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Multicentre prospective observational study of feeding practices in 30–33 weeks preterm infants

Kwok, TC; Kwok, TC; Dorling, Jon; Dorling, Jon; Ojha, Shalini; Ojha, Shalini

Authors

TC Kwok

TC Kwok

Jon Dorling

Jon Dorling

SHALINI OJHA Shalini.Ojha@nottingham.ac.uk
Professor of Neonatal Medicine

SHALINI OJHA Shalini.Ojha@nottingham.ac.uk
Professor of Neonatal Medicine



Abstract

Background: Current evidence supports progressive feeding in preterm infants. Due to lower necrotising enterocolitis risk, recent studies suggest starting total enteral feeding from birth in 30–33 weeks preterm infants. The feasibility of this practice is unclear.

Aim: Explore feeding practices in 30–33 weeks preterm infants.

Design: Prospective, multicentre, observational study recruiting 10 consecutive 30–33 weeks preterm infants from each of the eight UK hospitals.

Results: Eighty infants received their first feed at median of 24 hours, achieving total enteral (without intravenous nutrition) and full feeds (≥150 ml/kg/day) at median of 5 and 8 days, respectively. Eleven infants who achieved total enteral feeding within 24 hours after birth achieved full feeds earlier (p=0.02) with shorter hospital stay (p=0.009) but were also of older gestation (p=0.004).

Conclusion: Current early feeding approaches in 30–33 weeks preterm infants were found to be conservative. Total enteral feeding from birth is possible in these infants but further studies are needed.

Citation

Kwok, T., Kwok, T., Dorling, J., Dorling, J., Ojha, S., & Ojha, S. (2017). Multicentre prospective observational study of feeding practices in 30–33 weeks preterm infants. BMJ Paediatrics Open, 1(1), 1-4. https://doi.org/10.1136/bmjpo-2017-000040

Journal Article Type Article
Acceptance Date Jun 16, 2017
Online Publication Date Jul 17, 2017
Publication Date Jul 17, 2017
Deposit Date Jun 6, 2019
Publicly Available Date Mar 28, 2024
Journal BMJ Paediatrics Open
Electronic ISSN 2399-9772
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 1
Issue 1
Article Number e000040
Pages 1-4
DOI https://doi.org/10.1136/bmjpo-2017-000040
Public URL https://nottingham-repository.worktribe.com/output/1882053
Publisher URL https://bmjpaedsopen.bmj.com/content/1/1/e000040

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