Enteral Feeding Practices for Very Preterm and Very Low Birth Weight Infants in Nigeria and Kenya
Background:Optimizing nutrition in very preterm (28–32 weeks gestation) and very low birth weight (VLBW; 1,000 g to <1,500 g) infants has potential to improve their survival, growth, and long-term health outcomes.AimTo assess feeding practices in Nigeria and Kenya for very preterm and VLBW ne...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.892209/full |
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| author | Olukemi O. Tongo Macrine A. Olwala Alison W. Talbert Helen M. Nabwera Helen M. Nabwera Abimbola E. Akindolire Walter Otieno Walter Otieno Grace M. Nalwa Grace M. Nalwa Pauline E. A. Andang'o Martha K. Mwangome Isa Abdulkadir Chinyere V. Ezeaka Beatrice N. Ezenwa Iretiola B. Fajolu Zainab O. Imam Dominic D. Umoru Ismaela Abubakar Nicholas D. Embleton Nicholas D. Embleton Stephen J. Allen |
| author_facet | Olukemi O. Tongo Macrine A. Olwala Alison W. Talbert Helen M. Nabwera Helen M. Nabwera Abimbola E. Akindolire Walter Otieno Walter Otieno Grace M. Nalwa Grace M. Nalwa Pauline E. A. Andang'o Martha K. Mwangome Isa Abdulkadir Chinyere V. Ezeaka Beatrice N. Ezenwa Iretiola B. Fajolu Zainab O. Imam Dominic D. Umoru Ismaela Abubakar Nicholas D. Embleton Nicholas D. Embleton Stephen J. Allen |
| author_sort | Olukemi O. Tongo |
| collection | DOAJ |
| description | Background:Optimizing nutrition in very preterm (28–32 weeks gestation) and very low birth weight (VLBW; 1,000 g to <1,500 g) infants has potential to improve their survival, growth, and long-term health outcomes.AimTo assess feeding practices in Nigeria and Kenya for very preterm and VLBW newborn infants.MethodsThis was a cross-sectional study where convenience sampling was used. A standard questionnaire was sent to doctors working in neonatal units in Nigeria and Kenya.ResultsOf 50 respondents, 37 (74.0%) were from Nigeria and 13 (26.0%) from Kenya. All initiated enteral feeds with breastmilk, with 24 (48.0%) initiating within 24 h. Only 28 (56.0%) used written feeding guidelines. Starting volumes ranged between 10 and 80 ml/kg/day. Median volume advancement of feeds was 20 ml/kg/day (IQR 10–20) with infants reaching full feeds in 8 days (IQR 6–12). 26 (52.0%) of the units fed the infants 2 hourly. Breastmilk fortification was practiced in 7 (14.0%) units, while folate, iron, calcium, and phosphorus were prescribed in 42 (84.0%), 36 (72.0%), 22 (44.0%), 5 (10.0%) of these units, respectively. No unit had access to donor breastmilk, and only 18 (36.0%) had storage facilities for expressed breastmilk. Twelve (24.0%) used wet nurses whilst 30 (60.0%) used formula feeds.ConclusionFeeding practices for very preterm and VLBW infants vary widely within Nigeria and Kenya, likely because of lack of locally generated evidence. High quality research that informs the feeding of these infants in the context of limited human resources, technology, and consumables, is urgently needed. |
| first_indexed | 2024-12-12T05:25:09Z |
| format | Article |
| id | doaj.art-e596149f60664b20b25314136634562c |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-12T05:25:09Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-e596149f60664b20b25314136634562c2022-12-22T00:36:29ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-05-011010.3389/fped.2022.892209892209Enteral Feeding Practices for Very Preterm and Very Low Birth Weight Infants in Nigeria and KenyaOlukemi O. Tongo0Macrine A. Olwala1Alison W. Talbert2Helen M. Nabwera3Helen M. Nabwera4Abimbola E. Akindolire5Walter Otieno6Walter Otieno7Grace M. Nalwa8Grace M. Nalwa9Pauline E. A. Andang'o10Martha K. Mwangome11Isa Abdulkadir12Chinyere V. Ezeaka13Beatrice N. Ezenwa14Iretiola B. Fajolu15Zainab O. Imam16Dominic D. Umoru17Ismaela Abubakar18Nicholas D. Embleton19Nicholas D. Embleton20Stephen J. Allen21College of Medicine, University of Ibadan/University College Hospital, Ibadan, NigeriaJaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu, KenyaKEMRI-Wellcome Trust Research Programme, Kilifi, KenyaLiverpool School of Tropical Medicine, Liverpool, United KingdomAlder Hey Children's Hospital NHS Trust, Liverpool, United KingdomCollege of Medicine, University of Ibadan/University College Hospital, Ibadan, NigeriaJaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu, KenyaDepartment of Nutrition and Health, Maseno University, Maseno, KenyaJaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu, KenyaDepartment of Nutrition and Health, Maseno University, Maseno, KenyaDepartment of Nutrition and Health, Maseno University, Maseno, KenyaKEMRI-Wellcome Trust Research Programme, Kilifi, KenyaAhmadu Bello University Teaching Hospital, Zaria, NigeriaCollege of Medicine, University of Lagos/Lagos University Teaching Hospital, Lagos, NigeriaCollege of Medicine, University of Lagos/Lagos University Teaching Hospital, Lagos, NigeriaCollege of Medicine, University of Lagos/Lagos University Teaching Hospital, Lagos, NigeriaLagos State University Teaching Hospital, Lagos, Nigeria0Maitama District Hospital, Abuja, NigeriaLiverpool School of Tropical Medicine, Liverpool, United Kingdom1Newcastle University, Newcastle upon Tyne, United Kingdom2The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United KingdomLiverpool School of Tropical Medicine, Liverpool, United KingdomBackground:Optimizing nutrition in very preterm (28–32 weeks gestation) and very low birth weight (VLBW; 1,000 g to <1,500 g) infants has potential to improve their survival, growth, and long-term health outcomes.AimTo assess feeding practices in Nigeria and Kenya for very preterm and VLBW newborn infants.MethodsThis was a cross-sectional study where convenience sampling was used. A standard questionnaire was sent to doctors working in neonatal units in Nigeria and Kenya.ResultsOf 50 respondents, 37 (74.0%) were from Nigeria and 13 (26.0%) from Kenya. All initiated enteral feeds with breastmilk, with 24 (48.0%) initiating within 24 h. Only 28 (56.0%) used written feeding guidelines. Starting volumes ranged between 10 and 80 ml/kg/day. Median volume advancement of feeds was 20 ml/kg/day (IQR 10–20) with infants reaching full feeds in 8 days (IQR 6–12). 26 (52.0%) of the units fed the infants 2 hourly. Breastmilk fortification was practiced in 7 (14.0%) units, while folate, iron, calcium, and phosphorus were prescribed in 42 (84.0%), 36 (72.0%), 22 (44.0%), 5 (10.0%) of these units, respectively. No unit had access to donor breastmilk, and only 18 (36.0%) had storage facilities for expressed breastmilk. Twelve (24.0%) used wet nurses whilst 30 (60.0%) used formula feeds.ConclusionFeeding practices for very preterm and VLBW infants vary widely within Nigeria and Kenya, likely because of lack of locally generated evidence. High quality research that informs the feeding of these infants in the context of limited human resources, technology, and consumables, is urgently needed.https://www.frontiersin.org/articles/10.3389/fped.2022.892209/fullfeeding practicesvery pretermvery low birth weightNigeriaKenya |
| spellingShingle | Olukemi O. Tongo Macrine A. Olwala Alison W. Talbert Helen M. Nabwera Helen M. Nabwera Abimbola E. Akindolire Walter Otieno Walter Otieno Grace M. Nalwa Grace M. Nalwa Pauline E. A. Andang'o Martha K. Mwangome Isa Abdulkadir Chinyere V. Ezeaka Beatrice N. Ezenwa Iretiola B. Fajolu Zainab O. Imam Dominic D. Umoru Ismaela Abubakar Nicholas D. Embleton Nicholas D. Embleton Stephen J. Allen Enteral Feeding Practices for Very Preterm and Very Low Birth Weight Infants in Nigeria and Kenya Frontiers in Pediatrics feeding practices very preterm very low birth weight Nigeria Kenya |
| title | Enteral Feeding Practices for Very Preterm and Very Low Birth Weight Infants in Nigeria and Kenya |
| title_full | Enteral Feeding Practices for Very Preterm and Very Low Birth Weight Infants in Nigeria and Kenya |
| title_fullStr | Enteral Feeding Practices for Very Preterm and Very Low Birth Weight Infants in Nigeria and Kenya |
| title_full_unstemmed | Enteral Feeding Practices for Very Preterm and Very Low Birth Weight Infants in Nigeria and Kenya |
| title_short | Enteral Feeding Practices for Very Preterm and Very Low Birth Weight Infants in Nigeria and Kenya |
| title_sort | enteral feeding practices for very preterm and very low birth weight infants in nigeria and kenya |
| topic | feeding practices very preterm very low birth weight Nigeria Kenya |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.892209/full |
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