Nutritional management of moderate-late preterm infants: Survey of current practice

Journal of Paediatrics and Child Health
Tanith Alexander, Frank H Bloomfield

Abstract

Moderate-late preterm (MLPT) babies account for over 80% of preterm babies born world-wide. Many MLPT babies require early nutritional support while full sucking feeds are established, but there is little evidence to guide practice. We aimed to determine current practice in Australia and New Zealand. An electronic survey was sent to neonatal clinical directors within the Australia and New Zealand Neonatal Network requesting dissemination to colleagues involved in the care of MLPT babies (32-35+6 weeks' gestation). The questionnaire asked about respondents' nutritional management of MLPT babies and included scenarios for both moderate- (MPT) and late preterm (LPT) babies. There were 83 respondents. While waiting for mothers' milk to meet prescribed fluid volumes, 61% (MPT) to 53% (LPT) of respondents would provide dextrose 10% as the first nutritional support, with 15% (MPT) to 38% (LPT) providing infant formula. Of clinicians providing 10% dextrose, 31% (MPT) to 49% (LPT) were happy to do so for ≥3 days, with 5% comfortable doing so for 5 days in moderately preterm babies, before providing additional support. This additional support was infant formula in 73% (MPT) to 90% (LPT) of respondents. There is variation in the nutrition...Continue Reading

References

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Sep 14, 2017·Early Human Development·Frank H BloomfieldFriederike Beker

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Citations

Jul 30, 2020·Pediatric Research·Laura GalanteUNKNOWN DIAMOND study group
Mar 19, 2021·Frontiers in Cellular and Infection Microbiology·Clara Yieh Lin ChongJustin M O'Sullivan
May 4, 2021·Journal of Paediatrics and Child Health·Laura D KleinAlice R Rumbold

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