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Enteral Feeding for Moderately Premature and Low Birth Weight Infants: A Single-Center Retrospective Observational

Dorita M Z Dekker1, Monique van Brakel1, Chris H P van den Akker2,3

  • 1From the Tergooi MC, Department of Pediatrics, Blaricum, The Netherlands.

JPGN Reports
|May 18, 2023
PubMed

Insights

Minimal enteral feeding (MEF) may delay exclusive enteral feeding (EF) in premature infants. Omitting MEF for infants weighing 1600g or more could accelerate feeding advancement without increasing complications.

Area of Science:

  • Neonatology
  • Pediatric Gastroenterology
  • Clinical Nutrition

Background:

  • Optimal initial enteral feeding (EF) for premature infants remains debated.
  • Current practices vary, especially for moderately premature and low birth weight (BW) infants.

Purpose of the Study:

  • To evaluate the impact of minimal enteral feeding (MEF) protocols on feeding advancement in premature infants.
  • To determine if omitting MEF affects feeding-related complications or time to exclusive EF.

Main Methods:

  • A study involving 96 premature infants stratified into three birth weight groups (1600-1799g, 1800-1999g, 2000-2200g).
  • Comparison of infants receiving MEF versus those started with exclusive EF from birth.
  • Analysis of time to exclusive EF and feeding-related complications.

Main Results:

  • Infants started with exclusive EF achieved it significantly faster than those on MEF (median difference of 5 days).
  • Higher percentages of infants in heavier birth weight groups (1800-2200g) deviated from MEF protocols.
  • No significant differences in feeding-related complications were observed between groups.

Conclusions:

  • Minimal enteral feeding (MEF) may prolong the time to achieve exclusive enteral feeding in premature infants.
  • Omitting MEF for moderately premature infants with a birth weight of 1600g or higher is advocated.
  • This approach may accelerate feeding advancement without compromising safety.

Keywords:
CPAPfeeding complicationsnewborns

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