Cargando…

Survey on human milk feeding and enteral feeding practices for very-low-birth-weight infants in NICUs in China Neonatal Network

BACKGROUND: The breastfeeding rate in China is lower than that in many other countries and the extent of adoption of the “Feeding Recommendations for Preterm Infants and Low Birth Weight Infants” guideline in NICUs remains unclear. METHOD: A web-based survey about the current status of human milk fe...

Descripción completa

Detalles Bibliográficos
Autores principales: Hu, Xiaoshan, Lu, Junjie, Zhang, Jun, Zhang, Min, Yu, Zhangbin, Lee, Shoo K., Han, Shuping, Chen, Xiaohui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918398/
https://www.ncbi.nlm.nih.gov/pubmed/36765301
http://dx.doi.org/10.1186/s12887-023-03862-0
_version_ 1784886598100320256
author Hu, Xiaoshan
Lu, Junjie
Zhang, Jun
Zhang, Min
Yu, Zhangbin
Lee, Shoo K.
Han, Shuping
Chen, Xiaohui
author_facet Hu, Xiaoshan
Lu, Junjie
Zhang, Jun
Zhang, Min
Yu, Zhangbin
Lee, Shoo K.
Han, Shuping
Chen, Xiaohui
author_sort Hu, Xiaoshan
collection PubMed
description BACKGROUND: The breastfeeding rate in China is lower than that in many other countries and the extent of adoption of the “Feeding Recommendations for Preterm Infants and Low Birth Weight Infants” guideline in NICUs remains unclear. METHOD: A web-based survey about the current status of human milk feeding and enteral feeding practices at NICUs was sent to all China Neonatal Network’s cooperation units on September 7, 2021, and the respondents were given a month to send their responses. RESULTS: All sixty NICUs responded to the survey, the reply rate was 100%. All units encouraged breastfeeding and provided regular breastfeeding education. Thirty-six units (60.0%) had a dedicated breastfeeding/pumping room, 55 (91.7%) provided kangaroo care, 20 (33.3%) had family rooms, and 33 (55.0%) routinely provided family integrated care. Twenty hospitals (33.3%) had their own human milk banks, and only 13 (21.7%) used donor human milk. Eight units (13.3%) did not have written standard nutrition management guidelines for infants with body weight < 1500 g. Most units initiated minimal enteral nutrition with mother’s milk for infants with birth weight ˂1500 g within 24 h after birth. Fifty NICUs (83.3%) increased the volume of enteral feeding at 10–20 ml/kg daily. Thirty-one NICUs (51.7%) assessed gastric residual content before every feeding session. Forty-one NICUs (68.3%) did not change the course of enteral nutrition management during drug treatment for patent ductus arteriosus, and 29 NICUs (48.3%) instated NPO for 1 or 2 feeds during blood transfusion. CONCLUSION: There were significant differences in human milk feeding and enteral feeding strategies between the NICUs in CHNN, but also similarities. The data obtained would be useful in the establishment of national enteral feeding guidelines for preterm infants and quality improvement of cooperation at the national level. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12887-023-03862-0.
format Online
Article
Text
id pubmed-9918398
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-99183982023-02-12 Survey on human milk feeding and enteral feeding practices for very-low-birth-weight infants in NICUs in China Neonatal Network Hu, Xiaoshan Lu, Junjie Zhang, Jun Zhang, Min Yu, Zhangbin Lee, Shoo K. Han, Shuping Chen, Xiaohui BMC Pediatr Research BACKGROUND: The breastfeeding rate in China is lower than that in many other countries and the extent of adoption of the “Feeding Recommendations for Preterm Infants and Low Birth Weight Infants” guideline in NICUs remains unclear. METHOD: A web-based survey about the current status of human milk feeding and enteral feeding practices at NICUs was sent to all China Neonatal Network’s cooperation units on September 7, 2021, and the respondents were given a month to send their responses. RESULTS: All sixty NICUs responded to the survey, the reply rate was 100%. All units encouraged breastfeeding and provided regular breastfeeding education. Thirty-six units (60.0%) had a dedicated breastfeeding/pumping room, 55 (91.7%) provided kangaroo care, 20 (33.3%) had family rooms, and 33 (55.0%) routinely provided family integrated care. Twenty hospitals (33.3%) had their own human milk banks, and only 13 (21.7%) used donor human milk. Eight units (13.3%) did not have written standard nutrition management guidelines for infants with body weight < 1500 g. Most units initiated minimal enteral nutrition with mother’s milk for infants with birth weight ˂1500 g within 24 h after birth. Fifty NICUs (83.3%) increased the volume of enteral feeding at 10–20 ml/kg daily. Thirty-one NICUs (51.7%) assessed gastric residual content before every feeding session. Forty-one NICUs (68.3%) did not change the course of enteral nutrition management during drug treatment for patent ductus arteriosus, and 29 NICUs (48.3%) instated NPO for 1 or 2 feeds during blood transfusion. CONCLUSION: There were significant differences in human milk feeding and enteral feeding strategies between the NICUs in CHNN, but also similarities. The data obtained would be useful in the establishment of national enteral feeding guidelines for preterm infants and quality improvement of cooperation at the national level. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12887-023-03862-0. BioMed Central 2023-02-11 /pmc/articles/PMC9918398/ /pubmed/36765301 http://dx.doi.org/10.1186/s12887-023-03862-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Hu, Xiaoshan
Lu, Junjie
Zhang, Jun
Zhang, Min
Yu, Zhangbin
Lee, Shoo K.
Han, Shuping
Chen, Xiaohui
Survey on human milk feeding and enteral feeding practices for very-low-birth-weight infants in NICUs in China Neonatal Network
title Survey on human milk feeding and enteral feeding practices for very-low-birth-weight infants in NICUs in China Neonatal Network
title_full Survey on human milk feeding and enteral feeding practices for very-low-birth-weight infants in NICUs in China Neonatal Network
title_fullStr Survey on human milk feeding and enteral feeding practices for very-low-birth-weight infants in NICUs in China Neonatal Network
title_full_unstemmed Survey on human milk feeding and enteral feeding practices for very-low-birth-weight infants in NICUs in China Neonatal Network
title_short Survey on human milk feeding and enteral feeding practices for very-low-birth-weight infants in NICUs in China Neonatal Network
title_sort survey on human milk feeding and enteral feeding practices for very-low-birth-weight infants in nicus in china neonatal network
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918398/
https://www.ncbi.nlm.nih.gov/pubmed/36765301
http://dx.doi.org/10.1186/s12887-023-03862-0
work_keys_str_mv AT huxiaoshan surveyonhumanmilkfeedingandenteralfeedingpracticesforverylowbirthweightinfantsinnicusinchinaneonatalnetwork
AT lujunjie surveyonhumanmilkfeedingandenteralfeedingpracticesforverylowbirthweightinfantsinnicusinchinaneonatalnetwork
AT zhangjun surveyonhumanmilkfeedingandenteralfeedingpracticesforverylowbirthweightinfantsinnicusinchinaneonatalnetwork
AT zhangmin surveyonhumanmilkfeedingandenteralfeedingpracticesforverylowbirthweightinfantsinnicusinchinaneonatalnetwork
AT yuzhangbin surveyonhumanmilkfeedingandenteralfeedingpracticesforverylowbirthweightinfantsinnicusinchinaneonatalnetwork
AT leeshook surveyonhumanmilkfeedingandenteralfeedingpracticesforverylowbirthweightinfantsinnicusinchinaneonatalnetwork
AT hanshuping surveyonhumanmilkfeedingandenteralfeedingpracticesforverylowbirthweightinfantsinnicusinchinaneonatalnetwork
AT chenxiaohui surveyonhumanmilkfeedingandenteralfeedingpracticesforverylowbirthweightinfantsinnicusinchinaneonatalnetwork