Acquisition of full enteral feeds may depend on stooling pattern in very premature infants
-
Miguel Sáenz de Pipaón Marcos
,
Ma Teresa Montes Bueno
Abstract
Objective: The objective of this study was to determine whether acquisition of normal stooling pattern is associated with full enteral feeding and growth.
Study design: This is a prospective observational study of infants with a gestational age of <28 weeks (n=121). All infants admitted to our unit during the study period were managed using the same protocol for rectal stimulation and enemas: we used rectal stimulation if abdominal distension and no defecation occurred in the previous 24 h; enema administration was practiced if abdominal distension persists and no defecation had occurred after rectal stimulation. Age of normal bowel habit (T-NBH) is defined as days when two stools passed each day without enemas or stimulation for three consecutive days. Full enteral feeding is measured by time to receive 120 mL/kg/day (T-120). Multivariable linear regression estimated the contribution of T-NBH on T-120 and the effect of tolerance on growth.
Results: T-NBH was 16 days (12, 24 days) and T-120 was 16 days (12, 24 days). T-120 decreased with earlier normal bowel habit (r=0.625, P<0.0001). Change in weight z-score between 36 weeks postmenstrual age and birth was less pronounced with earlier full enteral feeding (r=–0.446, P<0.0001).
Conclusion: Normalization of bowel habit is an important determinant of full enteral feeding of very immature infants. Earlier full enteral feeding is associated with less postnatal growth failure.
©2012 by Walter de Gruyter Berlin Boston
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- Masthead
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- Review Article
- Noninvasive prenatal diagnosis of Down syndrome: current knowledge and novel insights
- Original Articles – Obstetrics
- Midtrimester amniotic fluid concentrations of interleukin-6 and interferon-gamma-inducible protein-10: evidence for heterogeneity of intra-amniotic inflammation and associations with spontaneous early (<32 weeks) and late (>32 weeks) preterm delivery
- An evolutionary test of the isoform switching hypothesis of functional progesterone withdrawal for parturition: humans have a weaker repressive effect of PR-A than mice
- Fetomaternal hemorrhage in the second trimester
- Contribution of 3D power Doppler ultrasound to the evaluation of placental circulation in normal pregnancies and pregnancies complicated by preeclampsia
- Two vs. three or more primary recurrent pregnancy losses – are there any differences in epidemiologic characteristics and index pregnancy outcome?
- Oxidative stress stimulates α-tocopherol transfer protein in human trophoblast tumor cells BeWo
- Risk factors for preeclampsia in twin pregnancies: a population-based matched case-control study
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