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Enteral Feeding for Moderately Premature and Low Birth Weight Infants: A Single-Center Retrospective Observational Cohort Study

Controversy exists in clinical practice regarding optimal initial enteral feeding (EF) for moderately premature and low birth weight (BW) infants. We included 96 infants stratified into 3 groups (I: 1600–1799 g [n = 22]; II: 1800–1999 g [n = 42]; III: 2000–2200 g [n = 32]). The protocol recommended...

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Detalles Bibliográficos
Autores principales: Dekker, Dorita M.Z., van Brakel, Monique, van den Akker, Chris H.P., Plötz, Frans B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins, Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10187862/
https://www.ncbi.nlm.nih.gov/pubmed/37200721
http://dx.doi.org/10.1097/PG9.0000000000000288
Descripción
Sumario:Controversy exists in clinical practice regarding optimal initial enteral feeding (EF) for moderately premature and low birth weight (BW) infants. We included 96 infants stratified into 3 groups (I: 1600–1799 g [n = 22]; II: 1800–1999 g [n = 42]; III: 2000–2200 g [n = 32]). The protocol recommended starting with minimal EF (MEF) in infants weighing <1800 g. On the first day of life, 5% of the infants in group I did not follow the protocol mandating MEF, but started with exclusive EF instead, compared to 36% and 44% of the infants in groups II and III, respectively. The median number of days until exclusive EF was achieved was 5 days longer for infants receiving MEF than for infants who had received normal portions of EF from birth onward. We observed no significant differences in feeding-related complications. We advocate omitting MEF in moderately premature infants with a BW of 1600 g or higher.