Postnatal growth in preterm infants and later health outcomes: a systematic review.
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ABSTRACT:
SUBMITTER: Ong KK
PROVIDER: S-EPMC5054880 | biostudies-other | 2015 Oct
REPOSITORIES: biostudies-other
Publications
Postnatal growth in preterm infants and later health outcomes: a systematic review.
Ong Ken K KK Kennedy Kathy K Castañeda-Gutiérrez Eurídice E Forsyth Stewart S Godfrey Keith M KM Koletzko Berthold B Latulippe Marie E ME Ozanne Susan E SE Rueda Ricardo R Schoemaker Marieke H MH van der Beek Eline M EM van Buuren Stef S Fewtrell Mary M
Acta paediatrica (Oslo, Norway : 1992) 20151001 10
<h4>Unlabelled</h4>In preterm infants, poor postnatal growth is associated with adverse neurocognitive outcomes; conversely, rapid postnatal growth is supposedly harmful for future development of metabolic diseases.<h4>Conclusion</h4>In this systematic review, observational studies reported consistent positive associations between postnatal weight or head growth and neurocognitive outcomes; however, there was limited evidence from the few intervention studies. Evidence linking postnatal weight g ...[more]
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Project description:The care of infants at risk of poor growth and development is a global priority. To inform new WHO guidelines update on prevention and management of growth faltering among infants under six months, we examined the effectiveness of postnatal maternal or caregiver interventions on outcomes among infants between 0 and 6 months. We searched nine electronic databases from January 2000 to August 2021, included interventional studies, evaluated the quality of evidence for seven outcome domains (anthropometric recovery, child development, anthropometric outcomes, mortality, readmission, relapse, and non-response) and followed the GRADE approach for certainty of evidence. We identified thirteen studies with preterm and/or low birth weight infants assessing effects of breastfeeding counselling or education (n = 8), maternal nutrition supplementation (n = 2), mental health (n = 1), relaxation therapy (n = 1), and cash transfer (n = 1) interventions. The evidence from these studies had serious indirectness and high risk of bias. Evidence suggests breastfeeding counselling or education compared to standard care may increase infant weight at one month, weight at two months and length at one month; however, the evidence is very uncertain (very low quality). Maternal nutrition supplementation compared to standard care may not increase infant weight at 36 weeks postmenstrual age and may not reduce infant mortality by 36 weeks post-menstrual age (low quality). Evidence on the effectiveness of postnatal maternal or caregiver interventions on outcomes among infants under six months with growth faltering is limited and of 'low' to 'very low' quality. This emphasizes the urgent need for future research. The protocol was registered with PROSPERO (CRD42022309001).
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