How to feed small for gestational age newborns

Feeding small for gestational age (SGA) newborns is extremely challenging and the neonatologist should be brave and cautious at the same time. Although these babies have a high risk of milk intolerance and necrotising enterocolitis, enteral feeding guidelines are not well established and practice va...

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Bibliographic Details
Published in:Italian journal of pediatrics 2013-05, Vol.39 (1), p.28-28
Main Authors: Barone, Giovanni, Maggio, Luca, Saracino, Annalisa, Perri, Alessandro, Romagnoli, Costantino, Zecca, Enrico
Format: Article
Language:English
Subjects:
Age
Animals
Babies
Birth weight
Enteral Nutrition - methods
Enterocolitis, Necrotizing - prevention & control
Evidence-Based Medicine
Humans
Infant Formula - administration & dosage
Infant, Newborn
Infant, Small for Gestational Age
Metabolic disorders
Milk, Human
Morbidity
Mortality
Newborn babies
Nutrition Assessment
Nutritional Requirements
Nutritional Support - methods
Parenteral Nutrition - methods
Review
Risk Factors
Time Factors
Veins & arteries
Weight Gain
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Summary:Feeding small for gestational age (SGA) newborns is extremely challenging and the neonatologist should be brave and cautious at the same time. Although these babies have a high risk of milk intolerance and necrotising enterocolitis, enteral feeding guidelines are not well established and practice varies widely among different neonatal units. Currently available studies on this topic include extremely and very low birth weight neonates, but are not focused specifically on small for gestational age infants. This review analyzes papers focused on feeding interventions in order to provide the best available evidences about the optimum timing for introduction of enteral feeding, how fast feed volume can be advanced, which milk and which feeding method is more appropriate in SGA infants.
ISSN:1824-7288
1720-8424
1824-7288
DOI:10.1186/1824-7288-39-28