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Time to Initiate Trophic Feeding and Its Predictors Among Preterm Infants at University of Gondar Comprehensive

Geta Bayu Genet1, Yohannis Derbew Molla1, Miteku Andualem Limenih1

  • 1University of Gondar, Gondar, Ethiopia.

Sage Open Pediatrics
|December 15, 2025
PubMed

Insights

Early enteral feeding for preterm neonates is crucial for outcomes. This study found a low rate of early trophic feeding initiation, with gestational age, small for gestational age, and jaundice as key predictors.

Area of Science:

  • Neonatalogy
  • Pediatrics
  • Clinical Nutrition

Background:

  • Early enteral feeding is critical for preterm neonates' outcomes.
  • Limited data exists on the timing and factors influencing early enteral feeding in this population.
  • This study addresses this gap by examining early enteral feeding practices.

Purpose of the Study:

  • To assess the time to enteral feeding initiation in preterm newborns.
  • To identify factors associated with early enteral feeding initiation among preterm infants.
  • To evaluate the rate of early trophic feeding at the University of Gondar.

Main Methods:

  • An institutional-based retrospective follow-up study.
  • Data collected from 144 preterm newborns over approximately 6452 person-hours.
  • Follow-up period ranged from 1 to 240 hours.

Main Results:

  • Only 35.42% (51 out of 144) of preterm neonates initiated enteral feeding within the first 24 hours.
  • Gestational age, being small for gestational age, and the presence of jaundice were significant predictors of early initiation.
  • The rate of early trophic feeding initiation was found to be low.

Conclusions:

  • The rate of early trophic feeding initiation among preterm neonates in this institution is suboptimal.
  • Gestational age, SGA, and jaundice significantly influence early enteral feeding.
  • Further interventions may be needed to improve early feeding practices in preterm infants.
Abstract

Keywords:
enteral feedingpremature babiespretermtrophic feeding

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