ASSOCIATION OF THE IMPACT OF POSTNATAL NUTRITION ON THE GROWTH OF PRETERM INFANTS <34 WEEKS GESTATIONAL AGE FROM BIRTH TO DISCHARGE
Objectives: The objectives of the study were to measure the actual daily amount of each nutrient (protein, glucose, and fat) energy and fluid as per current ESPGHAN guidelines for preterm infants and to analyze the role of nutrients at different gestational age on growth and weight of preterm infants.
Material and Methods: An observational and prospective cohort study was conducted from January 1, 2018, to December 31, 2018. This study included all preterm infants born <34 weeks gestational age admitted in the neonatal intensive care unit during this period at Mahatma Gandhi Medical College and Hospital. A total of 120 preterm neonates were studied.
Results: There were mean weight, length, and head circumference continues to rise till the study end. Mean energy at birth was also continues to rise till the end.
Conclusion: In the study, proper nutritional supplement as per ESPHAGEN guidelines was used for the development of preterm infant. The study showed that there were statistically significant results with anthropometry parameters with preterm baby growth in all domains.
2. World Health Organization Report: Available from: http://www.who. int/gho/child_health/mortality/neonatal_infant_text/en.
3. Behrman R, Butler A. Preterm Birth: Causes, Consequences, and Prevention. Washington, DC: The National Academies Press; 2007.
4. Conrad A. Post-discharge nutrition for the preterm infant. J Neonatal Nurs 2013;19:217.
5. Long H, Yi J, Hu P, Li Z, Qiu W, Wang F, et al. Benefits of iron supplementation for low birth weight infants: A systematic review. BMC Pediatr 2012;16:99-121.
6. Shah MD, Shah SR. Nutrient deficiencies in the premature infant. Pediatr Clin North Am 2009;56:1069-83.
7. Available from: http://www.espghan.org/guidelines/nutrition.
8. Chawla D, Thukral A, Agarwal R, Deorari A, Paul VK. AIIMS-NICU Protocols 2008. Parenteral Nutrition. Division of Neonatology, Department of Pediatrics. Available from: https://www.newbornwhocc. org/2014_pdf/Parenteral%20Nutrition%202014.pdf.
9. American Academy of Pediatrics. Committee on nutrition: Nutritional needs of the preterm infant. In: Kleinman RE, editor. Pediatrc Nutrition Handbook. 6th ed. Elk Grove Village/IL: American Academy of Pediatrics; 2009. p. 79-112.
10. Agostoni C, Buonocore G, Carnielli VP, De Curtis M, Darmaun D, Decsi T, et al. Enteral nutrient supply for preterm infants: Commentary from the European society of paediatric gastroenterology, hepatology and nutrition committee on nutrition. J Pediatr Gastroenterol Nutr 2010;50:85-91.
11. Harding JE, Cormack BE, Alexander T, Alsweiler JM, Bloomfield FH. Advances in nutrition of the newborn infant. Lancet 2017;389:1660-8.
12. Barros FC, Papageorghiou AT, Victora CG. International fetal and newborn growth consortium for the 21st century. The distribution of clinical phenotypes of preterm birth syndrome: Implications for prevention. JAMA Pediatr 2015;169:220-9.
13. Cole TJ, Statnikov Y, Santhakumaran S, Pan H, Modi N; Neonatal Data Analysis Unit and the Preterm Growth Investigator Group. Birth weight and longitudinal growth in infants born below 32 weeks’ gestation: A UK population study. Arch Dis Child Fetal Neonatal Ed 2014;99:F34-40.
14. Hayakawa M, Okumura A, Hayakawa F, Kato Y, Ohshiro M, Tauchi N, et al. Nutritional state and growth and functional maturation of the brain in extremely low birth weight infants. Pediatrics 2003;111:991-5.
15. Tan MJ, Cooke RW. Improving head growth in very preterm infants: A randomized control trial I: Neonatal outcomes. Arch Dis Child Fetal Neonatal Ed 2008;93:F337-41.
16. Uthaya S, Thomas EL, Hamilton G, Dore CJ, Bell J, Modi N. Altered adiposity after extremely preterm birth. Pediatr Res 2005;57:211-5.
17. Ehrenkranz RA, Younes N, Lemons JA. Longitudinal growth of hospitalized very low birth weight infants. Pediatrics 1999;104:280-9.
18. Hans DM, Pylipow M, Long JD, Thureen PJ, Georgieff MK. Nutritional practices in the neonatal intensive care unit: Analysis of a 2006 neonatal nutrition survey. Pediatrics 2009;123:51-7.
19. Thureen PJ, Hay WW. Intravenous nutrition and postnatal growth of micropremie. Clin Perinatol 2000;27:197-219.
20. Lucas A, Cole TJ. Breast milk and neonatal nectorising enterocolitis. Lancet 1990;336:1519-23.
21. Schanler RJ, Lau C, Hurst NM. Randomized trial of donor human milk versus preterm formula as substitutes for mothers’ own milk in the feeding of extremely premature infants. Pediatrics 2005;116:400-6.
22. Kwok TC, Dorling J, Ojha S. Multicentre prospective observational study of feeding practices in 30-33 weeks preterm infants. BMJ Paediatr Open 2017;1:e000040.
23. Sanghvi KP, Joshi P, Nabi F, Kabra N. Feasibility of exclusive enteral feeds from birth in VLBW infants> 1200 g–an RCT. Acta Paediatr 2013;102:e299-304.
24. Miller M, Vaidya R, Rastogi D, Bhutada A, Rastogi S. From parenteral to enteral nutrition: A nutrition-based approach for evaluating postnatal growth failure in preterm infants. J Parenter Enteral Nutr 2014;38:489-97.
25. Nangia S, Vadivel V, Thukral A, Saili A. Early total enteral feeding versus conventional enteral feeding in stable very-low-birth-weight infants: A randomised controlled trial. Neonatology 2019;115:256-62.
26. Mathew G, Gupta V, Santhanam S, Rebekah G. Postnatal weight gain patterns in preterm very-low-birth-weight infants born in a tertiary Care Center in South India. J Trop Pediatr 2017;64:126-31.
27. Kumar S, Bhalla AK, Mukhopadhyay K. Postnatal percentile growth charts for Indian appropriate for gestational age (AGA) very low birth weight babies. Acta Paediatr 2012;101:e422-5.
28. Saluja S, Modi M, Kaur A. Growth of very low birth-weight Indian infants during hospital stay. Indian Pediatr 2010;47:851-6.
29. Visuthranukul C, Abrams SA, Hawthorne KM, Hagan JL, Hair AB. Premature small for gestational age infants fed an exclusive human milk-based diet achieve catch-up growth without metabolic consequences at 2 years of age. Arch Dis Child Fetal Neonatal Ed 2019;104:F242-7.
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