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Comparison of volume and frequency advancement feeding protocols in very low birth weight neonates
OBJECTIVE: To determine the outcomes in very low birth weight (VLBW) neonates receiving volume advancement versus frequency advancement feeding protocols. METHODS: This controlled clinical trial was conducted in Children Hospital Multan within duration of 6 months from February 2017 to August 2017....
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Professional Medical Publications
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5857034/ https://www.ncbi.nlm.nih.gov/pubmed/29643883 http://dx.doi.org/10.12669/pjms.341.14092 |
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author | Hussain, Afaq Rehman, Abdur Fatima, Nazia |
author_facet | Hussain, Afaq Rehman, Abdur Fatima, Nazia |
author_sort | Hussain, Afaq |
collection | PubMed |
description | OBJECTIVE: To determine the outcomes in very low birth weight (VLBW) neonates receiving volume advancement versus frequency advancement feeding protocols. METHODS: This controlled clinical trial was conducted in Children Hospital Multan within duration of 6 months from February 2017 to August 2017. VLBW neonates having weight < 1500 g at the time of birth were included. The protocol for frequency advancement (FA) group was to give 1 ml/kg human or pre-formula milk after every 8 hours and in volume advancement (VA) group after every 3 hours initially. After three days, in FA group duration of feeds was decreased gradually from 8 to 2 hours and feed volume of 10 ml.kg(-1).day(-1) until full-recommended dose of feeding i.e. 150 ml.kg(-1).day(-1) reached. While in VA group, volume of 20 ml.kg(-1).day(-1) was given until full-recommended dose of feeding reached. Days to achieve full feed, weight gain, and length of hospital stay were primary study outcomes. RESULTS: Baseline weight of neonates was 1148 (111) grams in VA 1179 (106) grams in FA groups (p-value 0.18). In VA group, full feed was achieved in 11.04 (2.38) days versus 15.76 (2.48) days in FA group (P-value <0.001). Duration of IV fluid therapy were 13.5 (8.4) days in FA group versus 9.4 (7.6) in VA group (p-value <0.001). Moreover weight gain at the end of feeding protocol was significantly higher in VA group 1440 (78) grams versus 1284 (99) grams in FA group (P-value <0.001). Necrotizing entero-colitis occurred in only one neonate that was belonging to volume advancement group. CONCLUSION: Volume advancement (VA) feeding is better as compared to frequency advancement (FA) feeding in very low birth weight neonates. |
format | Online Article Text |
id | pubmed-5857034 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Professional Medical Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-58570342018-04-11 Comparison of volume and frequency advancement feeding protocols in very low birth weight neonates Hussain, Afaq Rehman, Abdur Fatima, Nazia Pak J Med Sci Original Article OBJECTIVE: To determine the outcomes in very low birth weight (VLBW) neonates receiving volume advancement versus frequency advancement feeding protocols. METHODS: This controlled clinical trial was conducted in Children Hospital Multan within duration of 6 months from February 2017 to August 2017. VLBW neonates having weight < 1500 g at the time of birth were included. The protocol for frequency advancement (FA) group was to give 1 ml/kg human or pre-formula milk after every 8 hours and in volume advancement (VA) group after every 3 hours initially. After three days, in FA group duration of feeds was decreased gradually from 8 to 2 hours and feed volume of 10 ml.kg(-1).day(-1) until full-recommended dose of feeding i.e. 150 ml.kg(-1).day(-1) reached. While in VA group, volume of 20 ml.kg(-1).day(-1) was given until full-recommended dose of feeding reached. Days to achieve full feed, weight gain, and length of hospital stay were primary study outcomes. RESULTS: Baseline weight of neonates was 1148 (111) grams in VA 1179 (106) grams in FA groups (p-value 0.18). In VA group, full feed was achieved in 11.04 (2.38) days versus 15.76 (2.48) days in FA group (P-value <0.001). Duration of IV fluid therapy were 13.5 (8.4) days in FA group versus 9.4 (7.6) in VA group (p-value <0.001). Moreover weight gain at the end of feeding protocol was significantly higher in VA group 1440 (78) grams versus 1284 (99) grams in FA group (P-value <0.001). Necrotizing entero-colitis occurred in only one neonate that was belonging to volume advancement group. CONCLUSION: Volume advancement (VA) feeding is better as compared to frequency advancement (FA) feeding in very low birth weight neonates. Professional Medical Publications 2018 /pmc/articles/PMC5857034/ /pubmed/29643883 http://dx.doi.org/10.12669/pjms.341.14092 Text en Copyright: © Pakistan Journal of Medical Sciences http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Hussain, Afaq Rehman, Abdur Fatima, Nazia Comparison of volume and frequency advancement feeding protocols in very low birth weight neonates |
title | Comparison of volume and frequency advancement feeding protocols in very low birth weight neonates |
title_full | Comparison of volume and frequency advancement feeding protocols in very low birth weight neonates |
title_fullStr | Comparison of volume and frequency advancement feeding protocols in very low birth weight neonates |
title_full_unstemmed | Comparison of volume and frequency advancement feeding protocols in very low birth weight neonates |
title_short | Comparison of volume and frequency advancement feeding protocols in very low birth weight neonates |
title_sort | comparison of volume and frequency advancement feeding protocols in very low birth weight neonates |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5857034/ https://www.ncbi.nlm.nih.gov/pubmed/29643883 http://dx.doi.org/10.12669/pjms.341.14092 |
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