Feeding and Fluids in the Premature and Sick Newborn in the Low-Middle Income Countries

Slusher, Tina M.; Vaucher, Yvonne E.; Zamora, Tara; Curtis, Beverly

doi:10.5772/34879

Cited by 3 publications

(4 citation statements)

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“… 7 Unfortified human breast milk, the only option available in many low-income countries, does not contain adequate nutrients for the growth and development of preterm infants with the small volumes they can take in. 8 - 10 Human breast milk alone does not contain the required protein, energy, minerals, vitamins, and trace elements to promote growth and development of preterm infants. 11 Slower growth rates, including that of the head circumference, have been observed in preterm babies fed only on human milk as compared with those on fortified human milk.…”

Section: Introductionmentioning

confidence: 99%

“…The advantage of starting small amount of enteral feeding earlier as a means of preparing the immature intestine for full enteral feeding has been recognized recently. 10 However, the nutritional assessment of preterm infants is challenging. For example, the body weight may vary based on fluid status, and changes in linear growth take time.…”

Section: Introductionmentioning

confidence: 99%

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Preterm Nutrition and Clinical Outcomes

Gidi

Mekasha

Nigussie

et al. 2020

Global Pediatric Health

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Background. In low-income countries, preterm nutrition is often inadequately addressed. The aim of the study was to assess the patterns of feeding and associated clinical outcomes of preterm neonates admitted to neonatal intensive care units in Ethiopia. Method. This was a multicenter, prospective study. Infants’ clinical characteristics at birth, daily monitoring of feeding history, and weight measurements were collected. An outcome assessment was completed at 28 days. Result. For this analysis, 2560 infants (53% male) were eligible. The mean (SD) gestational age was 33.1 (2.2) weeks. During the hospital stay the proportion of infants on breast milk only, preterm formula, term formula, and mixed feeding was 58%, 27.4%, 1.6%, and 34.1%, respectively. Delay in enteral feeding was associated with increased risk of death (odds ratio [OR] = 1.92, 95% confidence interval [CI] = 1.33-2.78; P < .001) and (OR = 5.06, 95% CI = 3.23-7.87; P < .001) for 1 to 3 and 4 to 6 days of delay in enteral feeding, respectively, after adjusting for possible confounders. The length of delay in enteral feeding was associated with increased risk of hypoglycemia (OR = 1.2, 95% CI = 1.1-1.2; P = .005). The mortality rate was lower in hospitals providing preterm formula more often ( P = .04). Half of the infants continued losing weight at the time of discharge. Conclusion. Delayed enteral feeding significantly increases the risk of mortality before discharge and hypoglycemia in preterm infants in resource-limited settings. Ensuring adequate nutritional support of preterm infants is highly needed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Preterm Nutrition and Clinical Outcomes

Gidi

Mekasha

Nigussie

et al. 2020

Global Pediatric Health

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“…Without syringe or infusion pumps, hospitals in low-resource settings deliver fluids with gravity-driven IV drip systems. 7 Small neonates require IV fluid to be dispensed at rates ranging from 60 to 100 mL/kg/day. 8 For example, a 1.5 kg baby receiving 150 mL of fluids per day requires a flow rate of approximately 6 mL/hour, which is challenging to control with an IV drip system.…”

Section: Introductionmentioning

confidence: 99%

AutoSyP: A Low-Cost, Low-Power Syringe Pump for Use in Low-Resource Settings

Juarez

Maynard

Skerrett

et al. 2016

The American Journal of Tropical Medicine and Hygiene

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This article describes the design and evaluation of AutoSyP, a low-cost, low-power syringe pump intended to deliver intravenous (IV) infusions in low-resource hospitals. A constant-force spring within the device provides mechanical energy to depress the syringe plunger. As a result, the device can run on rechargeable battery power for 66 hours, a critical feature for low-resource settings where the power grid may be unreliable. The device is designed to be used with 5- to 60-mL syringes and can deliver fluids at flow rates ranging from 3 to 60 mL/hour. The cost of goods to build one AutoSyP device is approximately $500. AutoSyP was tested in a laboratory setting and in a pilot clinical study. Laboratory accuracy was within 4% of the programmed flow rate. The device was used to deliver fluid to 10 healthy adult volunteers and 30 infants requiring IV fluid therapy at Queen Elizabeth Central Hospital in Blantyre, Malawi. The device delivered fluid with an average mean flow rate error of −2.3% ± 1.9% for flow rates ranging from 3 to 60 mL/hour. AutoSyP has the potential to improve the accuracy and safety of IV fluid delivery in low-resource settings.

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“…Jurnal Ilmu Keperawatan Anak, Vol 5 No 2, Nov 2022/ page 32-46Feni Amelia Puspitasari -Studi Kasus: Perawatan Bayi Hiperbilirubinemia dalam Mencegah Komplikasi Kernikterus bayi baru lahir yang sakit 160-200 ml/kgBB/hari(Slusher et al, 2012) …”

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Case Study Analysis: Nursing Care of Neonatal Hyperbilirubinemia in Preventing Kernicterus Complications

Puspitasari

2022

jika

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Hiperbilirubinemia bayi baru lahir terjadi jika kadar bilirubin serum total >5 mg/dL. Peningkatan kadar bilirubin serum total yang sangat tinggi dapat menimbulkan komplikasi kernikterus. Tujuan penelitian adalah menganalisis asuhan keperawatan bayi baru lahir dengan hiperbilirubinemia dalam mencegah terjadinya komplikasi kernikterus. Desain penelitian yaitu deskriptif kualitatif dengan metode studi kasus. Patisipan adalah 5 bayi baru lahir cukup bulan dengan hiperbilirubinemia dengan lama pemberian asuhan keperawatan selama tiga hari. Hasil penelitian ini menunjukkan terjadi peningkatan kadar bilirubin total serum antara 13,74-21,20 mg/dL dan tidak adanya gejala kernikterus. Diagnosis keperawatan yang muncul yaitu ikterik neonatus b.d penurunan berat badan abnormal dan umur kurang dari 7 hari, defisit nutrisi b.d peningkatan kebutuhan metabolisme, hipertermia b.d peningkatan laju metabolisme, dan hipovolemia b.d intake cairan tidak adekuat. Prioritas diagnosa keperawatan yaitu pada masalah ikterik neonatus dengan pelaksanaan tindakan utama yang dilakukan yaitu memberikan perawatan fototerapi (single dan double fototerapi), pemantauan pemberian asupan cairan (ASI/ susu formula), mengidentifikasi derajat ikterik, memantau berat badan, dan memonitor kadar bilirubin total serum. Evaluasi keperawatan belum teratasi pada kasus dengan kadar bilirubin serum total >20 mg/dL. Kesimpulan penelitian yaitu pemberian asuhan keperawatan pada masalah ikterik neonatus dengan benar dapat mencegah komplikasi kernikterus. Rekomendasi dari penelitian ini yaitu diharapkan perawat mampu mengenali gejala komplikasi kernikterus (ensefalopati bilirubin akut dan kronis). Kata kunci: Asuhan keperawatan, Bayi baru lahir, Hiperbilirubinemia, Kernikterus

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Feeding and Fluids in the Premature and Sick Newborn in the Low-Middle Income Countries

Cited by 3 publications

References 105 publications

Preterm Nutrition and Clinical Outcomes

Preterm Nutrition and Clinical Outcomes

AutoSyP: A Low-Cost, Low-Power Syringe Pump for Use in Low-Resource Settings

Case Study Analysis: Nursing Care of Neonatal Hyperbilirubinemia in Preventing Kernicterus Complications

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