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2005, Number 4

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Gac Med Mex 2005; 141 (4)

Enteral nutrition in the preterm and term newborn with low birth weight.

Udaeta-Mora E, Toussaint MG, Pérez-Marín P, Carmona-Rodríguez M

Language: Spanish
References: 25
Page: 283-290
PDF size: 57.79 Kb.


ABSTRACT

Nutritional practices vary dramatically among neonatal intensive care units (NICU) in other countries. In many hospitals, nutrition is introduced gradually over the first weeks of life because the risk of necrotizing enterocolitis or nutrient intolerance is considered inevitable. Enteral nutrition practices among premature and near term infants with low birth weight were investigated. We hypothetized these practices would be very different among facilities and among staff at these same facilities.
Methods: We carried out a survey in public and private neonatal care units in urban and peri-urban areas of Mexico City. An adapted version of the Vermont-Oxford Neonatal Network was administered. We included 290 questions on practices, initiation, progression, methods, type and cessation of feedings. We also included milk feeds supplementation and written protocols.
Results: 116 surveys were administered in seventeen second and tertiary care facilities to 86 neonatologists and 30 neonatology residents.
Conclusion: We found great variability in progression, methods, type, suspension and supplementation among NICU and among staff. There is an urgent need to standardize nutritional criteria among physicians and medical facilities.


REFERENCES

  1. American Academy of Pediatrics. Committee on Nutrition. Nutritional needs of low birth-weight infants. Pediatrics, 1977;60: 519-530.

  2. 2. American Academy of Pediatrics. Committee on Nutrition. Nutritional needs of low birth-weight infants. Pediatrics, 1985;75:976-86.

  3. 3. American Academy of Pediatrics. Committee on Nutrition. Nutritional needs of the preterm infant. Pediatric Nutrition Handbook. Fifth Edition, 2003:23-46.

  4. 4. Heird WC. The importance of early nutritional management of low-birth weight infants. Neo Reviews. 1999. pp. 43-44.

  5. 5. Simon J. Enterable feeding of the micropremie. Clin of Perinatol 2000;27:221-234.

  6. 6. Thureen-JP. Early Aggressive Nutrition in the Neonate. Pediatr Rev 1999;20(9): e45-e55

  7. 7. Berseth CL. Effect of early feeding on maturation of the preterm infant’s small intestine. J Pediatrics 1992;120(6):947-953

  8. 8. McClure-RJ, Newll–SJ. Randomized controlled trial of trophic feeding and gut motility. Arch Dis Child Fet Neon 1999;80:54-58.

  9. 9. Baker JH, Berseth CL. Duodenal motor response in preterm infants fed formula with varying concentrations and rates of infusion. Pediatr Res 1997;42:618-622.

  10. A Survey of Enteral Feeding Practices in Extremely low Birth Weight Infants" Vermont-Oxford Neonatal Network. Ross Special Conference. Hot Topics in Neonatology. Washington DC. 1995. pp 245-51.

  11. American Academy of Pediatrics: Organization of Perinatal Health Care. In Guidelines for Perinatal Care. Ed. American Academy of Pediatrics, The American College of Obstetricians and Gynecologists. Fifth Edition. 2002. pp. 196-197.

  12. Statistical Package for Social Sciences Inc. Base 9.0 EUA. Chicago Illinois 2000.

  13. Contreras LJ, Flores-Huerta S, Cardona PJA, Martínez VJM. Taller de alimentación enteral del recién nacido de pretérmino. División de Salud Infantil de la Coordinación de Salud Reproductiva del Instituto Mexicano del Seguro Social 2003.

  14. American Academy of Pediatrics. Care of the neonate. In Guidelines for Perinatal Care. Ed. American Academy of Pediatrics, the American College of Obstetricians and Gynecologists. Fifth Edition. 2002. pp. 196-197.

  15. Snyder CL, Gittes GK, Murphy JP, Sharp RJ, Ashcraft KW, Amoury RA. Survival after necrotizing enterocolitis in infants weighing less than 1000 g: 25 years experience at a single institution. J Pediatr Surg 1997;32(3):434-437.

  16. Berseth CL. Minimal enteral feedings. Clin Perinatol 1995;22:195-205.

  17. Ziegler E. Malnutrition in the preterm infant. Acta Paediatr Scan. 1991;374:58-66.

  18. Currao WJ, Cox C, Shapiro DL. Diluted formula for beginning the feeding of premature infants. Am J Dis Child 1988;142:730-731.

  19. McClure RJ, Newell SJ. Randomized controlled study of clinical outcome following trophic feedings. Arch Dis Child Fet Neon 2000;82: 29-33.

  20. Rayyis SF, Ambalavanan N, Wrigth L, Carlo W. Randomized trial of "slow" versus "fast" advancements on the incidence of necrotizing enterocolitis in very low birth weight infants. J Pediatrics 1999;134:293-297.

  21. Neu J, Weiss MD. Necrotizing enterocolitis: Pathophysiology and prevention. J parent Ent Nutr 1999;23:S13-S17.

  22. Kennedy KA, Tyson JE, Chamnanjanikij S. Continuous nasogastric milk feeding versus intermittent bolus milk feeding for premature infants less than 1,500 grams. The Cochrane Library Issue 3 2000 Oxford Update Software.

  23. Schanler RJ. Idoneidad de la leche humana para el lactante con peso bajo al nacer. Clin Perinat 1995;22:197-211.

  24. Lucas A, Fewtrell MS, Morley R, Lucas PJ, Baker BA, Liste RG, Bishop NJ. Randomized outcome trial of human milk fortification and developmental outcome in preterm infants. Am J Clin Nutr 1996;64:142-151.

  25. Hay WW, Lucas A, Heird WC, Ziegler E, Levin E, Grave GD, et al. Workshop Summary: Nutrition of the extremely low birth weight infant. Pediatrics 1999;104 (16):1360-1368.




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