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Enteral feeding in the preterm infant
1Department of Paediatrics, Monash University, Monash Medical Centre, Clayton, Victoria, Australia. victor.yu@med.monash.edu.au
Early Human Development
|January 15, 2000
Summary
Optimal enteral feeding for preterm infants involves starting feeds within a week of birth, prioritizing mother's own milk, and fortifying when full feeding is achieved. Early nutrition is crucial for long-term health, growth, and neurodevelopment.
Area of Science:
- Neonatology
- Pediatric Nutrition
- Infant Health
Background:
- Enteral feeding decisions for preterm infants require careful planning regarding schedule, milk choice, and administration route.
- Early initiation of nutrition is critical for preterm infants, commencing within the first week of life with small quantities.
Purpose of the Study:
- To outline key considerations for establishing and managing enteral feeding in preterm infants.
- To emphasize the importance of optimal nutrition for long-term infant outcomes.
Main Methods:
- Review of current practices and recommendations for preterm infant feeding.
- Discussion of milk choices, including mother's own milk, donor milk, and preterm formula.
- Guidance on fortification and timing of enteral nutrition establishment.
Main Results:
- Preterm human milk from the infant's mother is the preferred choice.
- Supplementation with human milk fortifier is recommended upon establishment of full enteral feeding.
- Donor human milk and preterm formula serve as viable alternatives.
Conclusions:
- Early establishment of enteral nutrition is vital for preterm infants.
- Maintaining optimal nutrition throughout infancy influences long-term health, growth, and neurodevelopment.
- Dietary interventions in preterm infants have significant long-term health implications.