Enteral nutrition practices in preterm infants in the neonatal unit of a public maternity ward

The aim of the study was to evaluate the practices of enteral nutrition therapy in preterm infants. This is a longitudinal observational study where all preterm infants admitted to the neonatal intensive care unit were prospectively followed from April to August 2012. The following nutrition practic...

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Main Authors: Camila de Castro Lopes, Raphaela Corrêa Monteiro Machado, Géssica Castor Fontes de Lima, Daniele Reis, Claudia Saunders, Patricia de Carvalho Padilha
Format: Article
Language:English
Published: Centro Universitário São Camilo 2018-07-01
Series:O Mundo da Saúde
Subjects:
Online Access:https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/115
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author Camila de Castro Lopes
Raphaela Corrêa Monteiro Machado
Géssica Castor Fontes de Lima
Daniele Reis
Claudia Saunders
Patricia de Carvalho Padilha
author_facet Camila de Castro Lopes
Raphaela Corrêa Monteiro Machado
Géssica Castor Fontes de Lima
Daniele Reis
Claudia Saunders
Patricia de Carvalho Padilha
author_sort Camila de Castro Lopes
collection DOAJ
description The aim of the study was to evaluate the practices of enteral nutrition therapy in preterm infants. This is a longitudinal observational study where all preterm infants admitted to the neonatal intensive care unit were prospectively followed from April to August 2012. The following nutrition practices were analyzed: time of enteral nutrition therapy initiation, time to achieve full enteral nutrition (120kcal/kg/day), complications related to enteral nutrition therapy, type of diet at the start of enteral trophic nutrition and type of diet at hospital discharge. The Pearson correlation was used to assess the degree of correlation between two continuous variables, where the statistical significance level was considered as p-value <0.05. The average initiation of enteral nutrition therapy was 22.4 (SD + 29.8) hours and the average time to achieve full enteral feeding was 9.5 (SD ± 3.2) days. Newborns with lower weight, gestational age and apgar score of 1 minutes had the longest start of enteral nutrition therapy (r = - 0,58; r = - 0,55; r = - 0,55; p < 0,001). A positive correlation (r = 0.41, p <0.026) between the start of enteral nutrition therapy and length of stay in the neonatal intensive care unit. Although advances in relation to the onset of enteral trophic nutrition have been observed, the progression this nutrition is still slow (< 20ml/kg/dia). Note that there is still a wide variation in the nutritional approach to premature newborns. Therefore, building nutritional protocols and the establishment of multidisciplinary team of nutritional therapy have been suggested in the literature.
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spelling doaj.art-13532518b1e945d6a2ea27a1af22b10a2024-09-19T14:59:46ZengCentro Universitário São CamiloO Mundo da Saúde0104-78091980-39902018-07-0142369670990Enteral nutrition practices in preterm infants in the neonatal unit of a public maternity wardCamila de Castro Lopes0Raphaela Corrêa Monteiro Machado1Géssica Castor Fontes de Lima2Daniele Reis3Claudia Saunders4Patricia de Carvalho Padilha5 Residency Program in Perinatal Health of the Maternity School of the Federal University of Rio de Janeiro. State Department of Health, Rio de Janeiro / RJ, Brazil. Residency Program in Perinatal Health of the Maternity School of the Federal University of Rio de Janeiro. State Department of Health, Rio de Janeiro / RJ, Brazil.Maternity School of the Federal University of Rio de JaneiroResidency Program in Perinatal Health of the Maternity School of the Federal University of Rio de Janeiro. State Department of Health, Rio de Janeiro / RJ, Brazil.Postgraduate Program in Nutrition. Institute of Nutrition Josué de Castro of the Federal University of Rio de Janeiro.Postgraduate Program in Nutrition. Institute of Nutrition Josué de Castro of the Federal University of Rio de Janeiro.The aim of the study was to evaluate the practices of enteral nutrition therapy in preterm infants. This is a longitudinal observational study where all preterm infants admitted to the neonatal intensive care unit were prospectively followed from April to August 2012. The following nutrition practices were analyzed: time of enteral nutrition therapy initiation, time to achieve full enteral nutrition (120kcal/kg/day), complications related to enteral nutrition therapy, type of diet at the start of enteral trophic nutrition and type of diet at hospital discharge. The Pearson correlation was used to assess the degree of correlation between two continuous variables, where the statistical significance level was considered as p-value <0.05. The average initiation of enteral nutrition therapy was 22.4 (SD + 29.8) hours and the average time to achieve full enteral feeding was 9.5 (SD ± 3.2) days. Newborns with lower weight, gestational age and apgar score of 1 minutes had the longest start of enteral nutrition therapy (r = - 0,58; r = - 0,55; r = - 0,55; p < 0,001). A positive correlation (r = 0.41, p <0.026) between the start of enteral nutrition therapy and length of stay in the neonatal intensive care unit. Although advances in relation to the onset of enteral trophic nutrition have been observed, the progression this nutrition is still slow (< 20ml/kg/dia). Note that there is still a wide variation in the nutritional approach to premature newborns. Therefore, building nutritional protocols and the establishment of multidisciplinary team of nutritional therapy have been suggested in the literature.https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/115premature newborn. enteral nutrition. neonatal intensive care units.
spellingShingle Camila de Castro Lopes
Raphaela Corrêa Monteiro Machado
Géssica Castor Fontes de Lima
Daniele Reis
Claudia Saunders
Patricia de Carvalho Padilha
Enteral nutrition practices in preterm infants in the neonatal unit of a public maternity ward
O Mundo da Saúde
premature newborn. enteral nutrition. neonatal intensive care units.
title Enteral nutrition practices in preterm infants in the neonatal unit of a public maternity ward
title_full Enteral nutrition practices in preterm infants in the neonatal unit of a public maternity ward
title_fullStr Enteral nutrition practices in preterm infants in the neonatal unit of a public maternity ward
title_full_unstemmed Enteral nutrition practices in preterm infants in the neonatal unit of a public maternity ward
title_short Enteral nutrition practices in preterm infants in the neonatal unit of a public maternity ward
title_sort enteral nutrition practices in preterm infants in the neonatal unit of a public maternity ward
topic premature newborn. enteral nutrition. neonatal intensive care units.
url https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/115
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