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Feeding the ill or preterm infant.

Diane M Anderson1

  • 1Baylor College of Medicine, Section of Neonatology, Department of Pediatrics, 6621 Fannin Street, A-340, MC 1-3460, Houston, TX 77030, USA. dianea@bcm.tmc.edu

Neonatal Network : NN
|January 8, 2003
PubMed
Summary

Early, small-volume trophic feedings in the NICU help high-risk infants achieve full nutritional intake sooner. This approach can lead to earlier hospital discharge for premature infants requiring neonatal intensive care.

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Area of Science:

  • Neonatalogy
  • Pediatric Nutrition
  • Gastroenterology

Background:

  • Neonate immaturity and illness frequently impede enteral feeding in the NICU.
  • Goals include promoting preterm infant growth and facilitating early NICU discharge.

Purpose of the Study:

  • To evaluate the efficacy of early, small-volume trophic feedings in NICU infants.
  • To determine the impact of trophic feedings on achieving full nutritional feedings and discharge timing.

Main Methods:

  • Administration of orogastric or nasogastric gavage feedings.
  • Utilizing intermittent bolus or continuous infusion methods.
  • Caregiver determination of appropriate feeding volumes for initiation and advancement.

Main Results:

  • Trophic feedings provide minimal enteral nutrition while promoting earlier attainment of full nutritional feedings.
  • Infants receiving trophic feedings experience earlier discharge from the NICU.
  • Safe feeding volumes have been identified even for extremely premature infants.

Conclusions:

  • Early trophic feedings are a viable strategy for improving outcomes in high-risk neonates.
  • Further research is needed to establish optimal volumes for trophic and nutritional feeding advancement.

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