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ISSN 2007-5294 (Print)
Confederación Nacional de Pediatría de México, A. C. (CONAPEME)

2007, Number 2

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Pediatr Mex 2007; 10 (2)

Valoración de dos técnicas para alimentación enteral en recién nacidos prematuros

Herrera-Torres R, Molina-Bello A, Salinas LCG

Language: Spanish
References: 23
Page: 15-20
PDF size: 160.29 Kb.


ABSTRACT

Objetive: To compare the usefulness of enteral feeding with continuous oral infussion technique and bolus technique in pre-term newborns
Material and methods: 56 pre-term newborns were studied. 2 groups: 25 from Group A received continuous oral infusión and 26 on group B received bolus feeding every 3 hs. In all of them feeding was started in the first week of life, with commercial formula for pre-term babies at 20ml/Kg/day with daily increases of 20ml/Kg/day until reaching daily requirements. Weight gain and gastric tolerance were used for the evaluation of the outcomes between the two groups.
Results: Mean weight in group A was 1715 ± 451 gr, and 1761 ± 329 gr in group B. The gestational Age at admission was 34.5 ± 1.4 weeks in group A and 35.1 ± 1 weeks for those on group B. The daily weight gain was 13.8 gr in group A and 14.5 gr in group B (p=ns).
Conclusions: Both techniques, infusión oral feeding and bolus feeding were well tolerated ant the weight gain was similar as well as the number of day of hospital stay


REFERENCES

  1. William W, Hay Jr, Alan Lucas, William C. Heird. Workshop summary: nutrition of the extremely low birth weight infant. Pediatrics. 1999; 104:6.

  2. Naver AM. Nutricional needs of low-birthweight infant. Pediatrics 1985; 75:976-984.

  3. American Academy of Pediatrics. Committee on Nutrition. Nutritional needs of low-birth-weight infants. Pediatrics. 1985; 75: 976-986.

  4. Schanler R. Parenteral nutrient needs of very. J. Pediatr 1994, 125: 916-918.

  5. Toce SS, Keenan WJ, Homan SM. Enteral feeding in very-low-birth-weigth infants. Arch Pediatr Adolesc Med. AM J Dis Child 1987; 141: 439-44.

  6. Heimler R. Relationship between nutrition, weigth chance and fluid compartments in preterm infants during the first week of life; J Pediatr 1993; 122: 110-114.

  7. Denne SC. Efecct of enteral vs parenteral feeding on leucine kinetics and utilization in premature newborns. Pediatr Res 1994, 36: 429-435.

  8. Leventhal E. Gastrointestinal maturation and motility patterns as incators for feeding the premature infant. Pediatrics 1995; 95: 207-209.

  9. Lucas A, Bloom SR, Anynsley, Green A. Gut hormones and “minimal enteral feeding”. Acta Pediatrica Scand. 1986; 75: 719-723.

  10. Slagle TA, Gross SJ. Effect of early low volume enteral substrate on subsequent feeding tolerance in very low birthweight infants. J Pediatr 1988; 133; 526

  11. Koening WJ. Manometrics for preterm and term infants: a new tool for old questions. Pediatrics 1995; 95: 203-206.

  12. Berseth CL. Responses of gastrointestinal peptides and motor activity to milk and water feeding in preterm infant. Pediatr Rwes 1992; 31:537-592.

  13. Lucas A. Randomised multicentre study of human milk vs formula an later development in preterm infants. ED J 1994; 70: 141-462.

  14. Shulman R. Bolus vs continuos feeding stimulate small intestinal growth and development in newborn pig. J Pediatr gastrenterol nytr 1994; 3:350-4.

  15. Mc Donald PD. Ramdomised trial of continuous nasogastric, bolus nasogastric and transpyloric feeding in infants of birth weith under 1400 gr. Arch Dis Child 1992; 67:429-431.

  16. Grant JD. Effect of intermittent ns continuous enteral feeding on energy expenditure in premature infants; L Pediatr 1991; 118: 928-931.

  17. Krishan V. Satish M. Continuos vs intermittent nasogastric feeding in very low weight infants (VLBW). Pediatr Res 1983; 17: 203 A.

  18. Capurro H, Konichesky S, Fonseca D, Caldeyro-Barcia R. A simplified meted for diagnosis of gestational age in the newborn infants. J Pediatri 1978; 93: 102-2

  19. American Academy of Pediatrics. Breast Feeding an the use of human milk. Pediatrics 1997; 100-6.

  20. Rivera Rueda MA, Cardona PA. Alimentación enteral en neonatos de bajo peso. Utilización de 2 fórmulas lácteas. Bol. Med. Hosp. Inf. Mex. 1994; 51: 457-462.

  21. Blondheim O, Abbasi, Fox W, Bhutanivk. Effect of enteral gavage feeding rate on pulmonary functions of very low birth weight, infants. J Pediatr 1993; 122: 751

  22. Urrutia Jg, Poole E. Continuos nasogastric vesus intermittent gavage feedings in very low birth weight infants. Pediatr Res 1983; 17;203 A.

  23. Silvstre MA, Morbach CA, Brans YW. A prospective randomized trial comparing continuos versus intermittent feeding methods in very low birth weight neonates. Journal of Pediatrics 1996; 128: 748.




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