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2024, Number 5

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Acta Pediatr Mex 2024; 45 (5)

Feeding Intolerance in Late Preterm Infants: Single Center Experience

Arayici S, Alyamac DE, Kadioglu SG, Nur SF

Language: English
References: 23
Page: 436-442
PDF size: 227.04 Kb.


ABSTRACT

Objective: To determine the frequency and clinical features of the late preterm infants with feeding intolerance.
Material and Methods: Medical records of 426 infants with gestational age of 340/7- 366/7 weeks were retrospectively reviewed for the study. Clinical and demographic features of late preterm infants and episodes of feeding intolerance were recorded.
Results: A total of 54 late preterm infants with feeding intolerance were evaluated and compared with 178 infants without feeding intolerance. Baseline demographics were similar between groups. Mean duration of intolerance period was 2.3 ± 1.2 days. Time to full enteral feeding was significantly longer in late preterm infants with feeding intolerance when compared with infants without feeding intolerance (8 ± 2.3 vs 5.2 ± 1.7 days, respectively, p‹0.001). Breastfeeding rates were similar between the groups. Rate of prokinetic use in the feeding intolerance group was 37%. There were no differences between the time to full enteral feeding and the duration of parenteral nutrition between prokinetic users and non-users.
Conclusions: Although the gestational ages of late preterm infants are close to term and their size is relatively large, they are not like term infants. These infants should be followed closely in terms of feeding problems as well as many morbidities.


REFERENCES

  1. Davidoff MJ, Dias T, Damus K, Russell R, Bettegowda VR,Dolan S, et al. Changes in the gestational age distributionamong U.S. singleton births: impact on rates of late pretermbirth, 1992 to 2002. Semin Perinatol 2006;30:8–15.

  2. Boyle JD, Boyle EM. Born just a few weeks early: does itmatter? Arch Dis Child Fetal Neonatal Ed 2013;98:F85-88.

  3. Picone S, Aufieri R, Paolillo P. Infection in late preterminfants. Early Hum Dev 2014;90:S71-74.

  4. Kugelman A, Colin AA. Late preterm infants: near termbut still in a critical developmental time period. Pediatrics2013;132:741-751.

  5. Melamed N, Klinger G, Tenenbaum-Gavish K, HerscoviciT, Linder N, Hod M, et al. Short-term neonatal outcome inlow-risk, spontaneous, singleton, late preterm deliveries.Obstet Gynecol 2009;114:253-260.

  6. Kitsommart R, Janes M, Mahajan V, Rahman A, SeidlitzW, Wilson J, et al. Outcomes of late-preterm infants: aretrospective, single-center, Canadian study. Clin Pediatr(Phila) 2009;48:844-850.

  7. Kramer MS, Demissie K, Yang H, Platt RW, Sauvé R, Liston R.The contribution of mild and moderate preterm birth to infantmortality. Fetal and Infant Health Study Group of the CanadianPerinatal Surveillance System. JAMA 2000;284:843-849.

  8. Adamkin DH. Feeding problems in the late preterm infant.Clin Perinatol 2006;33:831-837.

  9. Laptook A, Jackson GL. Cold stress and hypoglycemia inthe late preterm ("near-term") infant: impact on nurseryof admission. Semin Perinatol 2006;30:24-27.

  10. Bhutani VK, Johnson L. Kernicterus in late preterm infantscared for as term healthy infants. Semin Perinatol2006;30:89-97.

  11. Neu J. Gastrointestinal maturation and implications forinfant feeding. Early Hum Dev 2007;83:767-775.

  12. Wang ML, Dorer DJ, Fleming MP, Catlin EA. Clinical outcomesof near-term infants. Pediatrics 2004;114:372-376.

  13. Jackson BN, Kelly BN, McCann CM, Purdy SC. Predictors ofthe time to attain full oral feeding in late preterm infants.Acta Paediatr 2016;105:e1-6.

  14. Giannì ML, Roggero P, Piemontese P, Liotto N, Orsi A, AmatoO, et al. Is nutritional support needed in late preterminfants? BMC Pediatr 2015;15:194.

  15. Moore TA, Wilson ME. Feeding intolerance: a conceptanalysis. Adv Neonatal Care 2011;11:149-154.

  16. Sharma D, Padmavathi IV, Tabatabaii SA, FarahbakhshN. Late preterm: a new high risk group in neonatology.J Matern Fetal Neonatal Med. 2021;34(16):2717-2730.

  17. Asadi S, Bloomfield FH, Harding JE. Nutrition in late preterminfants. Semin Perinatol. 2019;43(7):151160.

  18. Mally PV, Bailey S, Hendricks-Muñoz KD. Clinical issues inthe management of late preterm infants. Curr Probl PediatrAdolesc Health Care 2010;40:218-233.

  19. Kalyoncu O, Aygün C, Cetinoğlu E, Küçüködük S. Neonatalmorbidity and mortality of late-preterm babies. J MaternFetal Neonatal Med 2010;23:607-612.

  20. Celik IH, Demirel G, Canpolat FE, Dilmen U. A commonproblem for neonatal intensive care units: late preterminfants, a prospective study with term controls in alarge perinatal center. J Matern Fetal Neonatal Med2013;26:459-462.

  21. Lubow JM, How HY, Habli M, Maxwell R, Sibai BM. Indicationsfor delivery and short-term neonatal outcomes inlate preterm as compared with term births. Am J ObstetGynecol 2009;200:e30-33.

  22. Teune MJ, Bakhuizen S, Gyamfi Bannerman C, Opmeer BC,van Kaam AH, van Wassenaer AG, Morris JM, Mol BW. Asystematic review of severe morbidity in infants born latepreterm. Am J Obstet Gynecol 2011;205:374.e1-9.

  23. Gounaris A, Costalos C, Varchalama E, Kokori F, Grivea IN,Konstantinidi K, Syrogiannopoulos GA. Gastric emptying ofpreterm neonates receiving domperidone. Neonatology2010;97:56-60.




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