Document Detail

Enteral feeding: how, when, how much?
MedLine Citation:
PMID:  21089743     Owner:  NLM     Status:  MEDLINE    
In a NICU early enteral feeding is usually possible only when the newborn clinical conditions permit it. Because of the frequent need of umbilical/central catheters, they usually start with parenteral feeding and/or with minimal enteral feeding (trophic feeding). This kind of management is even more frequent in VLBWIs, in which the risk of NEC is very high. In this work we describe a model of early enteral exclusive feeding (EEEF) based on the use of banking human milk followed by mother In the Centre of Neonatology of Trento, as in other milk. Centers, the newborns weighing less than 750 g or with a GE <27 weeks, are treated with parenteral nutrition and minimal enteral feeding. The newborn weighing 750-1249g and with GE >26 weeks define a group in which we find critical neonates, who can not be treated with enteral feeding, and neonates whose clinical conditions permit EEEF. In particular, in a period of 16 years (1994-2009) in Trento, 308 newborns weighing 750-1249 g and GE >26 weeks were admitted. The 90.9% has been treated with prenatal steroids, the 91.9% was inborn, the 96.1% survived. In the 59.1% of the cases (175) we gave EEEF. We could continue with a complete EEEF in the 40.2% of the total (119 cases). The characteristics of these neonates and our centre management, based mainly on early use of banking human milk and mother milk, are detailed described.
G De Nisi
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Minerva pediatrica     Volume:  62     ISSN:  0026-4946     ISO Abbreviation:  Minerva Pediatr.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-11-22     Completed Date:  2010-12-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400740     Medline TA:  Minerva Pediatr     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  207-10     Citation Subset:  IM    
Neonatology and NICU, Regional Hospital, Trento, Italy.
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MeSH Terms
Adrenal Cortex Hormones / therapeutic use
Birth Weight
Breast Feeding
Enteral Nutrition / contraindications,  methods*,  statistics & numerical data
Enterocolitis, Necrotizing / prevention & control*
Infant, Newborn
Infant, Premature, Diseases / prevention & control*
Infant, Very Low Birth Weight
Intensive Care Units, Neonatal / statistics & numerical data
Intensive Care, Neonatal / methods*,  standards
Milk Banks
Milk, Human
Parenteral Nutrition
Retrospective Studies
Time Factors
Reg. No./Substance:
0/Adrenal Cortex Hormones

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