Current nutrition practices in premature and low-birth-weight newborns: A descriptive cohort study.

IF 3.2 3区医学 Q2 NUTRITION & DIETETICS

Journal of Parenteral and Enteral Nutrition Pub Date : 2025-05-11 DOI:10.1002/jpen.2770

Luciana de Paula, Diana Silva, Cláudia Camila Dias, Rita Moita, Susana Pissarra

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引用次数: 0

Abstract

Background: This study aims to describe the nutrition approach to preterm and low-birth-weight infants during hospitalization in a level 3 neonatal intensive care unit.

Methods: Descriptive cohort study on preterm infants with gestational age ≤34 weeks or birth weight ≤1500 g admitted for hospitalization between January 2021 and December 2022. Data were collected from medical records.

Results: The sample consisted of 85 preterm infants. All received parenteral nutrition, which was started on the first day of life in 98.8% of them. Trophic nutrition was started by the third day of life in 74.7% of the preterm infants. The median start of trophic nutrition was 5 days in infants with a birth weight <1000 g, 3 days in infants with a birth weight from 1000 to <1500 g, and 2 days in infants with birth weight ≥1500 g (P < 0.001). Preterm infants with a birth weight ≥1500 g started enteral nutrition and reached full enteral nutrition earlier (P < 0.001) than the other birth weight subgroups. The diet was suspended for >24 h in 26 preterm infants (30.6%). At discharge, 84.7% of the infants were receiving breast milk, with 25.9% exclusively breastfeeding and 58.8% partially breastfeeding.

Conclusions: Earlier initiation of enteral feeding in line with the latest guidelines can be optimized with the availability of donor milk from a human milk bank.

查看原文本刊更多论文

当前早产儿和低出生体重新生儿的营养实践：一项描述性队列研究。

背景：本研究旨在描述在3级新生儿重症监护病房住院期间早产儿和低出生体重儿的营养方法。方法：对2021年1月至2022年12月住院的胎龄≤34周或出生体重≤1500 g的早产儿进行描述性队列研究。数据是从医疗记录中收集的。结果：本组共85例早产儿。所有人都接受了肠外营养，其中98.8%的人在出生第一天就开始了肠外营养。74.7%的早产儿在出生第三天开始营养营养。26例早产儿（30.6%）中，营养营养的中位起始时间为5天，出生体重为24小时。出院时，84.7%的婴儿接受母乳喂养，其中25.9%为纯母乳喂养，58.8%为部分母乳喂养。结论：根据最新指南，早期开始肠内喂养可以通过从母乳库获得供乳来优化。

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 Parenteral and Enteral Nutrition 医学-营养学

CiteScore

7.80

自引率

8.80%

发文量

161

审稿时长

6-12 weeks

期刊介绍： The Journal of Parenteral and Enteral Nutrition (JPEN) is the premier scientific journal of nutrition and metabolic support. It publishes original peer-reviewed studies that define the cutting edge of basic and clinical research in the field. It explores the science of optimizing the care of patients receiving enteral or IV therapies. Also included: reviews, techniques, brief reports, case reports, and abstracts.