17/11/2025
To mark World Prematurity Day, we speak to Ameerah Albertus, a dietitian who works in Groote Schuur Hospital’s Neonatal ICU.
“I'm a clinical dietician and my passion is neonatology. I'll screen babies every day, especially in the ICUs, to see if they are at risk of losing too much weight and I’ll adjust their feeding to prevent weight loss.
The difference a neonatal dietician can make for a baby is huge. If you as the dietician can start seeing a baby from the get-go, you can prevent their growth faltering or plateauing and ensure that the baby thrives while in the unit, which will then reduce the length of stay in the hospital so the baby can go home sooner.
Promoting the use of breast milk is a big part of what I do.
We always want to give our babies their own mom’s milk, but because we see a lot of high-risk mummies who might have had to have a C-section it can take up to three days for the mom's own milk to come in. In that case we would use donated milk. We have a donor milk bank in our unit, which is just for our babies.
We have a protocol in the unit – for all babies born less than 500 grams, we provide them with five days of donated breast milk. But if the mom is able to provide her own milk then we will give the mom's own milk. The first milk that comes out – colostrum – is considered the first immunisation for the baby and is especially important so we always promote that.
Normally the doctors would go to the mom and would talk to her about the importance of expressing. And when the mom does come down to see the baby for the first time in the unit, we hope that she brings us a few mls of her breast milk.
There are moms who come from far away and have to leave their babies. There’s financial strain and also social strain. It’s very hard for them. But we always encourage the mom to try and breastfeed, even if it’s 2mls or 5mls, because it makes a huge difference.
Sometimes there are moms that have an abundant supply of milk, that can be used for other babies. The nurses and I will speak to these moms and inform them that we have a donor milk bank and ask whether she’s willing for her milk to be used. I’ll also explain that we don’t just take the milk and give directly to other babies – it goes through a pasteurisation process and from there samples are sent to the lab for testing. Then the milk is frozen and can be kept for up to six months. And of course we always make sure that her own baby has enough first.
One of the things I find most fulfilling is seeing babies who have stayed here for three or four months finally going home with their mom. I had a baby that was discharged two weeks ago. When he was born at 24 weeks, he was 730 grams. He lost 24% of his birth weight, so his weight went down to 530 grams.
Most of these babies sadly don’t make it, but he did and was eventually discharged. That was a success story. He was 1,8kg when he left.
It’s just so rewarding being able to send a healthy baby home.”