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Nutritional Support of Very Low Birth Weight Infants in a Tertiary Center in a Developing Country

Manar Al-Lawama1, Haneen Abu Alrous1, Haitham Alkhatib1

  • 1Department of Pediatrics, School of Medicine, Jordan University Hospital, University of Jordan, Amman, Jordan.

Journal of Clinical Medicine Research
|April 3, 2019
PubMed

Insights

Nutritional support for very low birth weight infants (VLBWIs) is established, but enhancing breast milk and early fortification are key for growth, especially in resource-limited settings.

Area of Science:

  • Neonatal Nutrition
  • Pediatric Gastroenterology
  • Clinical Nutrition

Background:

  • Very low birth weight infants (VLBWIs) face significant nutritional deficiencies and risks of necrotizing enterocolitis (NEC) with enteral feeding.
  • Parenteral nutrition is often essential for VLBWIs in early postnatal life.
  • This study evaluated the nutritional services provided to VLBWIs at Jordan University Hospital.

Purpose of the Study:

  • To assess the established nutritional services for very low birth weight infants (VLBWIs).
  • To identify areas for improvement in the nutritional care of VLBWIs.

Main Methods:

  • A prospective follow-up study design was employed.
  • Included were VLBWIs with birth weight less than or equal to 1,500 g.
  • Data were collected from medical charts and laboratory databases.

Main Results:

  • The study included 43 VLBWIs, with 21% being extremely low birth weight infants (ELBWIs).
  • Mean gestational age was 29 weeks, and mean birth weight was 1,218 g.
  • Feeds were initiated at a mean age of 3 days, reaching full feeds by 2 weeks. Hypertriglyceridemia was the most common side effect of total parenteral nutrition (TPN) at 35%.

Conclusions:

  • Nutritional care for VLBWIs is well-established at the study center.
  • Earlier initiation of nutritional fortification is recommended.
  • Increasing the supply of mother's own breast milk is crucial for improving VLBWI growth in resource-limited settings.
Abstract

Keywords:
Developing countryEnteral nutritionTPNVLBWI

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