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Multicentre prospective observational study of feeding practices in 30-33 weeks preterm infants.


ABSTRACT: Background: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. Aim:Explore feeding practices in 30-33 weeks preterm infants. Design:Prospective, multicentre, observational study recruiting 10 consecutive 30-33 weeks preterm infants from each of the eight UK hospitals. Results: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). Conclusion: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.

SUBMITTER: Kwok TC 

PROVIDER: S-EPMC5862163 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature

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Multicentre prospective observational study of feeding practices in 30-33 weeks preterm infants.

Kwok T C TC   Dorling Jon J   Ojha Shalini S  

BMJ paediatrics open 20170717 1


<h4>Background</h4>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.<h4>Aim</h4>Explore feeding practices in 30-33 weeks preterm infants.<h4>Design</h4>Prospective, multicentre, observational study recruiting 10 consecutive 30-33 weeks preterm infants from each of the eight UK hospitals.<h4>Resul  ...[more]

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