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[Recent advances in nutritional support and postnatal growth in premature infants]

T Senterre1, J Rigo

  • 1L'Université de Liège, Belgique. Thibault.Senterre@chu.ulg.ac.be

Revue Medicale De Liege
|March 9, 2013
PubMed

Insights

Optimizing nutrition for very low birth weight (VLBW) infants using standardized parenteral nutrition and early enriched feeding improves growth and health. This approach reduces growth restriction, enhancing long-term development for premature infants.

Area of Science:

  • Neonatology
  • Pediatric Nutrition
  • Intensive Care Medicine

Context:

  • Premature infants, especially very low birth weight (VLBW) infants (<1500 g), face significant nutritional challenges.
  • Postnatal malnutrition and growth restriction are common, impacting long-term developmental outcomes.
  • Current feeding strategies often fall short in meeting the complex nutritional needs of these vulnerable infants.

Purpose:

  • To discuss an optimized nutritional policy for VLBW infants.
  • To highlight the benefits of standardized parenteral nutrition and accelerated enteral feeding.
  • To present evidence supporting improved nutritional support and growth in premature neonates.

Summary:

  • An optimized nutritional policy involving standardized parenteral nutrition and a rapidly enriched feeding regimen was implemented in VLBW infants.
  • This approach led to significant improvements in nutritional support, postnatal growth, and biological homeostasis.
  • A notable outcome was a reduction in infants being small for gestational age at discharge (6% vs. expected higher rates).

Impact:

  • The standardized policy has been adopted by the industry, leading to the development of specialized triple-chamber parenteral nutrition bags for premature infants.
  • This represents a significant advancement in improving the developmental trajectory and long-term outcomes for premature neonates.
  • Enhanced nutritional strategies are crucial for mitigating the adverse effects of prematurity on infant development.

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