Early, rapidly progressive enteral nutrition promotes growth of very low birth weight (VLBW) infants
| Autor: | Moriya Raz, Ada Juster-Reicher, Uri Balla, Lilach Hofi, Orna Flidel-Rimon, Eric S. Shinwell |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Percentile Pediatrics medicine.medical_specialty Calorie Birth weight Gestational Age Weight Gain Enteral administration 03 medical and health sciences 0302 clinical medicine Enteral Nutrition 030225 pediatrics medicine Humans Infant Very Low Birth Weight Longitudinal Studies Program Development Infant Nutritional Physiological Phenomena Retrospective Studies Analysis of Variance business.industry Infant Newborn Obstetrics and Gynecology Gestational age Quality Improvement Low birth weight Parenteral nutrition Pediatrics Perinatology and Child Health 030211 gastroenterology & hepatology Female medicine.symptom business Energy Intake Weight gain |
| Zdroj: | The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 30(10) |
| ISSN: | 1476-4954 |
| Popis: | This study describes the effects of a quality improvement program to promote improved postnatal nutrition on the growth of very low birth weight (VLBW) infants.Daily data regarding nutrition and growth were collected from the medical record of VLBW infants born during 1995-2010. The infants were grouped by year of birth in order to compare infants from before, during and after the policy change. Evaluation of growth included age in days at a return to birth weight and the proportion of infants with weight below the 10th percentile at discharge.The caloric and protein intake improved significantly. The age at a return to birth weight fell (p 0.01) from 14.6 ± 5 d to 11 ± 8 d after the change. The proportion of infants with a discharge weight below the 10th percentile for corrected age fell (p 0.01) from 72.1% to 42.1%. Data on enteral feeding showed that increased rate of enteral feeds (EF) was associated with better growth (p 0.001).Increasing awareness led to increase in caloric and protein intake in VLBW infants. Aggressive EF was associated with more rapid weight gain. However, the provision of protein and calories during the first 2 weeks of life still falls short of the latest European Society of Pediatric Gastroenterology, Hepatology and Nutrition recommendations. |
| Databáze: | OpenAIRE |
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