A Descriptive Study of Transient Neonatal Feeding Intolerance in a Tertiary Care Center in Turkey

Cizmeci, Mehmet Nevzat; Kanburoğlu, Mehmet Kenan; Akelma, Ahmet Zülfikar; Tufan, Naile; Tatlı, Mustafa Mansur

doi:10.1111/1552-6909.12292

Cited by 3 publications

(7 citation statements)

References 17 publications

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“…Intolerance to the oral route in a newborn is manifested by vomiting with or without abdominal distension 17,18 . In a study in Turkey, they found the same findings as ours but did not perform venous gasometry 8 . This work opens a line of research to carry out prospective studies on acute vomiting and its causes in stable newborns without apparent morbidity in the room-in area and transitional nursery.…”

Section: Discussionsupporting

confidence: 81%

“…Our patients' urine test results and extended metabolic screening ruled out these diagnoses. Among the recommended laboratory tests to analyze a newborn with vomiting are a complete blood count, blood glucose, serum electrolytes, gasometry, liver enzymes, and renal function tests, according to clinical possibility 2,8,9 . These were all normal in both groups except for the number of platelets.…”

Section: Discussionmentioning

confidence: 99%

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Acute non-biliary vomiting without abdominal distention associated with elevated serum lactate in term neonates

Rodríguez-Balderrama¹,

Alanís-García²,

Nieto-Sanjuanero³

et al. 2023

RMU

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Objective. This retrospective study aimed to analyze the clinical evolution of newborns who presented acute vomiting without abdominal distension and who presented lactacidemia in the rooming-in area or transitional nursery in a tertiary care hospital. Material and methods. An observational, comparative, retrospective, and cross-sectional study was performed from January 1, 2021, to December 22, 2021. Records of newborns with acute vomiting were reviewed, and two groups, Group A with elevated lactate and Group B with normal lactate, were formed. Results. The sample consisted of 62 neonates, of which 41 (66%) had elevated serum lactate (Group A). Logistic regression was performed, finding that time to resolution in hours had a statistical significance of 0.003 and an odds ratio of 1.278 in Group A (18 ± 10) to restart the oral route (p < 0.05). In contrast, Group B had a higher platelet count (p < 0.001). Conclusions. We found elevated serum lactate in 66% of the neonates studied with acute vomiting without abdominal distension in the rooming-in area or transitional nursery, a finding not reported to date in the literature.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Acute non-biliary vomiting without abdominal distention associated with elevated serum lactate in term neonates

Rodríguez-Balderrama¹,

Alanís-García²,

Nieto-Sanjuanero³

et al. 2023

RMU

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“…En este estudio, encontramos que la verdadera incidencia de intolerancia alimentaria en los recién nacidos a término hospitalizados en nuestra institución entre 2011 y 2013 fue del 4,4 % para 2011, del 3,5 % para 2012 y del 4,3 % para el 2013 que, al compararlo con estudios previos, es similar a la incidencia en otros países [6].…”

Section: Discussionunclassified

“…Sin embargo, se puede producir intolerancia a la alimentación oral por múltiples factores de riesgo, a saber: factores maternos que incluyen el uso de medicamentos durante el trabajo de parto (como sulfato de magnesio, opiáceos y anestésicos), la vía del parto y la presencia de infección materna. Entre tanto, factores del recién nacido, como la administración de medicamentos opiáceos, el antecedente de problemas en la adaptación neonatal con asfixia o sin esta, la deglución de sangre materna, el retardo en el crecimiento intrauterino, la alergia a la proteína de leche de vaca, la ictericia, la deshidratación y los trastornos electrolíticos [5,6].…”

Section: Fisiopatologíaunclassified

“…Al revisar la literatura actual, no hay suficiente evidencia que identifique los factores asociados a intolerancia a la vía oral en el recién nacido a término. La incidencia de este trastorno, según la literatura disponible, es del 3,75 % [6]. Con frecuencia, en muchas de nuestras unidades de recién nacidos se suspende la vía oral sin tener claro qué configura el diagnóstico de intolerancia, y ello lleva a desnutrición extrauterina [4].…”

Section: Fisiopatologíaunclassified

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Caracterización de recién nacidos a término con diagnóstico de intolerancia a la vía oral en su primera semana de vida

et al. 2017

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Introducción: El diagnóstico de intolerancia a la vía oral en los recién nacidos atérmino no se basa en la definición operativa. No hay estudios sobre factores de riesgo.Objetivo: Caracterizar a recién nacidos a término hospitalizados con diagnóstico deintolerancia a la vía oral. Analizar la calidad sobre este diagnóstico y establecer suincidencia real. Diseño y metodología: Cohorte retrospectiva entre 2011 y 2013. Seanalizaron variables prenatales, intraparto y postparto y si el diagnóstico cumplía conlos criterios de la definición. Resultados: El 11,3 % de los pacientes tenía intoleranciaa la vía oral, y solo el 33 % cumplía con la definición operativa. La incidencia anualestimada estuvo entre el 3,5 % y el 4,4 %. En la caracterización de la población, lasvariables más frecuentes fueron: consumo de fórmula láctea (88 %), antecedentematerno de anestesia regional (69 %), ictericia (61 %), sexo masculino (58 %), partopor cesárea (57 %) e hipoglucemia (53 %). Conclusiones: La incidencia real es similara otros países; el 66 % de los pacientes no cumplía con la definición operativa. Serequieren estudios analíticos que exploren la relación causal con las variables másfrecuentes.

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Gastrointestinal Tolerance of Formula-Fed Infants During the Immediate Postnatal Period in Saudi Arabia: An Observational Study

Hays,

Alenazi,

Al-Zaatreh

et al. 2024

Global Pediatric Health

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Objective. Feeding intolerance during the early postnatal period can be distressing for families. To assess this, infants (n = 150) of mothers who had previously decided to exclusively or partially formula feed were enrolled ≤24 hours after birth. Methods. Infants were fed with a single ready-to-feed, 100% partially hydrolyzed whey protein-based formula until discharge, in accordance with standard hospital practice. Parents recorded daily the presence/severity of gastrointestinal (GI) symptoms/behaviors, rated from 0 (never) to 5 (always). A validated questionnaire was completed at discharge to evaluate symptoms of GI discomfort; scores can range from 0 to ~140 (lower scores indicate fewer symptoms). Results. Mean ± SD daily scores ranged from 0.12 ± 0.40 (fussiness/irritability) to 1.26 ± 0.90 (spitting up), indicating that GI symptoms/behaviors occurred, on average, “never” or “almost never.” Mean GI discomfort scores were also very low (9.9 ± 7.4). Conclusion. These results indicate that the ready-to-feed formula was very well accepted and well tolerated during this period among healthy newborns in Saudi Arabia.

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A Descriptive Study of Transient Neonatal Feeding Intolerance in a Tertiary Care Center in Turkey

Cited by 3 publications

References 17 publications

Acute non-biliary vomiting without abdominal distention associated with elevated serum lactate in term neonates

Acute non-biliary vomiting without abdominal distention associated with elevated serum lactate in term neonates

Caracterización de recién nacidos a término con diagnóstico de intolerancia a la vía oral en su primera semana de vida

Gastrointestinal Tolerance of Formula-Fed Infants During the Immediate Postnatal Period in Saudi Arabia: An Observational Study

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