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Feeding very-low-birth-weight infants: our aspirations versus the reality in practice

Willemijn E Corpeleijn1, Marijn J Vermeulen, Chris H van den Akker

  • 1Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands.

Annals of Nutrition & Metabolism
|June 25, 2011
PubMed

Insights

Optimizing nutrition for premature infants is crucial, as deficits can lead to serious health issues. This review highlights key strategies for improving nutritional intake in the neonatal intensive care unit.

Area of Science:

  • Neonatal nutrition
  • Pediatric gastroenterology

Background:

  • New guidelines for enteral nutrition in premature infants exist.
  • Achieving recommended intakes remains challenging in neonatal intensive care units, risking nutritional deficits.
  • Suboptimal intake is linked to neonatal diseases and impaired neurodevelopment.

Purpose of the Study:

  • To review essential aspects for optimizing nutritional intake in premature infants.
  • To emphasize the critical need for improved nutritional support in neonatal intensive care.

Main Methods:

  • Literature review of current practices and guidelines for infant nutrition.
  • Discussion of infrastructure, parenteral nutrition initiation, and enteral feeding transitions.
  • Examination of nutritional tolerance monitoring and macronutrient optimization.

Main Results:

  • Optimizing nutrition requires attention to infrastructure, parenteral to enteral feeding transitions, and monitoring.
  • Current monitoring methods like serum biochemistry lack specific markers and safety values.
  • Unanswered questions persist regarding optimal macronutrient quantity and quality.

Conclusions:

  • Premature birth constitutes a nutritional emergency requiring dedicated clinical and research efforts.
  • Reducing nutritional deficits is paramount to prevent adverse neonatal outcomes, including neurodevelopmental impairment.
  • A hospital-wide acknowledgment of nutritional needs is essential for vulnerable preterm infants.

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