Multicentre prospective observational study of feeding practices in 30–33 weeks preterm infants
BackgroundCurrent evidence supports progressive feeding in preterm infants. Due to lower necrotising enterocolitis risk, recent studies suggest starting total enteral feeding from birth in 30–33 weeks preterm infants. The feasibility of this practice is unclear.AimExplore feeding practices in 30–33...
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| Published in | BMJ paediatrics open Vol. 1; no. 1; p. e000040 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
England
BMJ Publishing Group LTD
01.07.2017
BMJ Publishing Group |
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| Online Access | Get full text |
| ISSN | 2399-9772 2399-9772 |
| DOI | 10.1136/bmjpo-2017-000040 |
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| Abstract | BackgroundCurrent evidence supports progressive feeding in preterm infants. Due to lower necrotising enterocolitis risk, recent studies suggest starting total enteral feeding from birth in 30–33 weeks preterm infants. The feasibility of this practice is unclear.AimExplore feeding practices in 30–33 weeks preterm infants.DesignProspective, multicentre, observational study recruiting 10 consecutive 30–33 weeks preterm infants from each of the eight UK hospitals.ResultsEighty infants received their first feed at median of 24 hours, achieving total enteral (without intravenous nutrition) and full feeds (≥150 ml/kg/day) at median of 5 and 8 days, respectively. Eleven infants who achieved total enteral feeding within 24 hours after birth achieved full feeds earlier (p=0.02) with shorter hospital stay (p=0.009) but were also of older gestation (p=0.004).ConclusionCurrent early feeding approaches in 30–33 weeks preterm infants were found to be conservative. Total enteral feeding from birth is possible in these infants but further studies are needed. |
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| AbstractList | BackgroundCurrent evidence supports progressive feeding in preterm infants. Due to lower necrotising enterocolitis risk, recent studies suggest starting total enteral feeding from birth in 30–33 weeks preterm infants. The feasibility of this practice is unclear.AimExplore feeding practices in 30–33 weeks preterm infants.DesignProspective, multicentre, observational study recruiting 10 consecutive 30–33 weeks preterm infants from each of the eight UK hospitals.ResultsEighty infants received their first feed at median of 24 hours, achieving total enteral (without intravenous nutrition) and full feeds (≥150 ml/kg/day) at median of 5 and 8 days, respectively. Eleven infants who achieved total enteral feeding within 24 hours after birth achieved full feeds earlier (p=0.02) with shorter hospital stay (p=0.009) but were also of older gestation (p=0.004).ConclusionCurrent early feeding approaches in 30–33 weeks preterm infants were found to be conservative. Total enteral feeding from birth is possible in these infants but further studies are needed. Current evidence supports progressive feeding in preterm infants. Due to lower necrotising enterocolitis risk, recent studies suggest starting total enteral feeding from birth in 30-33 weeks preterm infants. The feasibility of this practice is unclear. Explore feeding practices in 30-33 weeks preterm infants. Prospective, multicentre, observational study recruiting 10 consecutive 30-33 weeks preterm infants from each of the eight UK hospitals. Eighty infants received their first feed at median of 24 hours, achieving total enteral (without intravenous nutrition) and full feeds (≥150 ml/kg/day) at median of 5 and 8 days, respectively. Eleven infants who achieved total enteral feeding within 24 hours after birth achieved full feeds earlier (p=0.02) with shorter hospital stay (p=0.009) but were also of older gestation (p=0.004). Current early feeding approaches in 30-33 weeks preterm infants were found to be conservative. Total enteral feeding from birth is possible in these infants but further studies are needed. Current evidence supports progressive feeding in preterm infants. Due to lower necrotising enterocolitis risk, recent studies suggest starting total enteral feeding from birth in 30-33 weeks preterm infants. The feasibility of this practice is unclear.BACKGROUNDCurrent evidence supports progressive feeding in preterm infants. Due to lower necrotising enterocolitis risk, recent studies suggest starting total enteral feeding from birth in 30-33 weeks preterm infants. The feasibility of this practice is unclear.Explore feeding practices in 30-33 weeks preterm infants.AIMExplore feeding practices in 30-33 weeks preterm infants.Prospective, multicentre, observational study recruiting 10 consecutive 30-33 weeks preterm infants from each of the eight UK hospitals.DESIGNProspective, multicentre, observational study recruiting 10 consecutive 30-33 weeks preterm infants from each of the eight UK hospitals.Eighty infants received their first feed at median of 24 hours, achieving total enteral (without intravenous nutrition) and full feeds (≥150 ml/kg/day) at median of 5 and 8 days, respectively. Eleven infants who achieved total enteral feeding within 24 hours after birth achieved full feeds earlier (p=0.02) with shorter hospital stay (p=0.009) but were also of older gestation (p=0.004).RESULTSEighty infants received their first feed at median of 24 hours, achieving total enteral (without intravenous nutrition) and full feeds (≥150 ml/kg/day) at median of 5 and 8 days, respectively. Eleven infants who achieved total enteral feeding within 24 hours after birth achieved full feeds earlier (p=0.02) with shorter hospital stay (p=0.009) but were also of older gestation (p=0.004).Current early feeding approaches in 30-33 weeks preterm infants were found to be conservative. Total enteral feeding from birth is possible in these infants but further studies are needed.CONCLUSIONCurrent early feeding approaches in 30-33 weeks preterm infants were found to be conservative. Total enteral feeding from birth is possible in these infants but further studies are needed. |
| Author | Kwok, TC Dorling, Jon Ojha, Shalini |
| AuthorAffiliation | 2 Division of Graduate Entry Medicine (Derby) , School of Medicine, University of Nottingham , Nottingham , UK 1 Academic Division of Child Health , University of Nottingham , Nottingham , UK |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29637102$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1002/14651858.CD002971.pub3 10.1002/14651858.CD001241.pub6 10.1111/apa.12254 10.1002/14651858.CD001970.pub5 10.1002/14651858.CD001241.pub5 |
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| References | Morgan, Young, McGuire 2014; 12 Quigley, McGuire 2014 Sanghvi, Joshi, Nabi 2013; 102 Morgan, Young, McGuire 2015; 10 Sanghvi (key-10.1136/bmjpo-2017-000040-3) 2013; 102 Chetry (key-10.1136/bmjpo-2017-000040-4) 2014 Morgan (key-10.1136/bmjpo-2017-000040-2) 2015; 10 Morgan (key-10.1136/bmjpo-2017-000040-1) 2014; 12 Quigley (key-10.1136/bmjpo-2017-000040-5) 2014 |
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| Snippet | BackgroundCurrent evidence supports progressive feeding in preterm infants. Due to lower necrotising enterocolitis risk, recent studies suggest starting total... Current evidence supports progressive feeding in preterm infants. Due to lower necrotising enterocolitis risk, recent studies suggest starting total enteral... |
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| SubjectTerms | Audit departments Babies Birth weight Breastfeeding & lactation Enteral nutrition Gestational age Newborn babies Nutrition Observational studies Original Pediatrics Premature babies Sepsis Ventilators |
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| Title | Multicentre prospective observational study of feeding practices in 30–33 weeks preterm infants |
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