How delayed full enteral feeding could affect extrauterine growth restriction in a neonatal intensive care unit: a

Simone Ceratto1, Cristina Dalmazzo2, Amanda Arnello3

  • 1Unit of Pediatrics and Neonatology, Department of Maternal - Infantile Care, ASL CN1, Mondovì, Cuneo, Italy - simone.ceratto@gmail.com.

Minerva Pediatrics
|May 8, 2023
PubMed

Insights

Timely enteral feeding is crucial for preterm newborns to prevent extrauterine growth restriction. Delayed feeding and prolonged parenteral nutrition are linked to poor growth outcomes in neonatal intensive care units.

Area of Science:

  • Neonatal intensive care
  • Pediatric nutrition
  • Growth and development

Background:

  • Adequate growth in preterm newborns via enteral feeding is vital for improved outcomes and long-term development.
  • Enteral feeding prevents complications like necrotizing enterocolitis and supports metabolic and cognitive functions.
  • Optimizing weight gain in preterm infants is a key focus in neonatal intensive care units.

Purpose of the Study:

  • To evaluate the impact of delayed full enteral feeding on extrauterine growth restriction in preterm infants.
  • To identify correlations between feeding strategies and growth outcomes in a neonatal intensive care unit setting.

Main Methods:

  • Retrospective analysis of data from preterm infants in a neonatal intensive care unit.
  • Evaluation of feeding practices, including timing of full enteral feeding and duration of parenteral nutrition.

Main Results:

  • Significant correlations were found between delayed full enteral feeding and extrauterine growth restriction.
  • Prolonged parenteral nutrition was also significantly associated with extrauterine growth restriction.

Conclusions:

  • Achieving full enteral feeding as early as possible is a critical component of preterm newborn care.
  • Prompt initiation of enteral nutrition may help mitigate extrauterine growth restriction in preterm infants.
Abstract

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