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Feeding practices and growth of infants with Pierre Robin Sequence

Bonnie Dorise1, Amit Trivedi2, Claire Galea3

  • 1Grace Centre for Newborn Intensive Care, The Children's Hospital at Westmead, Sydney, NSW, Australia.

International Journal of Pediatric Otorhinolaryngology
|December 23, 2018
PubMed

Insights

Infants with Pierre Robin Sequence (PRS) often experience feeding difficulties and malnutrition, leading to longer hospital stays. Early dietitian intervention is crucial for improving growth outcomes in these infants.

Area of Science:

  • Pediatric Nutrition
  • Neonatal Intensive Care
  • Clinical Pediatrics

Background:

  • Pierre Robin Sequence (PRS) presents significant feeding challenges in infants.
  • Growth and nutritional status are critical during neonatal intensive care unit (NICU) stays.

Purpose of the Study:

  • To evaluate the impact of feeding practices on infant growth within the NICU.
  • To identify factors influencing feeding difficulties and malnutrition in infants with PRS.

Main Methods:

  • Retrospective review of feeding practices in infants with PRS (2006-2017).
  • Collected data on demographics, feeding, length of stay (LOS), and malnutrition (weight-for-age Z score < -1).
  • Primary outcomes included feeding difficulties, LOS, and malnutrition rates.

Main Results:

  • Feeding difficulties were associated with significantly longer LOS (24.1 vs 6.8 days).
  • Infants showed a significant decline in Z-scores from birth to discharge (-1.27 vs 0.21).
  • Malnutrition affected 26 infants, with intrauterine growth restriction (IUGR) increasing malnutrition likelihood (OR 1.40).

Conclusions:

  • Infants with PRS have a high incidence of feeding difficulties and malnutrition.
  • Early dietitian intervention is recommended to support growth and energy needs.
  • Routine monitoring of growth and feeding is advised for infants with prolonged NICU stays or IUGR.
Abstract

Keywords:
FeedingGrowthNutritionPierre Robin Sequence

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