A survey among healthcare professionals from seven countries reported diverse nutritional practices of late preterm infants

Cheang, Hon Kit; Yeung, Chun‐Yan; Cheah, Irene; Tjipta, Guslihan Dasa; Lubis, Bugis Mardiana; Garza‐Bulnes, Raul; Delgado, Dagoberto; Ayede, Adejumoke Idowu; Ezeaka, Chinyere; Mamun, Mohammad Abdullah Al; Owolabi, Adedotun Joshua; Schaafsma, Anne; Kudla, Urszula; Muhardi, Leilani; Low, Jia Ming; Lee, Le Ye

doi:10.1111/apa.16344

Cited by 3 publications

(1 citation statement)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The survey revealed a lack of standardised nutritional practices or expected growth outcomes for these infants in any of the countries, including Nigeria. This highlights the need for country‐specific nutritional guidelines, especially in developing nations like Nigeria 9 . To further understand the current nutritional management in Nigeria, this present study aimed to explore the views of healthcare professionals on the implementation of existing international and local guidelines in their daily practice.…”

Section: Introductionmentioning

confidence: 99%

Significant variations in feeding practices and choice of guidelines for the management of late preterm infants among healthcare professionals in Nigeria

et al. 2023

Self Cite

View full text Add to dashboard Cite

AimWe aimed to gain insights into current nutritional management practices of late preterm infants (34–36 weeks gestational age) in Nigeria.MethodsPurposive sampling was employed to recruit 19 healthcare professionals (neonatologists, paediatricians, general practitioners and nurses) involved in the care and nutritional management of late preterm infants in Lagos and Ogun states, Nigeria. Data were collected using interviews, either individually or in small focus groups, between 15 August and 6 September 2022. Thematic analysis of interview transcripts was carried out to interpret the data.ResultsTen distinct themes emerged across the research questions and objectives. For growth monitoring, 11, 6, 1 and 1 of our participants preferred to use the 2006 WHO growth standards, Fenton preterm growth chart, Ballard score and Intergrowth‐21, respectively. Regarding the growth velocity of late preterm infants, most healthcare professionals aimed for 15 g/kg BW/day or more during hospitalisation. Breastmilk was unanimously the primary feeding option for late preterm infants. Most healthcare professionals preferred to use international guidelines over local guidelines.ConclusionOur study shows that there is a wide divergence in the nutritional guidelines used in managing late preterm infants in Nigeria. Regarding growth monitoring, healthcare professionals tended to aim for a growth velocity higher than necessary for late preterm infants, which may be disadvantageous for their long‐term health.

show abstract

Section: Introductionmentioning

confidence: 99%

Significant variations in feeding practices and choice of guidelines for the management of late preterm infants among healthcare professionals in Nigeria

et al. 2023

Self Cite

View full text Add to dashboard Cite

show abstract

Growth and micronutrient status parameters of Nigerian preterm infants consuming preterm formula or breastmilk

Owolabi,

Ayede,

Akinrinoye

et al. 2024

Pediatr Res

View full text Add to dashboard Cite

Background Moderate-to-late preterm infants (32–34 weeks GA) have increased risk of neonatal morbidities compared to term infants, however dedicated nutritional guidelines are lacking. Methods Moderate-to-late preterm infants received a preterm formula (n = 17) or breastmilk (n = 24) from age 2–10 weeks in a non-randomized, open-label observational study. Anthropometric measurements were assessed bi-weekly. Blood concentrations of hemoglobin, ferritin, serum retinol, and 25-hydroxy-vitamin D (25OHD) were analyzed at age 2 and 10 weeks. Result Average growth per day was 14.7 g/kg BW/day in formula-fed and 12.8 g/kg BW/day in breastmilk-fed infants but not different from each other. Length and head circumference in both groups were in line with the median reference values of the Fenton growth chart. At 10 weeks of age, hemoglobin tended to be higher in the formula-fed group (10.2 g/dL vs. 9.6 g/dL, p = 0.053). 25OHD increased in formula- and breastmilk-fed infants from 73.8 to 180.9 nmol/L and from 70.7 to 97.6 nmol/L, respectively. Serum retinol only increased in the formula-fed group (0.63 to 1.02 µmol/L, p < 0.001). Conclusion Breastfeeding resulted in adequate growth in moderate-late preterm infants but was limiting in some micronutrients. The preterm formula provided adequate micronutrients, but weight gain velocity was higher than the Fenton reference value. Impact statement Unfortified breastmilk resulted in adequate growth in weight, length and head circumference in Nigerian moderate to late preterm infants during an study period of 8 weeks, but status of vitamin D, vitamin A and iron needs to be monitored. The high-energy formula, developed for very preterm infants, resulted in higher growth in body weight in moderate to late preterm infants than the median of the Fenton preterm growth chart. This study supports the necessity of dedicated nutritional guidelines, and regular monitoring of growth and nutritional status of moderate to late preterm infants.

show abstract

“Moderate and late preterm infants deserve more attention”

Stansfield

2024

Pediatr Res

View full text Add to dashboard Cite

A survey among healthcare professionals from seven countries reported diverse nutritional practices of late preterm infants

Cited by 3 publications

References 21 publications

Significant variations in feeding practices and choice of guidelines for the management of late preterm infants among healthcare professionals in Nigeria

Significant variations in feeding practices and choice of guidelines for the management of late preterm infants among healthcare professionals in Nigeria

Growth and micronutrient status parameters of Nigerian preterm infants consuming preterm formula or breastmilk

“Moderate and late preterm infants deserve more attention”

Contact Info

Product

Resources

About