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Revista de la Asociación Médica del Centro Médico ABC

2021, Number 1

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An Med Asoc Med Hosp ABC 2021; 66 (1)

Description of the enteral feeding initiation schemes in preterm infants in a Private tertiary Hospital

Tijerina TG, Duck HE, Oldak SD, Escobedo BL, Ramírez NS

Language: Spanish
References: 14
Page: 13-18
PDF size: 252.59 Kb.


ABSTRACT

Introduction: Nutritional management in the preterm infant is crucial for long-term health and well-being. Although there are many reasons for postnatal growth failure, there is still no protocol that guarantees an optimal enteral feeding advancement. Objective: Describe the time to reach complete enteral feedings in volume and caloric content, as well as to identify the most effective feeding advancement. Material and methods: Retrospective, observational, descriptive longitudinal study. We included preterm infants < 33.6 of gestational age, from January 2019 to March 2020, and recorded the feeding advancements from birth until they reached total caloric requirement. Nutritional characteristics were investigated and grouped into 3 types of feeding advancements: group 1: 5-20 mL/kg/day; group 2: 20-30 mL/kg/day; and group 3: > 30 mL/kg/day. Results: 37 newborns with an average of 31.2 of gestational age. 75.7% with enteral stimulation the first 72 hours of life. Group 1 with slow feeding advancements took 18.4 ± 6.66 days to reach total caloric requirements. Group 2 took an average of 10.3 ± 8.19 days. Group 3 with rapid advancements took 7.89 ± 3.65. Group 1 required parenteral nutrition for almost two weeks (13.4 ± 7.25 days) and group 3 less than one week (3.2 ± 3.7 days); 14 patients did not require parental nutrition. Conclusions: Rapid feeding advancements (> 30 mL/kg/day) reduce the time to reach the total caloric requirements and the use of parental nutrition. This practice does not increase the risk of necrotizing enterocolitis. On the contrary, it is associated with less comorbidities.


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EVIDENCE LEVEL

III




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