Early parenteral nutrition and successful postnatal growth of premature infants

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
Kenneth Ross Herrmann, Kirk Ross Herrmann

Abstract

Premature infants have uniformly demonstrated growth failure by 36 weeks postmenstrual age. In an evaluation of care quality, the authors tested the hypothesis that premature infants would grow adequately when they received more than 50 kcal/kg per day of parenteral nutrition. The study cohort consisted of 84 premature infants born at less than 30 weeks gestation. A computer software program was used to determine parenteral nutrition orders and establish a database. The database provided the nutrition and postnatal growth data. Successful growth was defined as weight greater than the 10th percentile for intrauterine growth. Energy intake exceeded 50 kcal/kg per day after the first day. The cohort weight and head circumference measurements remained above the 10th percentile of intrauterine growth through 36 weeks postmenstrual age. Infants demonstrated successful growth by remaining above the 10th percentile for the following: 4 of 12 (33%) with birth weights 501-750 g, 16 of 26 (62%) with birth weights 751-1,000 g, and 16 of 25 (64%) with birth weights 1,001-1,250 g. These differences were statistically greater than a large reference cohort (P < .0001). Length measurements declined below the 10th percentile of intrauterine grow...Continue Reading

References

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Citations

Jan 18, 2013·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Katherine Carroll, Kenneth R Herrmann
Mar 15, 2013·Archives of Disease in Childhood. Fetal and Neonatal Edition·Barbara Elizabeth Cormack, Frank H Bloomfield
Mar 5, 2014·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Kenneth Herrmann, Katherine Carroll
Jan 21, 2012·Early Human Development·Maria Lorella GiannìFabio Mosca
Jul 17, 2013·Acta Paediatrica·Elisabeth Stoltz SjöströmMagnus Domellöf
Oct 4, 2012·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Paola RoggeroFabio Mosca
Jun 12, 2013·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Robert K HustonHoward S Cohen
Oct 29, 2013·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Allison Prince, Sharon Groh-Wargo
Mar 27, 2020·International Journal of Environmental Research and Public Health·Ana María Sánchez-GarcíaAna Noreña-Peña
Dec 29, 2020·Journal of Tropical Pediatrics·Lena KomboLizelle Van Wyk

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