Feeding Strategies in Preterm Very Low Birth-Weight Infants

Parker, Leslie A.; Desorcy-Scherer, Katelyn; Magalhães, Marina

doi:10.1097/anc.0000000000000849

Cited by 8 publications

(7 citation statements)

References 75 publications

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“…The existing evidence in this study cannot prove that BMOC has an impact on the time to reach full intestinal feeding and full oral feeding, which may be related to the different gestational age or birth weight of preterm infants, resulting in the difference of enteral feeding tolerance ( 37 ). In addition, there are differences in feeding strategies implemented in different hospitals, which may also affect the results ( 38 ).…”

Section: Discussionmentioning

confidence: 99%

Effect of Breast Milk Oral Care on Mechanically Ventilated Preterm Infants: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

et al. 2022

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BackgroundThe benefits of breast milk oral care in mechanically ventilated preterm infants remain controversial. This study aimed to systematically review the evidence on the benefits of breast milk oral care in mechanically ventilated preterm infants.MethodsThe randomized controlled trials of breast milk oral care for mechanically ventilated preterm infants were searched in EMBASE, PubMed, Cochrane Library, Web of Science, WANFANG Date and China National Knowledge Infrastructure databases. The retrieval language was limited to Chinese and English, and the final search was conducted until March 2022. Outcome measures included ventilator-associated pneumonia (VAP), mechanical ventilation time (MVT), length of stay (LOS), necrotizing enterocolitis (NEC), late-onset sepsis, mortality during hospitalization, time of full intestinal feeding and time of full oral feeding. Two researchers independently screened the literature, extracted the data, and conducted the literature quality assessment. Meta-analysis was mainly performed using RevMan 5.3.ResultsEight articles involving 1,046 preterm infants were included. Our meta-analysis showed that compared with the control group, breast milk oral care could reduce the incidence of VAP [RR = 0.41, 95% CI (0.23, 0.75), P = 0.003] and NEC [RR = 0.54, 95% CI (0.30, 0.95), P = 0.03], and shorten the MVT [MD = −0.45, 95% CI (−0.73, −0.18), P = 0.001] and LOS [MD = −5.74, 95% CI (−10.39, −1.10), P = 0.02]. There were no significant differences in the mortality during hospitalization [RR = 0.94, 95% CI (0.67, 1.33), P = 0.74], the incidence of late-onset sepsis [RR = 0.79, 95% CI (0.40, 1.59), P = 0.51], the time of full intestinal feeding [MD = −2.42, 95% CI (−5.37, 0.52), P = 0.11] and the time of full oral feeding [MD = −3.40, 95% CI (−10.70, 3.91), P = 0.36] between the two groups.ConclusionsOral care of breast milk can reduce the incidence of VAP and NEC, shorten MVT and LOS in mechanically ventilated preterm infants. However, due to the quality and quantity limitations of the included studies, larger sample size and more strictly designed clinical trials are still needed in the future to further confirm the findings of this study.

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Section: Discussionmentioning

confidence: 99%

Effect of Breast Milk Oral Care on Mechanically Ventilated Preterm Infants: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

et al. 2022

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“…human milk, human milk fortifier, neonatal intensive care unit, premature infant BACKGROUND Human milk (HM) is the preferred source of nutrition for all infants and supplies unique benefits for the preterm infant. [1][2][3][4] The hospitalized infant's dependence on expressed mother's own milk (MOM), or donor HM (DHM) when maternal milk is unavailable, presents challenges for neonatal intensive care units (NICUs) that may not be equipped to prepare this milk safely. [5][6][7][8] In addition to the complexity of HM collection and delivery in the hospital setting, preterm and high-risk infants have increased nutrient needs that require the supplementation of micro-and macronutrients.…”

Section: Discussionmentioning

confidence: 99%

“…Human milk (HM) is the preferred source of nutrition for all infants and supplies unique benefits for the preterm infant 1–4 . The hospitalized infant's dependence on expressed mother's own milk (MOM), or donor HM (DHM) when maternal milk is unavailable, presents challenges for neonatal intensive care units (NICUs) that may not be equipped to prepare this milk safely 5–8 .…”

Section: Introductionmentioning

confidence: 99%

Perceptions of the impact of a multidose human‐milk fortifier on human‐milk preparation practices in United States neonatal intensive care units: A survey of nutrition care team members

et al. 2022

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Background In 2020, a multidose human‐milk fortifier (MDHMF) was designed to improve the process of human‐milk (HM) fortification. The bottle of MDHMF (5.5 oz, 163 ml) allows aseptic removal of HMF in a precise measure. This survey aimed to examine the experience of nutrition care team (NCT) members who used the MDHMF in a hospital setting. Methods A survey link (Qualtrics XM) was sent to NCT leaders (N = 108) at hospitals who participated in an evaluation of the MDHMF from June 1, 2020, through April 30, 2021. The NCT leaders sent the survey to members at their prospective hospitals (n = 344). The investigators did not know the identities of the recipients of the survey and collected no identifying information on respondents. Respondents were asked to evaluate their experience with the MDHMF compared with their previous practice. Results The majority of respondents (n = 63, 72%) reported that the MDHMF improved their HM preparation practices and was better than their previous practice for reducing the time to prepare (n = 33, 71.7%), ensuring the accuracy of fortified HM (n = 32, 69.6%), ensuring aseptic preparation (n = 24, 52.2%), reducing HM waste (n = 27, 58.7%), and being easy to use (n = 30, 65.2%). Those responsible for evaluating nutrition status answered that the MDHMF was the same for feeding tolerance (n = 41, 58.6%), weight gain (n = 47, 67.1%), head growth (n = 56, 81.2%), and length growth (n = 53, 76.8%). Conclusion US neonatal intensive care unit NCT members perceived that the MDHMF resulted in improved HM preparation practices while maintaining growth and tolerance.

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“…During the recent years, total parenteral nutrition (TPN) was initiated on the first day of life, and enteral trophic feeding started as soon as possible, either with expressed own mother's milk, when available, or with formula designed for premature infants [27]. Enteral feed volumes were gradually increased on a daily basis for each infant, provided that they tolerated the feeding, while simultaneously reducing the amount of parenteral nutrition [28].…”

Section: Nutritional Datamentioning

confidence: 99%

The Prevalence of Small for Gestational Age and Extrauterine Growth Restriction among Extremely and Very Preterm Neonates, Using Different Growth Curves, and Its Association with Clinical and Nutritional Factors

Kakatsaki,

Papanikolaou,

Roumeliotaki

et al. 2023

Nutrients

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Monitoring the growth of neonates in the Neonatal Intensive Care Unit (NICU) using growth charts constitutes an essential part of preterm infant care. Preterm infants are at increased risk for extrauterine growth restriction (EUGR) due to increased energy needs and clinical complications. This retrospective study compares the prevalence of small for gestational age (SGA) at birth and EUGR at discharge in extremely and very preterm neonates hospitalized in the NICU of a tertiary hospital in Greece, using different growth curves, and it examines the associated nutritional and clinical factors. Fenton2013 and INTERGROWTH-21st growth curves were used to calculate z-scores of birth weight (BW) and weight, length, and head circumference at discharge. The study includes 462 newborns with a mean BW of 1341.5 g and mean GA of 29.6 weeks. At birth, 6.3% of neonates were classified as SGA based on Fenton2013 curves compared to 9.3% with INTERGROWTH-21st growth curves. At discharge, 45.9% of neonates were characterized as having EUGR based on the Fenton2013 weight curves and 29.2% were characterized based οn INTERGROWTH-21st curves. Nutritional factors such as the day of initiation, attainment of full enteral feeding, and the duration of parenteral nutrition were associated with EUGR by both curves. The prevalence of SGA and EUGR neonates differs between the two growth references. This shows that further evaluation of these charts is needed to determine the most appropriate way to monitor infant growth.

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Feeding Strategies in Preterm Very Low Birth-Weight Infants

Cited by 8 publications

References 75 publications

Effect of Breast Milk Oral Care on Mechanically Ventilated Preterm Infants: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Effect of Breast Milk Oral Care on Mechanically Ventilated Preterm Infants: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Perceptions of the impact of a multidose human‐milk fortifier on human‐milk preparation practices in United States neonatal intensive care units: A survey of nutrition care team members

The Prevalence of Small for Gestational Age and Extrauterine Growth Restriction among Extremely and Very Preterm Neonates, Using Different Growth Curves, and Its Association with Clinical and Nutritional Factors

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