Post-discharge nutrition for the preterm infant

Richard J Schanler1

  • 1Division of Neonatal-Perinatal Medicine, Schneider Children's Hospital at North Shore, North Shore University Hospital, Manhasset, New York 11030, USA. schanler@nshs.edu

Insights

Newly designed enriched formulas are available for premature infants post-discharge. Current data lacks guidance on optimal nutrient intakes for these vulnerable infants, necessitating further research.

Area of Science:

  • Neonatology
  • Pediatric Nutrition
  • Infant Formula Development

Background:

  • Enriched formulas are now available for premature infants after hospital discharge.
  • The variety of available milks for premature infants upon discharge is expanding.
  • Optimal nutrient intake recommendations for premature infants in the post-discharge period are currently lacking.

Purpose of the Study:

  • To review recent data on post-discharge nutrition for premature infants.
  • To comment on recommendations for optimal nutrition in this population.
  • To address the lack of established nutrient intake guidelines for post-discharge premature infants.

Main Methods:

  • Literature review of recent studies on premature infant nutrition.
  • Analysis of data supporting enriched formula use.
  • Synthesis of current recommendations and identification of knowledge gaps.

Main Results:

  • Newly designed enriched formulas offer options for premature infants post-discharge.
  • Breastfeeding is encouraged due to its potential long-term benefits.
  • Infants at risk for growth failure may benefit from enriched formulas.

Conclusions:

  • Further research is needed to establish optimal nutrient intakes for premature infants post-discharge.
  • Enriched formulas may be beneficial for specific high-risk infants.
  • Guidance on post-discharge nutrition for premature infants requires further development.

Related Concept Videos

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Discharge Summary Forms01:31

Discharge Summary Forms

The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...