Document Detail

Feeding intolerance in preterm infants. How to understand the warning signs.
MedLine Citation:
PMID:  21892877     Owner:  NLM     Status:  Publisher    
It is essential to start enteral nutrition early to preterm infants by giving small amounts of milk (preferably human milk) to ensure that metabolic homeostasis is kept stable and to limit postnatal growth retardation. Increasing feeding volumes to reach "full enteral feeding" is limited by individual feeding tolerance. Feeding intolerance is extremely common in premature infants. The most frequent signs of a suspect feeding intolerance are the presence of gastric residuals, abdominal distension and the onset of crises of apnea/bradycardia. Gastric residuals are probably a benign consequence of delayed gut maturation and motility in VLBW infants and there are no established normal standards. When gastric aspirates occur isolated they should not immediately induce the neonatologist to withhold feeding. Gastric residual becomes more important when accompanied by other warning signs, such as bilious vomiting, abdominal distension, abdominal wall erythema or ecchymosis, gross or occult blood in the stool, apnoea, bradycardia and temperature instability. Nutrition protocols in preterm infants must take caution when starting and increasing enteral feeding, and pay proper, but not excessive, attention to early signs of food intolerance.
Renato Lucchini; Bianca Bizzarri; Silvia Giampietro; Mario De Curtis
Related Documents :
1800347 - Immunoglobulins igg, igm and iga levels in preterm and small for date newborns.
10520347 - Growth and development of abandoned babies in institutional care in nairobi.
9425417 - Are we screening too many babies for retinopathy of prematurity?
805237 - Abo blood groups and human sex ratio at birth.
21150647 - Supplementation of infant formula with probiotics and/or prebiotics: a systematic revie...
18624257 - Near miss maternal morbidity.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-5
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Dipartimento di Pediatria, "Sapienza" Università di Roma , Rome , Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Pharmacokinetic profile of 2,3,5,4'-tetrahydroxystilbene-2-O-?-D-glucoside in mice after oral admini...
Next Document:  BPD: old and new problems.