The time of passage of the first stool and urine by the premature infant

Kramer, Irving I.; Sherry, S. Norman

doi:10.1016/s0022-3476(57)80120-6

Cited by 18 publications

(4 citation statements)

References 3 publications

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“…Additionally, babies born vaginally to primipara mothers passed meconium significantly earlier when com pared to babies of multipara. Some previous studies had described first meconium passage in prematures, very-low-birth-weight babies, babies with delayed enteral feedings [4][5][6][7] and maternal drug therapy [8], These neonatal categories are associated with confounding variables such as respiratory distress syn drome, hypothermia or acidosis, all of which are presumed to affect first meconium pas sage [7],…”

Section: Discussionmentioning

confidence: 99%

Effect of Mode of Delivery, Parity and Umbilical Blood Gas on First Meconium Passage in Full-Term Healthy Neonates

Tateishi

Yamauchi²,

Yamanouchi³

et al. 1994

Neonatology

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The various physiologic factors which might influence the time of first meconium passage were studied in 62 healthy full-term newborn infants. Thirty-two babies were born vaginally and 30 by elective cesarean section. Infants born vaginally were more acidotic and passed first stool earlier compared to those born by cesarean section. The same applies to vaginally delivered babies when comparing babies born to primipara and others. Acidosis is a presumed mechanism, and a role of gastrointestinal hormones is suggested to be the possible mediator of increased motility in these babies.

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Section: Discussionmentioning

confidence: 99%

Effect of Mode of Delivery, Parity and Umbilical Blood Gas on First Meconium Passage in Full-Term Healthy Neonates

Tateishi

Yamauchi²,

Yamanouchi³

et al. 1994

Neonatology

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“…This Thereafter there was a direct relation between The greater the volume of milk ingested and stool fregreater the quency throughout the first eight weeks after [ants ingest-birth. Infants who received no milk had a d four times modal frequency of one stool each day whereas Develpoment of bowel habit in preterm infants 6 -It has been well shown by earlier studies that over 95% of healthy full term infants pass their first stool within 24 hours of birth.23 It has also 5 _ been recognised that neonates of low birth weight may have a delayed passage of meconium; only 80% of 500 infants of less than 2500 g,4 4 and 76% of 80 infants of less than 37 weeks' frequency and the volume of milk ingested, red daily during the first eight weeks after birth. Each point represents at least fants.…”

Section: Passage Of First Stoolmentioning

confidence: 99%

Development of bowel habit in preterm infants.

Weaver

Lucas²

1993

Archives of Disease in Childhood

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The bowel habits in 844 preterm infants were observed during the first 56 days after birth. Delay in the passage of meconium beyond the second day occurred in 32%, and there was an inverse relation between gestational age and the day of first bowel action. Thereafter the increase in frequency of stools passed each day was related directly to the volume of milk ingested. Unfed infants had a modal defecation rate of one stool each day. For each 50 ml/kg increase in the volume of milk ingested the infants showed a further increase of one stool passed each day. Infants fed with human milk passed a greater number and softer stools than those who received cows' milk formula. In the absence of milk feeds an intrinsic pattern of large bowel motor activity, present as early as 25 weeks' gestation, ensures a defecation rate of one stool each day. The effect of enteral nutrition on this inherent motility is governed by the volume and composition of milk feeds, independently of gestational age.

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“…Timing of the first and last meconium stool is critical for oral feeding tolerance and proper gastrointestinal function (2). Almost all term infants pass their first meconium within 48 h of life (3,4). In contrast, many premature infants pass their first meconium only after considerable delay up to 27 d (median, 43 h) (2,5).…”

Section: Introductionmentioning

confidence: 99%

Small Volume Enemas Do Not Accelerate Meconium Evacuation in Very Low Birth Weight Infants

Haiden¹,

Jilma

Gerhold³

et al. 2007

J. pediatr. gastroenterol. nutr.

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We hypothesized that small volume enemas accelerate meconium evacuation in very low birth weight (VLBW) infants. In a randomized controlled trial, VLBW infants (n = 81) received either repeated daily small volume enemas if complete spontaneous meconium passage failed within 24 h or no intervention. Small volume enemas did not accelerate complete meconium evacuation, which occurred after 6.0 to 9.6 (95% CI) d in the intervention group and after 7.7 to 11.0 (95% CI) d in the control group. No adverse events were observed. Daily administration of small volume enemas had no effect on total meconium evacuation defined by the time of last meconium passage.

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The time of passage of the first stool and urine by the premature infant

Cited by 18 publications

References 3 publications

Effect of Mode of Delivery, Parity and Umbilical Blood Gas on First Meconium Passage in Full-Term Healthy Neonates

Effect of Mode of Delivery, Parity and Umbilical Blood Gas on First Meconium Passage in Full-Term Healthy Neonates

Development of bowel habit in preterm infants.

Small Volume Enemas Do Not Accelerate Meconium Evacuation in Very Low Birth Weight Infants

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