Feeding issues in IUGR preterm infants.

Abstract:

:Intra-uterine growth restriction (IUGR) is a severe and quite common problem in obstetrics. A condition of placental dysfunction can lead to a cardiovascular adaptation in the fetus characterized by a redistribution of cardiac output to maintain oxygen supply to the heart, adrenal glands and brain - the so-called brain sparing effect - at the expense of visceral organs (such as the gastrointestinal system). This condition may predispose IUGR infants to impaired gut function after birth. A higher incidence of necrotizing enterocolitis (NEC) is documented in IUGR preterm infants. Therefore, a common practice in neonatal intensive care units is to delay feeds to reduce the risk of feeding intolerance. Recent trials, however, have shown that early enteral feeding in IUGR infants is safe and it would appear, on the basis of the few available data, that breast milk could offer protection against NEC. This mini-review offers an update on feeding in IUGR infants. Future perspectives on the usefulness of Doppler and regional splanchnic and cerebral saturation monitoring for deciding when to start feeding are also provided.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Bozzetti V,Tagliabue PE,Visser GH,van Bel F,Gazzolo D

doi

10.1016/j.earlhumdev.2013.07.006

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

S21-3

eissn

0378-3782

issn

1872-6232

pii

S0378-3782(13)00153-9

journal_volume

89 Suppl 2

pub_type

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