| Acquisition of full enteral feeds may depend on stooling pattern in very premature infants. | |
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MedLine Citation:
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PMID: 22752775 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Abstract Objective: The objective of this study was to determine whether acquisition of normal stooling pattern is associated with full enteral feeding and growth. Study design: This is a prospective observational study of infants with a gestational age of <28 weeks (n=121). All infants admitted to our unit during the study period were managed using the same protocol for rectal stimulation and enemas: we used rectal stimulation if abdominal distension and no defecation occurred in the previous 24 h; enema administration was practiced if abdominal distension persists and no defecation had occurred after rectal stimulation. Age of normal bowel habit (T-NBH) is defined as days when two stools passed each day without enemas or stimulation for three consecutive days. Full enteral feeding is measured by time to receive 120 mL/kg/day (T-120). Multivariable linear regression estimated the contribution of T-NBH on T-120 and the effect of tolerance on growth. Results: T-NBH was 16 days (12, 24 days) and T-120 was 16 days (12, 24 days). T-120 decreased with earlier normal bowel habit (r=0.625, P<0.0001). Change in weight z-score between 36 weeks postmenstrual age and birth was less pronounced with earlier full enteral feeding (r=-0.446, P<0.0001). Conclusion: Normalization of bowel habit is an important determinant of full enteral feeding of very immature infants. Earlier full enteral feeding is associated with less postnatal growth failure. |
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Authors:
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Miguel Sáenz de Pipaón Marcos; Ma Teresa Montes Bueno; Belén Sanjosé; Esmeralda Torralba; Milagros Gil; Isabel Parada; Pilar Amo |
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Publication Detail:
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Type: Journal Article Date: 2012-02-29 |
Journal Detail:
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Title: Journal of perinatal medicine Volume: 40 ISSN: 1619-3997 ISO Abbreviation: J Perinat Med Publication Date: 2012 |
Date Detail:
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Created Date: 2012-07-03 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0361031 Medline TA: J Perinat Med Country: Germany |
Other Details:
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Languages: eng Pagination: 427-31 Citation Subset: IM |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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