Abstract | BACKGROUND: AIM: To evaluate the nutritional outcomes in EP neonates with IUGR. METHODS: Data on demographic characteristics, feeding details (e.g. type of milk, postnatal age at start), and outcomes to discharge or death were collected from the medical notes for all EP neonates, who survived first 72 h of life, between January 2009 and December 2010. A standardised feeding protocol was followed during the study period. RESULTS: 38/220 (17.3%) EP neonates admitted during the study period had IUGR. The mean (IQR) age at start of minimal enteral nutrition [7 (5-10) versus 5 (4-8) days, p = 0.005), and nutritional (1 ml/2 hourly) feeds [12 (8-15) versus 9 (7-13) days, p = 0.034] was significantly delayed in IUGR compared to non-IUGR neonates. IUGR neonates reached full enteral feeds (150 ml/kg/day) at a significantly late median (IQR) postnatal age [32 (21-40) versus 24 (17-31) days, p = 0.009), taking longer time to achieve this milestone [20 (15-34) versus 16 (12-4) days, p = 0.008). The incidence of postnatal growth restriction was significantly higher in IUGR versus non-IUGR (73% versus 45%, p = 0.003) neonates. The incidence of ≥ Stage II NEC was low [18/220 (8.1%)] to make valid statistical comparisons. CONCLUSION:
|
Authors | P Shah, E Nathan, D Doherty, S Patole |
Journal | 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
(J Matern Fetal Neonatal Med)
Vol. 28
Issue 16
Pg. 1981-4
(Nov 2015)
ISSN: 1476-4954 [Electronic] England |
PMID | 25302862
(Publication Type: Journal Article, Observational Study)
|
Topics |
- Enteral Nutrition
(methods)
- Enterocolitis, Necrotizing
(etiology, prevention & control)
- Female
- Fetal Growth Retardation
(therapy)
- Humans
- Infant, Extremely Premature
(growth & development)
- Infant, Newborn
- Infant, Premature, Diseases
(therapy)
- Male
- Pregnancy
- Retrospective Studies
- Treatment Outcome
|