Nutritional Support of Very Low Birth Weight Infants in a Tertiary Center in a Developing Country

Abstract

BackgroundVery low birth weight infants (VLBWIs) are at high risk for nutritional deficiency. Enteral feeding is usually challenged by increased risk of necrotizing enterocolitis (NEC). The nutritional needs of VLBWIs are usually dependent on parenteral nutrition during early postnatal life. This study aimed to evaluate the nutritional service of VLBWIs at Jordan University Hospital.MethodsThis was a prospective follow-up study of VLBWIs with birth weight ≤ 1,500 g. Data were extracted from medical charts and laboratory database.ResultsIn total, 43 VLBWIs met our inclusion criteria; of them, 21% were extremely low birth weight infants (ELBWIs). The mean gestational age was 29 weeks, and the mean birth weight was 1,218 g. The mean age of starting feeds was 3 days. Mean full feed age is 2 weeks. The most common side effect of total parenteral nutrition (TPN) was hypertriglyceridemia (35%).ConclusionsNutritional care of VLBWIs is well established in our center. Initiating fortification earlier and working to increase mother’s own breast milk supply is vital to improve growth in low resource setting.

Diagnostic possibilities of determination of osteogenesis disorders in children born with low body weight

“…And determination of other markers of osteopenia, such as the level of osteocalcin and 1,25OH-vitamin D, is not always possible; in addition, it is financially expensive and therefore not available to everyone. Although the increased alkaline phosphatase level is a reliable indicator of bone demineralization in premature babies, the normal levels also do not guarantee normal bone condition [7].…”