Division of Neonatology, Department of Pediatrics, University of Washington, Box 356320, RR542 HSB, Seattle, WA, USA.
Division of Neonatology, Department of Pediatrics, University of Washington, Box 356320, RR542 HSB, Seattle, WA, USA.
Clin Perinatol. 2023 Sep;50(3):545-556. doi: 10.1016/j.clp.2023.04.002. Epub 2023 May 12.
During the fetal-to-neonatal transitional period, extremely preterm newborns undergo significant intrabody fluid shifts and resulting weight loss due to increased insensible fluid losses due to immature skin, kidneys, among other factors. These ongoing physiologic changes make fluid and nutritional management complex in the neonatal-to-fetal transitional time period for extremely premature newborns. However, limited literature exists to guide optimal practices for providers caring for this population. Here, we review the evidence on optimal fluid and nutritional management during the fetal-to-neonatal transition of extremely preterm newborns.
在胎儿到新生儿的过渡期，由于皮肤、肾脏等不成熟导致不可感知的液体流失增加，极早产儿会经历显著的体内液体转移和体重下降。这些持续的生理变化使得极早产儿在从新生儿到胎儿的过渡时期的液体和营养管理变得复杂。然而，目前指导为这一人群提供护理的医护人员的最佳实践的文献非常有限。在这里，我们回顾了极早产儿从胎儿到新生儿过渡期间最佳液体和营养管理的证据。
