Enteral nutrition for optimal growth in preterm infants

Kim, Myo-Jing

doi:10.3345/kjp.2016.59.12.466

Cited by 9 publications

(10 citation statements)

References 21 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Low protein levels are associated with low IGF-I concentrations (Yeung 2003), and lower lean mass in childhood (Chiesa 2008;Hellström 2016;Lo 2002). Therefore, the addition of protein to human milk is expected to raise IGF-1 concentrations, decrease fat mass accretion, and limit the initial growth failure of preterm infants (Kim 2016;Koletzko 2005).…”

Section: How the Intervention Might Workmentioning

confidence: 99%

Protein supplementation of human milk for promoting growth in preterm infants

Amissah

Brown

Harding

2020

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

Section: How the Intervention Might Workmentioning

confidence: 99%

Protein supplementation of human milk for promoting growth in preterm infants

Amissah

Brown

Harding

2020

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

“…In particular, the head circumference is intended to make catch up growth early (39). As soon as the infant catch up the birth percentile, PF is exchanged with SF (45).…”

Section: Postdischarge Nutritional Optionsmentioning

confidence: 99%

Turkish Neonatal Society guideline on enteral feeding of the preterm infant

2019

View full text Add to dashboard Cite

Early initiation of enteral feeding with the own mother’s milk and prevention of postnatal growth failure is the target of nutrition in preterm infants. Together with total parenteral nutrition, mouth care and minimal enteral nutrition is started with colostrum in the very early hours of life in small preterm infants. Expressed mother’s milk is given via a gastric tube and gradually increased in accordance with the gestational age/birth weight and the risk factors. For infants born heavier than 1 000 grams, the aim is to reach total enteral feeding at the end of first week, and at the end of the second week for infants weighing less than 1000 grams. Supporting mothers in milk expression and kangaroo mother care, promoting non-nutritive feeding, appropriate fortification of mother’ milk, and initiating and advancing breastfeeding as soon as the infant is ready are all crucial. Donor mother milk, and as a second choice, preterm formula is advised if the mother’s milk is not available. Individualized post-discharge nutrition decisions can be taken in accordance with the actual growth at the time of discharge. The goal is optimal neurodevelopmental achievement together with the prevention of long-term metabolic problems. Late preterm infants, which constitute the majority of preterm infants, also need close nutritional attention and follow-up.

show abstract

“…There is a wide variety of nutrition concepts in newborn units around the world. In general, everyone believe they should grow as "in utero" for the smallest premature babies(1) but many thinks that it is not possible with today's nutrition "guidelines" (2). There is resistance to give enough nutrition for fear of "toxicity" especially in parenteral nutrition, (3)(4)(5) spatially protein and lipids.…”

Section: Introductionmentioning

confidence: 99%

I Can Grow as an In Utero if You Give Me Enough Nutrition: Premature ≤29 Weeks Gestation

Hoyos¹

2021

Preprint

View full text Add to dashboard Cite

Introduction: In general, everyone believe they should grow as “in utero” for the smallest premature babies but many thinks that it is not possible with today's nutrition “guidelines”. There is resistance to give enough nutrition for fear of "toxicity". We use volumes that some would consider high, although there are more and more groups that accept it. We chose the difference in Z-score between birth and a corrected discharge gestational age to assess postnatal growth in our unit.Material and methods: Between January 2018 and December 2020, we review all cases ≤ 29 weeks of GA at birth that survived to 36 weeks corrected gestational age, or that were discharged home if this occurred before. We had a protocol with extremely aggressive nutrition including parenteral as well as oral nutrition. We then separated the patients who had lost more than 1 Z-score point to see the weight trajectory plotted on the Fenton 2013 growth curve and to review the clinical characteristics of those patients. We also graphed the patients who had had a smaller Z-score difference to also see their trajectory in the Fenton curves. We calculate the number of cases, medians, and interquartile ranges for all groups.Results: We fount 32 cases. The median ± IQR (interquartile range) of change in Z-score between birth and discharge of the whole group was -0.52 ± 0.53; 6/32 (19%) had more than 1 point drop; all had severe diseases listed in Figure 1 with plotting all cases. The median decline in Z score ± IQR of this group with poor growth was 1.24 ± 0.22. The group of cases with a fall of <1 point of Z score were 26 (81%), the median ± IQR of fall of Z score was 0.39 ± 0.55 (see figure 2). All cases had the initial fall in weight the first 1-2 weeks. No important complications secondary to the ingested volumes or parenteral nutrition were reported. Conclusion: The group of cases with a fall of > 1 point of Z score had severe pathologies. The other cases had an adequate growth parallel to normal growth charts in some cases with some catch up.Discussion: With this work we try to show that in many premature babies it is possible to grow like in utero if they are given enough nutrition. Randomized studies are necessary to confirm our findings.

show abstract

Enteral nutrition for optimal growth in preterm infants

Cited by 9 publications

References 21 publications

Protein supplementation of human milk for promoting growth in preterm infants

Protein supplementation of human milk for promoting growth in preterm infants

Turkish Neonatal Society guideline on enteral feeding of the preterm infant

I Can Grow as an In Utero if You Give Me Enough Nutrition: Premature ≤29 Weeks Gestation

Contact Info

Product

Resources

About