Early Enteral Feeding in Preterm Infants: A Narrative Review of the Nutritional, Metabolic, and Developmental Benefits

Enteral feeding is the preferred method of nutrient provision for preterm infants. Though parenteral nutrition remains an alternative to provide critical nutrition after preterm delivery, the literature suggests that enteral feeding still confers significant nutritional and non-nutritional benefits....

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Main Authors: Melissa Thoene, Ann Anderson-Berry
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/7/2289
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author Melissa Thoene
Ann Anderson-Berry
author_facet Melissa Thoene
Ann Anderson-Berry
author_sort Melissa Thoene
collection DOAJ
description Enteral feeding is the preferred method of nutrient provision for preterm infants. Though parenteral nutrition remains an alternative to provide critical nutrition after preterm delivery, the literature suggests that enteral feeding still confers significant nutritional and non-nutritional benefits. Therefore, the purpose of this narrative review is to summarize health and clinical benefits of early enteral feeding within the first month of life in preterm infants. Likewise, this review also proposes methods to improve enteral delivery in clinical care, including a proposal for decision-making of initiation and advancement of enteral feeding. An extensive literature review assessed enteral studies in preterm infants with subsequent outcomes. The findings support the early initiation and advancement of enteral feeding impact preterm infant health by enhancing micronutrient delivery, promoting intestinal development and maturation, stimulating microbiome development, reducing inflammation, and enhancing brain growth and neurodevelopment. Clinicians must consider these short- and long-term implications when caring for preterm infants.
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spelling doaj.art-040f3a19ce85406facf150d5ff94c5302023-11-22T04:35:15ZengMDPI AGNutrients2072-66432021-07-01137228910.3390/nu13072289Early Enteral Feeding in Preterm Infants: A Narrative Review of the Nutritional, Metabolic, and Developmental BenefitsMelissa Thoene0Ann Anderson-Berry1Department of Pediatrics, College of Medicine, University of Nebraska Medical Center, Omaha, NE 68198-1205, USADepartment of Pediatrics, College of Medicine, University of Nebraska Medical Center, Omaha, NE 68198-1205, USAEnteral feeding is the preferred method of nutrient provision for preterm infants. Though parenteral nutrition remains an alternative to provide critical nutrition after preterm delivery, the literature suggests that enteral feeding still confers significant nutritional and non-nutritional benefits. Therefore, the purpose of this narrative review is to summarize health and clinical benefits of early enteral feeding within the first month of life in preterm infants. Likewise, this review also proposes methods to improve enteral delivery in clinical care, including a proposal for decision-making of initiation and advancement of enteral feeding. An extensive literature review assessed enteral studies in preterm infants with subsequent outcomes. The findings support the early initiation and advancement of enteral feeding impact preterm infant health by enhancing micronutrient delivery, promoting intestinal development and maturation, stimulating microbiome development, reducing inflammation, and enhancing brain growth and neurodevelopment. Clinicians must consider these short- and long-term implications when caring for preterm infants.https://www.mdpi.com/2072-6643/13/7/2289enteralfeedingpretermnutritiongrowthdevelopment
spellingShingle Melissa Thoene
Ann Anderson-Berry
Early Enteral Feeding in Preterm Infants: A Narrative Review of the Nutritional, Metabolic, and Developmental Benefits
Nutrients
enteral
feeding
preterm
nutrition
growth
development
title Early Enteral Feeding in Preterm Infants: A Narrative Review of the Nutritional, Metabolic, and Developmental Benefits
title_full Early Enteral Feeding in Preterm Infants: A Narrative Review of the Nutritional, Metabolic, and Developmental Benefits
title_fullStr Early Enteral Feeding in Preterm Infants: A Narrative Review of the Nutritional, Metabolic, and Developmental Benefits
title_full_unstemmed Early Enteral Feeding in Preterm Infants: A Narrative Review of the Nutritional, Metabolic, and Developmental Benefits
title_short Early Enteral Feeding in Preterm Infants: A Narrative Review of the Nutritional, Metabolic, and Developmental Benefits
title_sort early enteral feeding in preterm infants a narrative review of the nutritional metabolic and developmental benefits
topic enteral
feeding
preterm
nutrition
growth
development
url https://www.mdpi.com/2072-6643/13/7/2289
work_keys_str_mv AT melissathoene earlyenteralfeedinginpreterminfantsanarrativereviewofthenutritionalmetabolicanddevelopmentalbenefits
AT annandersonberry earlyenteralfeedinginpreterminfantsanarrativereviewofthenutritionalmetabolicanddevelopmentalbenefits