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Feasibility of exclusive enteral feeds from birth in VLBW infants >1200 g--an RCT


, : Feasibility of exclusive enteral feeds from birth in VLBW infants >1200 g--an RCT. Acta Paediatrica 102(7): E299-E304

To evaluate the feasibility of initiation of exclusive enteral feeds on first day of life in very low birthweight infants >1200 g. Haemodynamically stable infants with birthweights 1200-1500 g irrespective of gestational age were randomized into two groups. Enteral feeds 80 mL/kg/day started within 1 h of birth and increased by 20 mL/kg/day to 180 mL/kg/day. No intravenous fluids given. Intravenous fluids 50 mL/kg/day started along with enteral feeds 30 mL/kg/day within 1 h of birth and increased by 20 mL/kg/day to 180 mL/kg/day. The outcome measures were - primary: time to regain birthweight and secondary: duration of hospital stay, incidence of necrotizing enterocolitis and sepsis. Twenty three babies randomized in each group. Infants in study group regained birthweight earlier [mean 5.52 days, SD ± 2.94] compared to those in control group [mean 12.7 days, SD ± 2.25] (p < 0.0001). Duration of hospital stay was lower in study group [mean 15.04 days, SD ± 5.26] compared to those in control group [mean 28.04 days, SD ± 6.76] (p < 0.0001). No necrotizing enterocolitis detected. It is feasible to initiate exclusive enteral feeds from first day of life in stable infants with birthweight between 1200 and 1500 g without any parenteral fluid support. It leads to twice as faster regaining of birthweight and halves duration of hospital stay.

US$19.90

PMID: 23621289

DOI: 10.1111/apa.12254


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Meng QingHua; Cheng AnChun; Wang MingShu; Cheng XiaoYue, 2004: Studies on detection of Riemerella anatipestifer (RA) in infected goslings by an indirect immunohistochemistry assay. Rabbit anti-RA IgG was obtained from rabbits inoculated with the strain of serotype IRA as an antigen, from a goose, and then an indirect immunohistochemistry method (IIM) was established with it for the detection of RA in goslings. The results of...

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Hilton, W.A., 1913: The development of the blood and the transformation of some of the early vitelline vessels in Amphibia. Journal of Morphology Philadelphia, 24 339-382

Varni, J.W.; Walco, G.A.; Katz, E.R., 1989: A cognitive-behavioral approach to pain associated with pediatric chronic diseases. Journal of Pain and Symptom Management 4(4): 238-241

Brambati, B., 1992: Potential fetal damage caused by chorionic villus sampling. Fetal Diagnosis & Therapy 7(3-4): 214

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Hillis, W.; Whitehouse, H.; Enahoro, H.; Crisp, A.; Winter, P., 1997: Overview of cardiovascular safety of naratriptan. Journal of the Neurological Sciences 150(SUPPL ): S167-S168

Seufert, W.D.; Heine, B., 1980: The chain osteotome by Heine. Journal of the History of Medicine and Allied Sciences 35(4): 454-459