| Enteral feeding: how, when, how much? | |
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MedLine Citation:
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PMID: 21089743 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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G De Nisi |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Minerva pediatrica Volume: 62 ISSN: 0026-4946 ISO Abbreviation: Minerva Pediatr. Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-11-22 Completed Date: 2010-12-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0400740 Medline TA: Minerva Pediatr Country: Italy |
Other Details:
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Languages: eng Pagination: 207-10 Citation Subset: IM |
Affiliation:
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Neonatology and NICU, Regional Hospital, Trento, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adrenal Cortex Hormones
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therapeutic use Birth Weight Breast Feeding Enteral Nutrition / contraindications, methods*, statistics & numerical data Enterocolitis, Necrotizing / prevention & control* Humans Infant, Newborn Infant, Premature, Diseases / prevention & control* Infant, Very Low Birth Weight Intensive Care Units, Neonatal / statistics & numerical data Intensive Care, Neonatal / methods*, standards Italy Milk Banks Milk, Human Parenteral Nutrition Retrospective Studies Time Factors |
| Chemical | |
Reg. No./Substance:
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0/Adrenal Cortex Hormones |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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