Nieuwenhuis Tjitske, Verhagen Elise A, Bos Arend F, van Dijk Marijn W G
Beatrix Children's Hospital, Division of Neonatology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Department of Developmental Psychology, University of Groningen, Groningen, The Netherlands.
Acta Paediatr. 2016 Oct;105(10):e452-7. doi: 10.1111/apa.13467. Epub 2016 Jun 10.
We determined the prevalence of feeding problems and their association with perinatal risk factors in three-year-old children born preterm and compared them with a full-term reference group.
This pilot study assessed feeding problem scores in 35 preterm children, with a median gestational age of 30 weeks (range 26-32) and median birthweight of 1260 grams (730-2250), who were enrolled during their admission to a neonatal intensive care unit. These were compared with existing data on 248 term children from child healthcare centres at the age of three. We excluded children with severe perinatal complications from the reference group. The Screeningslijst Eetgedrag Peuters (SEP), a validated Dutch version of the Montreal Children's Hospital Feeding Scale, was used to identify feeding problems.
We found no difference in SEP scores between the preterm children and the reference group (p = 0.217) and did not identify any perinatal risk factors for developing feeding problems. Only 23% of the parents of preterm or term children with moderate-to-severe feeding problems consulted a medical professional.
Using a parental report instrument showed that the prevalence of feeding problems in three-year-old preterm children was low and similar to that of term children.
我们确定了早产出生的三岁儿童喂养问题的患病率及其与围产期危险因素的关联,并将其与足月儿对照组进行比较。
这项初步研究评估了35名早产儿的喂养问题得分,这些早产儿的中位胎龄为30周(范围26 - 32周),中位出生体重为1260克(730 - 2250克),他们在入住新生儿重症监护病房期间被纳入研究。将这些数据与来自儿童保健中心的248名三岁足月儿的现有数据进行比较。我们将对照组中患有严重围产期并发症的儿童排除在外。使用经过验证的荷兰版蒙特利尔儿童医院喂养量表(Screeningslijst Eetgedrag Peuters,SEP)来识别喂养问题。
我们发现早产儿和对照组之间的SEP得分没有差异(p = 0.217),并且没有发现任何导致喂养问题的围产期危险因素。患有中度至重度喂养问题的早产儿或足月儿的父母中,只有23%咨询了医疗专业人员。
使用家长报告工具显示,三岁早产儿喂养问题的患病率较低,与足月儿相似。