Feeding practices and necrotizing enterocolitis

Necrotizing enterocolitis (NEC) is a multifactorial disorder that primarily affects premature infants. Human milk compared with formula reduces the incidence of NEC. Feeding practices do not increase the incidence of NEC in preterm infants. There is no evidence supporting continuous versus intermitt...

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Bibliographic Details
Published inClinics in perinatology Vol. 40; no. 1; p. 1
Main Authors Ramani, Manimaran, Ambalavanan, Namasivayam
Format Journal Article
LanguageEnglish
Published United States 01.03.2013
Subjects
Enteral Nutrition - adverse effects
Enteral Nutrition - methods
Enteral Nutrition - statistics & numerical data
Enterocolitis, Necrotizing - physiopathology
Enterocolitis, Necrotizing - prevention & control
Female
Humans
Incidence
Infant Formula - administration & dosage
Infant, Newborn
Infant, Premature - growth & development
Infant, Premature, Diseases - physiopathology
Infant, Premature, Diseases - prevention & control
Infant, Very Low Birth Weight
Male
Milk, Human - immunology
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Summary:Necrotizing enterocolitis (NEC) is a multifactorial disorder that primarily affects premature infants. Human milk compared with formula reduces the incidence of NEC. Feeding practices do not increase the incidence of NEC in preterm infants. There is no evidence supporting continuous versus intermittent tube feedings in preterm infants. In a feed-intolerant preterm infant without any other clinical and radiologic evidence of NEC, minimal enteral nutrition rather than complete suspension of enteral feeding may be an alternative. Human milk-based fortifier compared with bovine-based fortifier may reduce the incidence of NEC but additional studies are required.
ISSN:1557-9840
DOI:10.1016/j.clp.2012.12.001