UNLABELLED: Very-low-birthweight (VLBW) infants suffer marked growth delay despite well-intentioned efforts at combining enteral and parenteral nutrition. Fear of necrotizing enterocolitis (NEC) has traditionally influenced neonatologists toward delaying and progressing slowly with enteral feeding, while supporting the infant with parenteral nutrition. Current evidence suggests significant benefits of enteral feeding that is started early and advanced at rates of 20-35 ml/kg/d. CONCLUSION: We conclude that fear of inadequate growth should replace the fear of NEC in guiding nutritional strategies for these infants.
UNLABELLED: Very-low-birthweight (VLBW) infants suffer marked growth delay despite well-intentioned efforts at combining enteral and parenteral nutrition. Fear of necrotizing enterocolitis (NEC) has traditionally influenced neonatologists toward delaying and progressing slowly with enteral feeding, while supporting the infant with parenteral nutrition. Current evidence suggests significant benefits of enteral feeding that is started early and advanced at rates of 20-35 ml/kg/d. CONCLUSION: We conclude that fear of inadequate growth should replace the fear of NEC in guiding nutritional strategies for these infants.
Authors: Lin Wang; Xiao-Peng Zhao; Hui-Juan Liu; Li Deng; Hong Liang; Si-Qin Duan; Yi-Hui Yang; Hua-Yan Zhang Journal: Zhongguo Dang Dai Er Ke Za Zhi Date: 2022-06-15
Authors: Sanjay K Patole; Shripada C Rao; Anthony D Keil; Elizabeth A Nathan; Dorota A Doherty; Karen N Simmer Journal: PLoS One Date: 2016-03-08 Impact factor: 3.240