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Nutrients 2015, 7(1), 423-442; doi:10.3390/nu7010423

Guidelines for Feeding Very Low Birth Weight Infants

Division of Neonatology, Department of Pediatrics, McMaster University Children's Hospital, Hamilton L8S4L8, Ontario, Canada
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Received: 16 November 2014 / Accepted: 19 December 2014 / Published: 8 January 2015
(This article belongs to the Special Issue Recent Advances in Enteral Nutrition)
View Full-Text   |   Download PDF [170 KB, uploaded 8 January 2015]

Abstract

Despite the fact that feeding a very low birth weight (VLBW) neonate is a fundamental and inevitable part of its management, this is a field which is beset with controversies. Optimal nutrition improves growth and neurological outcomes, and reduces the incidence of sepsis and possibly even retinopathy of prematurity. There is a great deal of heterogeneity of practice among neonatologists and pediatricians regarding feeding VLBW infants. A working group on feeding guidelines for VLBW infants was constituted in McMaster University, Canada. The group listed a number of important questions that had to be answered with respect to feeding VLBW infants, systematically reviewed the literature, critically appraised the level of evidence, and generated a comprehensive set of guidelines. These guidelines form the basis of this state-of-art review. The review touches upon trophic feeding, nutritional feeding, fortification, feeding in special circumstances, assessment of feed tolerance, and management of gastric residuals, gastro-esophageal reflux, and glycerin enemas. View Full-Text
Keywords: feeding; very low birth weight; neonate; review feeding; very low birth weight; neonate; review
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Dutta, S.; Singh, B.; Chessell, L.; Wilson, J.; Janes, M.; McDonald, K.; Shahid, S.; Gardner, V.A.; Hjartarson, A.; Purcha, M.; Watson, J.; de Boer, C.; Gaal, B.; Fusch, C. Guidelines for Feeding Very Low Birth Weight Infants. Nutrients 2015, 7, 423-442.

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