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Post-discharge nutrition for the preterm infant
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.
Abstract:
Newly designed, 'enriched,' formulas are now available for the formula feeding premature infant after hospital discharge. These new formulations add to the array of milks from which to choose when the discharge of the premature infant is approaching. However, the data to support optimal or reference nutrient intakes to use for the premature infant in the post-discharge are lacking. Breastfeeding should be encouraged as its beneficial effects may be related to the duration in which it is fed. Infants at risk for growth failure in the post-discharge period, such as infants unable to consume ad libitum intakes of milk, and who already have growth faltering or abnormal nutritional indices, may benefit for the addition of enriched formula. This review summarizes the recent data and comments on recommendations on post-discharge nutrition for premature infants.
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