Journal List > Hanyang Med Rev > v.31(4) > 1044097

Chang: Nutritional Support in Premature Infants

Abstract

In the early postnatal period, prematurely born infants, especially those born at the earliest limits of viability, face a nutritional crisis. A lack of essential nutrients may result in substantial developmental morbidity. In particular, because this period is crucial to proper neurodevelopment, a central concern must be providing essential nutrition for proper neurodevelopment, and the prevention of long-term neuro-deficits. Therefore, providing appropriate nutrition for growth and development is one of the most essential concerns in the care of preterm infants. The optimal goal for providing nutrition in the preterm infant is to achieve a postnatal growth rate approximating that of the normal fetus at the same gestational age. However, extra-uterine growth restriction develops during the course of care for most very low birth weight infants admitted to the neonatal intensive care unit. Herein, the optimal nutrient requirements and most recently recommended total parenteral and enteral feeding strategies are reviewed to provide neonatal clinicians with current guidelines for nutritional care that can improve neurodevelopmental outcomes in preterm infants during and after treatment in the neonatal intensive care unit.

Figures and Tables

Table 1
Fluid and Macronutrient Guidelines for Parenterally Fed Premature Infants by the European Society of Paediatric Gastroenterology, Hepatology and Nutrition and European Society for Clinical Nutrition and Metabolism in 2005
hmr-31-246-i001
Table 2
Fluid and Macronutrient Guidelines for Enterally Fed Premature Infants by ESPGHAN in 2010
hmr-31-246-i002

Modified from Ref. 37 with permission from Wolters Kluwer Health

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