The fear of necrotizing enterocolitis versus achieving optimal growth in preterm infants--an opinion.

نویسندگان

  • Orna Flidel-Rimon
  • David Branski
  • Eric S Shinwell
چکیده

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.

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عنوان ژورنال:
  • Acta paediatrica

دوره 95 11  شماره 

صفحات  -

تاریخ انتشار 2006