Early trophic feeding versus enteral fasting for very preterm or very low birth weight infants

Abstract

Early trophic feeding versus enteral fasting for very preterm or very low birth weight infants.

Estimating Neonatal Necrotizing Enterocolitis Based on Feeding Practices

“…In a retrospective study of VLBW infants, the authors showed in a binary logistic regression model that any formula feedings during days 1 to 14 increased the risk of NEC 3.5 times. Thus, the early-life exposure to FM, in a critical window of transition from intrauterine to extrauterine nutrition, rather than a specific daily volume or percentage of MM within the total enteral feedings, increases the risk of NEC in VLBW infants [13,28]. This is in accordance with our results where no differences were found in the first day of enteral feeding and volume increases between control and NEC infants.…”

Estimating Neonatal Necrotizing Enterocolitis Based on Feeding Practices

“…In a retrospective study of VLBW infants, the authors showed in a binary logistic regression model that any formula feedings during days 1 to 14 increased the risk of NEC 3.5 times. Thus, the early-life exposure to FM, in a critical window of transition from intrauterine to extrauterine nutrition, rather than a specific daily volume or percentage of MM within the total enteral feedings, increases the risk of NEC in VLBW infants [13,28]. This is in accordance with our results where no differences were found in the first day of enteral feeding and volume increases between control and NEC infants.…”

Enteral Feeding Strategies in Preterm Neonates ≤32 weeks Gestational Age: A Systematic Review and Network Meta-Analysis

“…While early initiated (within 72 h), moderately early (72 h-7 days), or late advanced (>7 days) and MoV increment (20-< 30 mL/kg/day) strategies, EIMAMoV and EI-LAMoV, were the 2 most effective strategies to decrease the incidence of NEC or mortality, the early initiated, early advanced (<72 h), and small-volume advancement reg-imen (<20 mL/kg/day) EIEASV was the least effective. While our analysis revealed early initiated feeding strategies to be better than the later ones, Morgan et al [6] in their SR and pair-wise meta-analysis of early trophic feeds (introduced before 96 h of age and continued for at least until 1 week after birth) versus enteral fasting did not find any difference in the incidence of NEC or mortality. This could be explained by the inclusion of recent studies in our review.…”

“…Whilst our analysis revealed early initiated feeding strategies to be better than later ones, Morgan et al (2013) in their SR and pair-wise meta-analysis of early trophic feeds (introduced before 96 hours of age and continued for atleast until one week after birth) versus enteral fasting did not find any difference in the incidence of NEC or mortality. [6] This could be explained by the inclusion of recent studies in our review.…”

Risk Factors Affecting Length of Stay in Preterm Infants at Wangaya Regional General Hospital, Indonesia

“…A meta-analysis study reported that early enteral feeding did not increase the incidence of NEC with a typical risk ratio of 1.07 (95% CI 0.67-1.70); risk difference 0.01 (-0.03-0.05). 23 In this study, late enteral feeding was positively correlated with the LOS in the hospital.…”

Estimating Neonatal Necrotizing Enterocolitis Based on Feeding Practices

“…In a retrospective study of VLBW infants, the authors showed in a binary logistic regression model that any formula feedings during days 1 to 14 increased the risk of NEC 3.5 times. Thus, the early-life exposure to FM, in a critical window of transition from intrauterine to extrauterine nutrition, rather than a specific daily volume or percentage of MM within the total enteral feedings, increases the risk of NEC in VLBW infants [13,28]. This is in accordance with our results where no differences were found in the first day of enteral feeding and volume increases between control and NEC infants.…”

Enteral Feeding Strategies in Preterm Neonates ≤32 weeks Gestational Age: A Systematic Review and Network Meta-Analysis

“…While early initiated (within 72 h), moderately early (72 h-7 days), or late advanced (>7 days) and MoV increment (20-< 30 mL/kg/day) strategies, EIMAMoV and EI-LAMoV, were the 2 most effective strategies to decrease the incidence of NEC or mortality, the early initiated, early advanced (<72 h), and small-volume advancement reg-imen (<20 mL/kg/day) EIEASV was the least effective. While our analysis revealed early initiated feeding strategies to be better than the later ones, Morgan et al [6] in their SR and pair-wise meta-analysis of early trophic feeds (introduced before 96 h of age and continued for at least until 1 week after birth) versus enteral fasting did not find any difference in the incidence of NEC or mortality. This could be explained by the inclusion of recent studies in our review.…”

“…Whilst our analysis revealed early initiated feeding strategies to be better than later ones, Morgan et al (2013) in their SR and pair-wise meta-analysis of early trophic feeds (introduced before 96 hours of age and continued for atleast until one week after birth) versus enteral fasting did not find any difference in the incidence of NEC or mortality. [6] This could be explained by the inclusion of recent studies in our review.…”

Risk Factors Affecting Length of Stay in Preterm Infants at Wangaya Regional General Hospital, Indonesia

“…A meta-analysis study reported that early enteral feeding did not increase the incidence of NEC with a typical risk ratio of 1.07 (95% CI 0.67-1.70); risk difference 0.01 (-0.03-0.05). 23 In this study, late enteral feeding was positively correlated with the LOS in the hospital.…”

Estimating Neonatal Necrotizing Enterocolitis Based on Feeding Practices

“…In a retrospective study of VLBW infants, the authors showed in a binary logistic regression model that any formula feedings during days 1 to 14 increased the risk of NEC 3.5 times. Thus, the early-life exposure to FM, in a critical window of transition from intrauterine to extrauterine nutrition, rather than a specific daily volume or percentage of MM within the total enteral feedings, increases the risk of NEC in VLBW infants [13,28]. This is in accordance with our results where no differences were found in the first day of enteral feeding and volume increases between control and NEC infants.…”

Enteral Feeding Strategies in Preterm Neonates ≤32 weeks Gestational Age: A Systematic Review and Network Meta-Analysis

“…While early initiated (within 72 h), moderately early (72 h-7 days), or late advanced (>7 days) and MoV increment (20-< 30 mL/kg/day) strategies, EIMAMoV and EI-LAMoV, were the 2 most effective strategies to decrease the incidence of NEC or mortality, the early initiated, early advanced (<72 h), and small-volume advancement reg-imen (<20 mL/kg/day) EIEASV was the least effective. While our analysis revealed early initiated feeding strategies to be better than the later ones, Morgan et al [6] in their SR and pair-wise meta-analysis of early trophic feeds (introduced before 96 h of age and continued for at least until 1 week after birth) versus enteral fasting did not find any difference in the incidence of NEC or mortality. This could be explained by the inclusion of recent studies in our review.…”

“…Whilst our analysis revealed early initiated feeding strategies to be better than later ones, Morgan et al (2013) in their SR and pair-wise meta-analysis of early trophic feeds (introduced before 96 hours of age and continued for atleast until one week after birth) versus enteral fasting did not find any difference in the incidence of NEC or mortality. [6] This could be explained by the inclusion of recent studies in our review.…”

Risk Factors Affecting Length of Stay in Preterm Infants at Wangaya Regional General Hospital, Indonesia

“…A meta-analysis study reported that early enteral feeding did not increase the incidence of NEC with a typical risk ratio of 1.07 (95% CI 0.67-1.70); risk difference 0.01 (-0.03-0.05). 23 In this study, late enteral feeding was positively correlated with the LOS in the hospital.…”