Early exclusive enteral feeding in 30-33 weeks gestation infants: a randomized controlled trial.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2025-05-01 Epub Date: 2025-02-02 DOI:10.1038/s41372-025-02217-0

Belal N Alshaikh, Ossama Hassan, Wissam Alburaki, Dinesh Dharel, Adel Elsharkawy, Nalini Singal, Kamran Yusuf, Essa Al Awad

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引用次数: 0

Abstract

Objective: To evaluate feasibility and efficacy of early exclusive enteral feeding (EEEF) in reducing time to achieve full enteral feeds.

Methods: A pragmatic randomized controlled trial of infants born at 30^0/7-33^6/7 weeks gestation. Infants were randomly assigned to receive EEEF (60-80 mL/kg/day) or conventional feeding (20-30 mL/kg/day) with intravenous fluids after birth. Feed volumes were increased by 20-30 mL/kg/day. Primary outcome was time to reach full enteral feeds.

Results: Seventy infants were enrolled. Infants in EEEF group achieved full feeds sooner [Mean difference (MD) -1.2 (95%CI -1.8, -0.7)], required fewer hours of parenteral nutrition [0 (IQR 0, 19) vs. 91 (IQR 48, 132) hours, P < 0.001], had less need for central venous access (11.4% vs. 37.1%, P = 0.01) and had shorter hospital stays [MD -6.6 (95%CI -12.9, -0.2) days].

Conclusion: Early exclusive enteral feeding in 30^0/7-33^6/7 weeks gestation infants is feasible and reduces time required to achieve full enteral feeds and length of hospital stay.

Trial registration: ClinicalTrials.gov: NCT03708068.

查看原文本刊更多论文

妊娠30-33周婴儿早期纯肠内喂养：一项随机对照试验。

目的：评价早期纯肠内喂养（EEEF）缩短肠内喂养时间的可行性和有效性。方法：对妊娠300/7-336/7周出生的婴儿进行随机对照试验。婴儿出生后被随机分配接受EEEF （60-80 mL/kg/天）或常规喂养（20-30 mL/kg/天）和静脉输液。投料量增加20 ~ 30 mL/kg/d。主要终点是达到完全肠内喂养的时间。结果：70名婴儿入组。EEEF组患儿较早实现全肠喂养[平均差值(MD) -1.2 (95%CI -1.8, -0.7)]，所需肠外营养时间更短[0 （IQR 0,19）对91 （IQR 48,132）小时，P]。结论：妊娠300/7-336/7周患儿早期纯肠内喂养是可行的，可减少实现全肠内喂养所需时间和住院时间。试验注册：ClinicalTrials.gov: NCT03708068。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.