{"id":1586,"date":"2023-12-19T15:59:00","date_gmt":"2023-12-19T13:59:00","guid":{"rendered":"https:\/\/pediatria-spisanie.eu\/2023\/12\/19\/problemi-s-hranento-pri-nedonoseni-deca-s-intrauterinna-hipotrofia\/"},"modified":"2025-05-18T22:50:28","modified_gmt":"2025-05-18T19:50:28","slug":"problemi-s-hranento-pri-nedonoseni-deca-s-intrauterinna-hipotrofia","status":"publish","type":"post","link":"https:\/\/pediatria-spisanie.eu\/en\/2023\/12\/19\/problemi-s-hranento-pri-nedonoseni-deca-s-intrauterinna-hipotrofia\/","title":{"rendered":"Feeding Problems in Preterm Infants with Intrauterine Hypotrophy"},"content":{"rendered":"\n\n\t\t
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St. Hitrova-Nikolova, G. Mumdzhieva, I. Ibryam <\/h3>\n

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Abstract<\/h2>\n\n\n\n

Intrauterine growth-restricted infants are exposed to a higher risk of difficulties in early feeding or the
intolerance of feeding, necrotizing enterocolitis, and the need for a longer hospital stay. This review is
focused on the causes and problems associated with enteral feeding in these children and the possibilities for overcoming them. Feeding with mother\u2019s own milk and adding various nutrients helps with better tolerance. The combination of intrauterine malnutrition and postnatal feeding difficulties has been linked with later adverse metabolic consequences in these patients. Optimizing enteral nutrition in preterm neonates with intrauterine growth restriction is a challenging issue for clinicians, despite advances in neonatal care.
Key words:<\/strong>\u00a0nutrition, preterm, fetal growth restriction<\/p>\n\n\n

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Bibliography<\/strong><\/h2>\n\n\n\n

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2. Indrio F, Maggio L, Raimondi F. (2013)<\/strong> Feeding the Preterm Neonate with Intrauterine Growth Restriction. In: Patole, S.(eds) Nutrition for the Preterm Neonate. Springer, Dordrecht. https:\/\/doi.org\/10.1007\/978-94-007-6812-3\u208b19<\/p>\n\n\n\n

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4.<\/strong> Aradhya AS<\/strong>, Mukhopadhyay K, Saini SS, et al.<\/strong> Feed intolerance in preterm neonates with antenatal reverse end diastolic flow (REDF) in umbilical artery: a retrospective cohort study. J Matern Fetal Neonatal Med. 2020 Jun;33(11):1846-1852   <\/p>\n\n\n\n

5. Martini <\/strong>S, Annunziata M, Della Gatta AN<\/strong> <\/strong>et al.<\/strong> Association between Abnormal Antenatal Doppler Characteristics and Gastrointestinal Outcomes in Preterm Infants.  Nutrients. 2022 Dec 2;14(23):5121<\/p>\n\n\n\n

6. Fallon, E.M, Nehra, D, Potemkin, A.K.;  et al<\/strong>  M.A.S.P.E.N. clinical guidelines: Nutrition support of neonatal patients at risk for necrotizing enterocolitis. JPEN J. Parenter. Enter. Nutr. 2012, 36, 506\u2013523.  <\/p>\n\n\n\n

7. <\/strong>Ahmed F, Dey SK, Shahidullah M, <\/strong>et al<\/strong>. Early Versus Delayed Enteral Feeding for Achieving Full Feeding in Preterm Growth-Restricted Infants: A Randomized Clinical Trial. Mymensingh Med J. 2020 Jul;29(3):638-645. PMID: 32844806. <\/p>\n\n\n\n

8. <\/strong>Oddie SJ, Young L, McGuire W.<\/strong> Slow advancement of enteral feed volumes to prevent necrotising enterocolitis in very low birth weight infants. Cochrane Database Syst Rev. 2017 Aug 30;8(8):CD001241. doi: 10.1002\/14651858.CD001241.pub7. Update in: Cochrane Database Syst Rev. 2021 Aug 24;8:CD001241. PMID: 28854319; PMCID: PMC6483766.<\/p>\n\n\n\n

9. <\/strong>Salas AA, Travers CP.<\/strong> The Practice of Enteral Nutrition: Clinical Evidence for Feeding Protocols. Clin Perinatol. 2023 Sep;50(3):607-623. <\/p>\n\n\n\n

10. <\/strong>Arslanoglu S, Boquien CY, King C,<\/strong>et al<\/strong>.<\/strong> Fortification of Human Milk for Preterm Infants: Update and Recommendations of the European Milk Bank Association (EMBA) Working Group on Human Milk Fortification. Front Pediatr. 2019 Mar 22;7:76. doi: 10.3389\/fped.2019.00076.<\/p>\n\n\n\n

11. <\/strong>Malhotra A, Allison BJ, Castillo-Melendez M, <\/strong>et al<\/strong>.  <\/strong>Neonatal Morbidities of Fetal Growth Restriction: Pathophysiology and Impact. Front Endocrinol (Lausanne). 2019 Feb 7;10:55.<\/p>\n\n\n\n

12. <\/strong>Pammi M, Patel RM<\/strong>. Nutritional Supplements to Improve Outcomes in Preterm Neonates. Clin Perinatol. 2022 Jun;49(2):485-502. doi: 10.1016\/j.clp.2022.02.012.<\/p>\n\n\n\n

13. <\/strong>Kumari, D., Garg, S., & Bhawrani, P.<\/strong> (2022). Zinc homeostasis in immunity and its association with preterm births. Scandinavian Journal of Immunology, 95(4), e13142. <\/p>\n\n\n\n

14. <\/strong>Staub E, Evers K, Askie LM<\/strong>. Enteral zinc supplementation for prevention of morbidity and mortality in preterm neonates. Cochrane Database Syst Rev. 2021 Mar 12;3(3):CD012797.<\/p>\n\n\n\n

15<\/strong>. <\/strong>Embleton ND, Moltu SJ, Lapillonne A, <\/strong>et al<\/strong>. Enteral Nutrition in Preterm Infants (2022): A Position Paper From the ESPGHAN Committee on Nutrition and Invited Experts. J Pediatr Gastroenterol Nutr. 2023 Feb 1;76(2):248-268. doi: 10.1097\/MPG.0000000000003642. Epub 2022 Oct 28. PMID: 36705703.<\/p>\n\n\n\n

16<\/strong>. <\/strong>van den Akker CHP et al.<\/strong> Probiotics and Preterm Infants: A Position Paper by the European Society for Paediatric Gastroenterology Hepatology and Nutrition Committee on Nutrition and the European Society for Paediatric Gastroenterology Hepatology and Nutrition Working Group for Probiotics and Prebiotics. J Pediatr Gastroenterol Nutr<\/em> 70, 664\u2013680 (2020).<\/p>\n\n\n\n

17. <\/strong>Paul SP, Kirkham EN, Hawton KA,<\/strong> et al.<\/strong> Feeding growth restricted premature neonates: a challenging perspective. Sudan J Paediatr. 2018;18(2):5-14. doi: 10.24911\/SJP.106-1519511375. PMID: 30799892;<\/p>\n\n\n\n

18. <\/strong>Embleton, Nicholas David MBBS, BSc, MD*<\/sup>; Jennifer Moltu, Sissel MD, PhD\u2020<\/sup>; Lapillonne, A<\/strong>. et al. Enteral Nutrition in Preterm Infants (2022): A Position Paper From the ESPGHAN Committee on Nutrition and Invited Experts. Journal of Pediatric Gastroenterology and Nutrition 76(2):p 248-268, February 2023. <\/p>\n\n\n\n

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    Address for correspondence:<\/strong><\/p>\n\n\n\n

    <\/p>\n\n\n\n

    Clinic of neonatology, University Hospital of \u041ebstetrics
    and Gynecology \u201cMaichin dom\u201d
    Department of Obstetrics and Gynaecology Medical University of Sofia
    2, \u201cZdrave\u201d, Str.,
    1431, Sofia, Bulgaria
    e-mail:     stasia_doc@abv.bg<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

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