Early enteral feeding of the preterm infant

[...]with the sophistication of clinical cardiorespiratory monitoring, the day to day assessment of gastrointestinal function is still largely dependent on clinical observation. [...]the population at risk is extremely heterogeneous with respect to both the prevalence of comorbidity and developmenta...

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Bibliographic Details
Published in:Archives of disease in childhood. Fetal and neonatal edition 2000-11, Vol.83 (3), p.F219-F220
Main Author: WILLIAMS, ANTHONY F
Format: Article
Language:English
Subjects:
Age
Babies
Baby foods
Biological and medical sciences
Breast milk
Clinical trials
Current Topic
Developmental stages
Diseases of the digestive system
Enteral nutrition
Enteral Nutrition - methods
Enterocolitis, Necrotizing - etiology
Gastrointestinal Motility - physiology
Humans
Infant, Newborn
Infant, Premature
Medical sciences
Milk
Motility
Nutrition research
Nutritional Status
Parenteral nutrition
Parenteral Nutrition, Total - adverse effects
Premature birth
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Sepsis
Studies
Treatment Outcome
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Summary:[...]with the sophistication of clinical cardiorespiratory monitoring, the day to day assessment of gastrointestinal function is still largely dependent on clinical observation. [...]the population at risk is extremely heterogeneous with respect to both the prevalence of comorbidity and developmental stage, particularly, in this context, the maturation of intestinal motility. In a straightforward randomised comparison, babies fed on human milk tolerated feeds at an earlier postnatal stage than formula fed babies, allowing TPN to be withdrawn considerably sooner. 20 It may be relevant that Schanleret al used "fortified" breast milk, although this has not been shown ultrasonographically to affect gastric emptying, 21 nor was feed intolerance associated with "fortification" in the largest randomised controlled study of this practice. 22 The safety and benefit associated with routinely adding "fortifiers" to human milk is still, however, open to question. 23 In the only large published intention to treat study, babies who received liquid fortifier were at increased risk of sepsis, yet showed no short or long term growth advantage. 22 There is increasing evidence that even large discrepancies in neonatal growth rate are not reflected in size at school age, 24 which may better reflect growth and nutrition after discharge.
ISSN:1359-2998
1468-2052
DOI:10.1136/fn.83.3.F219