Peters Taylor, Pompeii-Wolfe Cecelia
Pediatr Ann. 2018 Apr 1;47(4):e154-e158. doi: 10.3928/19382359-20180327-02.
Preterm infants are at high nutrition risk during neonatal intensive care and well after discharge. Nutrition care should be individualized and provided by a multidisciplinary team including a dietitian. Breast milk, the gold standard for feeding, may not meet the increased needs of preterm infants and may require fortification or supplementation. Decisions regarding formula choice and calorie concentration can also be challenging and require individualization based on growth, intake, and individual need. Developmental milestones should be considered during the initation of complementary food. This article presents new research on allergenic food introduction to guide practitioners during caregiver education. Finally, an evidence-based weaning practice for enteral feeding-dependent patients is provided with suggestions for outpatient applicability. [Pediatr Ann. 2018;47(4):e154-e158.].
早产儿在新生儿重症监护期间以及出院后很长一段时间都处于高营养风险中。营养护理应个体化,并由包括营养师在内的多学科团队提供。母乳是喂养的金标准,但可能无法满足早产儿增加的需求,可能需要强化或补充。关于配方奶选择和热量浓度的决策也具有挑战性,需要根据生长、摄入量和个体需求进行个体化。在开始添加辅食时应考虑发育里程碑。本文介绍了关于引入致敏性食物的新研究,以在照顾者教育期间指导从业者。最后,为肠内喂养依赖患者提供了基于证据的断奶实践,并给出了门诊适用性的建议。[《儿科年鉴》。2018年;47(4):e154 - e158。]