Feeding the preterm infant.

摘要: Providing appropriate nutrition for growth and development is a cornerstone of the care preterm infants. Early postnatal during this critical period brain may have substantial impact on clinically important outcomes, including long term neurodevelopment. Preterm infants, especially those who been restricted in utero, fewer nutrient reserves at birth than Additionally, infants are subject to physiological metabolic stresses that can affect their nutritional needs, such as respiratory distress or infection. An international consensus group has recommended requirements These recommendations based data from intrauterine balance studies assume optimal rate should be similar normal fetuses same postconception age. In practice, however, these target levels input not always achieved result deficits. View table: Nutritional infants* Well gestational age > 34 weeks usually able coordinate sucking, swallowing, breathing, so establish breast bottle feeding. less mature oral feeding safe possible because neurological immaturity compromise. milk given continuous infusion an intermittent bolus through fine catheter passed via nose mouth stomach. ### Necrotising enterocolitis A major concern with introduction enteral feeds (especially very preterm, restricted, sick infants) additional strain immature gastrointestinal tract predispose necrotising enterocolitis. The risk …