Speed of increasing milk feeds does not aff ect neurodevelopmental outcomes in preterm infants

Neonatal Medicine Preterm and very low-birthweight infants fed in faster and slower increments had comparable neurodevelopmental outcomes at age 24 months, according to findings from a randomized controlled trial published in The New England Journal of Medicine. "Observational studies have show...

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Bibliographic Details
Published inInfectious diseases in children Vol. 32; no. 11; p. 21
Main Author Bortz, Katherine
Format Journal Article
LanguageEnglish
Published Thorofare SLACK INCORPORATED 01.11.2019
Subjects
Premature babies
Sepsis
Canada
Nova Scotia Canada
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Summary:Neonatal Medicine Preterm and very low-birthweight infants fed in faster and slower increments had comparable neurodevelopmental outcomes at age 24 months, according to findings from a randomized controlled trial published in The New England Journal of Medicine. "Observational studies have shown a higher risk for necrotizing enterocolitis with rapid advancement of feeding volumes but are subject to bias; one was an uncontrolled study before and after the introduction of a slowly progressive tube-feeding schedule, and two were small case-control studies," Jon Dorling, MD, division head of neonatal-perinatal medicine and professor of pediatrics at Dalhousie University in Nova Scotia, and colleagues wrote. When the researchers examined types of disability, the only condition with a significant difference between groups was moderate or severe motor impairment, with 7.5% of infants in the faster feeding group and 5% of those in the slower feeding group diagnosed with the condition (aRR = 1.48; 99% CI, 1.02-2.14).
ISSN:1044-9779