Meconium Passage in Very-Low-Birth-Weight Infants
| Autor: | Josef Neu, Dan Bowling, David J. Burchfield, William H. Meetze, Marylou Behnke, Valerie L. Palazzolo |
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| Rok vydání: | 1993 |
| Předmět: |
Male
Meconium Pediatrics medicine.medical_specialty 030309 nutrition & dietetics Birth weight Medicine (miscellaneous) Enteral administration 03 medical and health sciences 0302 clinical medicine medicine Birth Weight Humans Infant Nutritional Physiological Phenomena Retrospective Studies 0303 health sciences Nutrition and Dietetics Milk Human business.industry Infant Newborn Infant Low Birth Weight medicine.disease Low birth weight Breast Feeding Parenteral nutrition Term Infant Necrotizing enterocolitis Female Infant Food Parenteral Nutrition Total 030211 gastroenterology & hepatology medicine.symptom Gastrointestinal Motility business Breast feeding Infant Premature |
| Zdroj: | Journal of Parenteral and Enteral Nutrition. 17:537-540 |
| ISSN: | 1941-2444 0148-6071 |
| DOI: | 10.1177/0148607193017006537 |
| Popis: | The timing of the first meconium stool has been considered a marker for proper gastrointestinal functioning in the term infant. There is limited information on the meconium passage patterns of very-low-birth-weight infants of less than 32 weeks' gestation. It is unknown whether feeding practices influence the timing of the first stool in these infants. We retrospectively studied 47 very-low-birth-weight infants with birth weights of 1250 g or less who were previously enrolled in a study of gastrointestinal (GI) priming. Infants whose mothers desired to breast feed (n = 7) were given GI priming with their own mother's milk. The remaining infants had been randomly assigned to receive total parenteral nutrition alone (n = 21) or GI priming with infant formula (n = 19) during the first 14 days of life. We attempted to advance all infants to full enteral nutrition by 21 days of age. There was no statistically significant difference in timing of the first stool among the three groups. The overall median age at first stool was 43 hours, and the 75th percentile was 10 days. The range was 1/2 hour to 27 days. There was no concordance between time of first stool and birth weight within the range studied. There was no concordance between time of first stool and necrotizing enterocolitis, although there was little statistical power to detect this. There was also very little concordance with feeding tolerance. Other than necrotizing enterocolitis, no significant GI disease developed in any of the infants studied.(ABSTRACT TRUNCATED AT 250 WORDS) |
| Databáze: | OpenAIRE |
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