The Innovative Infant Feeding Disorders Research Program, Nationwide Children's Hospital, Columbus, OH, United States; Center for Perinatal Research, The Research Institute at Nationwide Children's Hospital, Columbus, OH, United States.
Department of Speech Language Hearing Science, University of Minnesota, Minneapolis, MN, United States.
Adv Nutr. 2024 Nov;15(11):100305. doi: 10.1016/j.advnut.2024.100305. Epub 2024 Sep 21.
Preterm birth is the leading cause of neonatal and under-5 mortality globally, and healthcare-related burden and nutrition-related morbidities are unsustainable, particularly in resource-limited regions. Additionally, preterm infants are susceptible to multiple adverse outcomes including growth faltering, suboptimal neurodevelopment, and multisystemic morbidities. Maturation, healing, repair, and restoration to normalcy in preterm-born infants require optimizing nutrition; only then, prognosis, growth, neurodevelopment, and overall quality of life can improve. In this article, we discuss the various evidence-based feeding and nutritional strategies that can be applicable even in resource-limited settings, where resources and infrastructure for advanced neonatal care are limited. This article addresses nutrition, feeding strategies, and growth monitoring in the neonatal intensive care unit and at discharge to optimize nutrition, growth, and development.
早产是全球新生儿和 5 岁以下儿童死亡的主要原因，与医疗保健相关的负担和与营养相关的发病率是不可持续的，特别是在资源有限的地区。此外，早产儿易发生多种不良后果，包括生长迟缓、神经发育不良和多系统疾病。早产儿的成熟、愈合、修复和恢复正常需要优化营养；只有这样，预后、生长、神经发育和整体生活质量才能得到改善。在本文中，我们讨论了各种基于证据的喂养和营养策略，即使在资源有限的情况下也可以应用，在这些情况下，先进的新生儿护理的资源和基础设施是有限的。本文讨论了新生儿重症监护病房和出院时的营养、喂养策略和生长监测，以优化营养、生长和发育。
