Does chronic prenatal Doppler pathology predict feeding difficulties in neonates?

Aim: To determine whether infants with compromised fetomaternal circulation, but not yet critically threatened by absent end‐diastolic flow velocities in the umbilical arteries, are at a risk for feeding problems. Methods: In a retrospective case‐control study, enteral feeding and clinical data were...

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Bibliographic Details
Published in:Acta Paediatrica 2005-11, Vol.94 (11), p.1632-1637
Main Authors: MÜLLER-EGLOFF, SUSANNE, STRAUSS, ALEXANDER, SPRANGER, VERONIKA, GENZEL-BOROVICZÉNY, ORSOLYA
Format: Article
Language:English
Subjects:
Biological and medical sciences
Blood Flow Velocity
Brain sparing
Cardiovascular system
Case-Control Studies
Cerebral Arteries
Doppler pathology
enteral feeding
Enteral Nutrition
Enterocolitis, Necrotizing - epidemiology
Enterocolitis, Necrotizing - etiology
Female
Fetal Hypoxia - diagnostic imaging
Gastrointestinal Diseases - epidemiology
Gastrointestinal Diseases - etiology
General aspects
Germany - epidemiology
Humans
Hypertension, Pregnancy-Induced
Infant, Newborn
Infant, Premature
Infant, Small for Gestational Age
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
NEC
Pregnancy
prematurity
prenatal
Retrospective Studies
SGA
Statistics, Nonparametric
Ultrasonic investigative techniques
Ultrasonography, Doppler
Umbilical Arteries
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Summary:Aim: To determine whether infants with compromised fetomaternal circulation, but not yet critically threatened by absent end‐diastolic flow velocities in the umbilical arteries, are at a risk for feeding problems. Methods: In a retrospective case‐control study, enteral feeding and clinical data were compared between infants with decreased prenatal end‐diastolic umbilical flow velocity (DEDFV) or brain‐sparing pathology and controls matched for gestational age (GA). In all infants, enteral feedings were advanced according to a standardized enteral feeding protocol. Results: 11 (GA > 34 wk) of the 87 infants with DEDFV were fully enterally fed by day 5 and excluded, leaving 76 infants (and matched controls) for final analysis. DEDFV infants were significantly smaller (1230 ± 550 g vs 1600 ± 682 g). Advancement of enteral feedings varied widely, with a significant difference between DEDFV infants and controls. There was no difference in the incidence of NEC (five in both groups). In the most severely affected subgroup of 25 infants with GA
ISSN:0803-5253
1651-2227
DOI:10.1080/08035250510044553