Guidelines for Feeding Very Low Birth Weight Infants

Nutrients

Sourabh Dutta¹  Balpreet Singh²  Lorraine Chessell²  Jennifer Wilson²  Marianne Janes²  Kimberley McDonald²  Shaneela Shahid²  Victoria A. Gardner²  Aune Hjartarson²  Margaret Purcha²  Jennifer Watson²  Chris de Boer²  Barbara Gaal² 

[1] Division of Neonatology, Department of Pediatrics, McMaster University Children’s Hospital, Hamilton L8S4L8, Ontario, Canada;

关键词: feeding;    very low birth weight;    neonate;    review;   

DOI  :  10.3390/nu7010423

来源: mdpi

【 摘 要 】

Despite the fact that feeding a very low birth weight (VLBW) neonate is a fundamental and inevitable part of its management, this is a field which is beset with controversies. Optimal nutrition improves growth and neurological outcomes, and reduces the incidence of sepsis and possibly even retinopathy of prematurity. There is a great deal of heterogeneity of practice among neonatologists and pediatricians regarding feeding VLBW infants. A working group on feeding guidelines for VLBW infants was constituted in McMaster University, Canada. The group listed a number of important questions that had to be answered with respect to feeding VLBW infants, systematically reviewed the literature, critically appraised the level of evidence, and generated a comprehensive set of guidelines. These guidelines form the basis of this state-of-art review. The review touches upon trophic feeding, nutritional feeding, fortification, feeding in special circumstances, assessment of feed tolerance, and management of gastric residuals, gastro-esophageal reflux, and glycerin enemas.

【 授权许可】

CC BY   
© 2015 by the authors; licensee MDPI, Basel, Switzerland.