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Published on: January 12, 2018
A Narrative Review of Strategies to Optimize Nutrition, Feeding, and Growth among Preterm-Born Infants: Implications
Faith E Bala1, Katlyn E McGrattan2, Christina J Valentine3
1The Innovative Infant Feeding Disorders Research Program, Nationwide Children's Hospital, Columbus, OH, United States; Center for Perinatal Research, The Research Institute at Nationwide Children's Hospital, Columbus, OH, United States.
Insights
Optimizing nutrition is crucial for preterm infants, especially in resource-limited areas. Evidence-based feeding strategies improve growth, neurodevelopment, and quality of life for these vulnerable newborns.
Area of Science:
- Neonatology
- Global Health
- Pediatric Nutrition
Background:
- Preterm birth is a major global cause of infant mortality.
- Preterm infants face significant risks like growth faltering and developmental issues.
- Nutritional support is vital for recovery and long-term health in preterm infants.
Purpose of the Study:
- To discuss evidence-based feeding and nutritional strategies for preterm infants.
- To highlight applicable strategies in resource-limited settings.
- To optimize nutrition, growth, and development from neonatal intensive care through discharge.
Main Methods:
- Review of evidence-based feeding and nutritional strategies.
- Focus on applicability in resource-limited neonatal care settings.
- Discussion of nutrition, feeding, and growth monitoring protocols.
Main Results:
- Optimizing nutrition is key to improving outcomes for preterm infants.
- Specific feeding strategies can be implemented even with limited resources.
- Growth monitoring is essential for assessing nutritional adequacy.
Conclusions:
- Effective nutritional interventions are critical for preterm infant survival and development.
- Adaptable strategies can overcome resource limitations in neonatal care.
- Comprehensive nutritional management improves long-term prognosis and quality of life.
Abstract:
Preterm birth is the leading cause of neonatal and under-5 mortality globally, and healthcare-related burden and nutrition-related morbidities are unsustainable, particularly in resource-limited regions. Additionally, preterm infants are susceptible to multiple adverse outcomes including growth faltering, suboptimal neurodevelopment, and multisystemic morbidities. Maturation, healing, repair, and restoration to normalcy in preterm-born infants require optimizing nutrition; only then, prognosis, growth, neurodevelopment, and overall quality of life can improve. In this article, we discuss the various evidence-based feeding and nutritional strategies that can be applicable even in resource-limited settings, where resources and infrastructure for advanced neonatal care are limited. This article addresses nutrition, feeding strategies, and growth monitoring in the neonatal intensive care unit and at discharge to optimize nutrition, growth, and development.
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