to "at risk" infants during the first few days of life.

MeSH terms

  • Colostrum / immunology*
  • Complement C3 / analysis
  • Complement C4 / analysis
  • Female
  • Humans
  • Immunoglobulins / analysis
  • Infant, Newborn
  • Infant, Newborn, Diseases / immunology*
  • Infant, Premature*
  • Lactoferrin / analysis
  • Milk, Human / immunology
  • Muramidase / analysis
  • Pregnancy
  • alpha 1-Antitrypsin / analysis

Substances

  • Complement C3
  • Complement C4
  • Immunoglobulins
  • alpha 1-Antitrypsin
  • Muramidase
  • Lactoferrin