Fortified high calorie human milk for optimal growth of low birth weight babies.

Abstract:

:This study was undertaken with the aim of providing adequate calories for optimal growth in low birth weight (LBW) by fortifying human milk with medium chain triglycerides and sugar. Twenty-one LBW babies with birth weight between 1.0 and 1.75 kg and gestational age 28-36 weeks constituted the study material. They were administered expressed human milk, initially with gavage and then by spoon. Coconut oil and sugar were added to increase the caloric density to (0.8 cal/ml). The aim was to achieve a caloric intake of 200 cal/kg. This was achieved between 6 and 11 days of birth. Additionally, vitamin C (50 mg) and vitamin E (25 IU/kg/day) were administered. Weight was recorded daily to the nearest 50 g. Head circumference was measured weekly using a non-stretch tape measure. Blood urea nitrogen was measured once the neonate started taking high calorie feeds. Stools were examined daily for the presence of fat globules and reducing substances and for the pH. All but one neonate tolerated the feeds well and there were no complications, such as vomiting, diarrhoea, abdominal distension, or necrotizing enterocolitis. The weight gain recorded was 17.29 +/- 5.30 g/day or 13.95 +/- 5.52 g/kg/day. The study demonstrates that optimal growth can be achieved within the metabolic tolerance of low birth weight infants by administering fortified high calorie breast milk.

journal_name

J Trop Pediatr

authors

Singhania RU,Bansal A,Sharma JN

doi

10.1093/tropej/35.2.77

subject

Has Abstract

pub_date

1989-04-01 00:00:00

pages

77-81

issue

2

eissn

0142-6338

issn

1465-3664

journal_volume

35

pub_type

杂志文章
  • Predictors of failure of nasal continuous positive airway pressure in treatment of preterm infants with respiratory distress syndrome.

    abstract::A case-control study was carried out on 97 consecutive preterm (< 37 weeks) infants to determine predictors associated with failure of nasal continuous positive airway pressure (CPAP) in the treatment of respiratory distress syndrome (RDS). Logistic regression analysis showed that only three risk factors were signific...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/46.3.172

    authors: Boo NY,Zuraidah AL,Lim NL,Zulfiqar MA

    更新日期:2000-06-01 00:00:00

  • Heated Humidified High-Flow Nasal Cannula vs. Nasal Continuous Positive Airway Pressure for Post-extubation Respiratory Support in Preterm Infants: A Randomized Controlled Trial.

    abstract:OBJECTIVE:The objective of this study was to compare the efficacy and safety of heated humidified high-flow nasal cannula (HHHFNC) and nasal continuous positive airway pressure (nCPAP) for prevention of extubation failure in preterm infants. METHODS:Preterm infants (gestation ≥28 weeks) were randomized to HHHFNC or nC...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmaa082

    authors: Yengkhom R,Suryawanshi P,Gupta B,Deshpande S

    更新日期:2020-11-11 00:00:00

  • Ten-year experience with paediatric lymph node tuberculosis in Port Moresby.

    abstract::This is a descriptive study of short-course chemotherapy in children with nodal tuberculosis at Port Moresby General Hospital (PMGH). Between 1 August 1989 and 31 December 1997 5248 children were started on TB treatment. In the retrospective study 427 children were treated for lymph node TB up to 31 December 1996. Of ...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/47.3.160

    authors: McMaster P,Ezeilo N,Freisen H,Pomat N,Vince JD

    更新日期:2001-06-01 00:00:00

  • Impact of multiple dose measles vaccination on measles transmission patterns in Gweru, Zimbabwe.

    abstract::Multiple dose measles vaccination was applied in Gweru, Zimbabwe in 1990-1996. This included (a) a vaccine administered to children at 9 months of age and revaccination of the same children at any point between the ages of 12 and 23 months, and (b) a single mass vaccination campaign targeted at children aged 12-119 mo...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/47.6.335

    authors: Marufu T,Siziya S

    更新日期:2001-12-01 00:00:00

  • Newborn-Care Practices and Health-Seeking Behavior in Rural Eastern Ethiopia: A Community-Based Study.

    abstract:Background:Most of the newborn deaths in developing countries occur at home. Up to two-thirds of these deaths would have been prevented if mothers and newborns had received known and effective interventions. The objective of this study is to determine newborn-care practices and health-seeking behavior in rural Eastern ...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmx031

    authors: Gebre B,Biadgilign S,Taddese Z,Deribe K,Legesse T,Omar M

    更新日期:2018-04-01 00:00:00

  • Effect of Virgin Coconut Oil Application on the Skin of Preterm Newborns: A Randomized Controlled Trial.

    abstract:BACKGROUND:Preterm constitutes a major part of neonatal mortality, particularly in India. Due to dermal immaturity, preterm neonates are susceptible to various complications like infection, hypothermia, etc. Emollient application is a traditional practice in our subcontinent. AIMS:To find out the efficacy of coconut o...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/tropej/fmz041

    authors: Konar MC,Islam K,Roy A,Ghosh T

    更新日期:2020-04-01 00:00:00

  • Assessment of gestational age in the Cameroonian newborn infant: a comparison of four scoring methods.

    abstract::A clinical assessment of gestational age using four different methods was performed in the same population of 358 Cameroonian newborn infants with the aim of determining the most applicable in the local context. Method applicability was compared in terms of validity, accuracy, reliability, and ease of administration. ...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/50.5.285

    authors: Sunjoh F,Njamnshi AK,Tietche F,Kago I

    更新日期:2004-10-01 00:00:00

  • Recurrent Salmonella bacteremia in interleukin-12 receptor beta1 deficiency.

    abstract::Interleukin-12 receptor beta1 IL12RB1 deficiency causes vulnerability to poorly virulent mycobacteria and nontyphoid Salmonella species. We describe a 2.5 year-old girl with IL12RB1 deficiency, caused by a homozygous mutation in this gene, who presented with recurrent bacteremia caused by Salmonella spp. ...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fml001

    authors: Ozen M,Ceyhan M,Sanal O,Bayraktar M,Mesci L

    更新日期:2006-08-01 00:00:00

  • Unusual Clinical Manifestations and Outcome of Multisystem Inflammatory Syndrome in Children (MIS-C) in a Tertiary Care Hospital of North India.

    abstract::Till date, there is paucity of published literature on clinical manifestations of Coronavirus disease 2019 (COVID-19) in children from low-middle-income countries (LMIC). Most of the reports are from Europe, USA or China. Our study aimed to capture data on varied and unusual clinical presentation and management of MIS...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmaa127

    authors: Gupta Dch S,Chopra Md N,Singh Md A,Gera R,Chellani Md H,Pandey PhD R,Arora Md BS

    更新日期:2021-01-29 00:00:00

  • Clinical spectrum of cerebral palsy in north India--an analysis of 1,000 cases.

    abstract::One thousand children with cerebral palsy (CP) were reviewed to study their clinical profile, etiological factors and associated problems. Spastic quadriplegia constituted the predominant group (61 per cent), followed by spastic diplegia (22 per cent). Dyskinetic CP was present in 7.8 per cent of the cases. Acquired C...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/48.3.162

    authors: Singhi PD,Ray M,Suri G

    更新日期:2002-06-01 00:00:00

  • Outcome of low birth weight infants in a West African village.

    abstract::Low birthweight (LBW) infants are at risk of increased mortality, impaired growth, and increased morbidity. We studied the progress of all LBW infants (less than 2.5 kg) born in a West African village where there is a resident pediatrician and midwife. There were 426 live births during the 8 years studied of which 42 ...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/37.3.106

    authors: Downes B,Downes R,Foord F,Weaver L

    更新日期:1991-06-01 00:00:00

  • Endocrine functions in sickle cell anaemia patients.

    abstract::In this study, 80 male and female sickle cell patients, aged 4-50 years, with mild (severity index, SI < 6) and severe (SI > or = 6) forms of the disease were investigated). The levels of luteinizing hormone (LH), follicle stimulating hormone (FSH), testosterone, cortisol, growth hormone (GH), free thyroxine (T4), and...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/38.6.307

    authors: el-Hazmi MA,Bahakim HM,al-Fawaz I

    更新日期:1992-12-01 00:00:00

  • Persistent rhinorrhoea in rural Indian children: prevalence and consequences.

    abstract::To determine whether persistent rhinorrhoea constitutes a significant problem requiring intervention, 17 rural day care centres (Balwadis) in Tamilnadu, India, were visited. Among 414 children in the Balwadis 92 (22 per cent) children with persistent rhinorrhoea (15 days duration or longer) were identified. Demographi...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/46.6.365

    authors: Cherian T,Bhattacharji S,Brahmadathan KN,Lalitha MK,Raghupathy P,Steinhoff MC

    更新日期:2000-12-01 00:00:00

  • A Valuable Tool in Predicting Poor Outcome due to Sepsis in Pediatric Intensive Care Unit: Tp-e/QT Ratio.

    abstract:OBJECTIVE:To assess the feasibility of 12-lead electrocardiographic (ECG) measures such as P wave dispersion (PWd), QT interval, QT dispersion (QTd), Tp-e interval, Tp-e/QT and Tp-e/QTc ratio in predicting poor outcome in patients diagnosed with sepsis in pediatric intensive care unit (PICU). METHODS:Ninety-three pati...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmw021

    authors: Ozdemir R,Isguder R,Kucuk M,Karadeniz C,Ceylan G,Katipoglu N,Yilmazer MM,Yozgat Y,Mese T,Agin H

    更新日期:2016-10-01 00:00:00

  • Early detection of leprosy in children.

    abstract::Healthy children contacts of leprosy patients had their humoral and cell-mediated immunological status assessed using the Fluorescent Leprosy Antibody Absorption Technique (FLA-ABS) and the Lepromin test, respectively. Subsequently, they were followed up for 2 1/2 years to study the development of overt disease. Two-h...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/37.6.310

    authors: Dayal R

    更新日期:1991-12-01 00:00:00

  • Characterisation of beta-globin gene mutations in Malaysian children: a strategy for the control of beta-thalassaemia in a developing country.

    abstract::beta-thalassaemia major, an autosomal recessive hemoglobinopathy, is one of the most common single gene disorders in multi-racial Malaysia. The control of beta-thalassaemia major requires a multi-disciplinary approach that includes population screening, genetic counselling, prenatal diagnosis and the option of termina...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmi052

    authors: Thong MK,Tan JA,Tan KL,Yap SF

    更新日期:2005-12-01 00:00:00

  • Clinical correlates of CT abnormality in generalized childhood epilepsy in India.

    abstract::The CT scan gives valuable insight into the aetiology of epilepsy. Studies done so far in India suggest that the causes are quite different from the West. CT scan has become available in larger cities in India, but is expensive. Information about clinical features that may 'predict' a CT abnormality would be useful to...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/43.4.199

    authors: Kumar R,Navjivan S,Kohli N,Sharma B

    更新日期:1997-08-01 00:00:00

  • Children and adolescents with chronic constipation: how many seek healthcare and what determines it?

    abstract::This island-wide cross-sectional survey was conducted to assess the healthcare consultations in Sri Lankan children with constipation. Children aged 10-16 years were randomly selected from five randomly selected schools in three randomly selected provinces of Sri Lanka. Data were collected using a pre-tested questionn...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmr096

    authors: Rajindrajith S,Devanarayana NM,Benninga MA

    更新日期:2012-08-01 00:00:00

  • Febrile seizures in rural Tanzania: hospital-based incidence and clinical characteristics.

    abstract:OBJECTIVE:Febrile seizures may contribute to epilepsy later in life, but data in sub-Saharan Africa are scarce. We, therefore, conducted a hospital-based study on clinical characteristics of children with febrile seizures. METHODS:Over 2 years, we screened all pediatric admissions of Haydom Lutheran Hospital, northern...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmt022

    authors: Winkler AS,Tluway A,Schmutzhard E

    更新日期:2013-08-01 00:00:00

  • Hepatic dysfunction in childhood dengue infection.

    abstract::Hepatic functions of 61 children, diagnosed to have dengue infection (DI), aged 2 months to 12 years comprising 37 cases of dengue fever (DF), 16 with dengue hemorrhagic fever (DHF), and eight with dengue shock syndrome (DSS) were prospectively studied during the acute attack. Hepatomegaly (74 per cent), epistaxis (26...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/46.1.40

    authors: Mohan B,Patwari AK,Anand VK

    更新日期:2000-02-01 00:00:00

  • Community management of anti-malarials in Africa and iatrogenic risk.

    abstract::Distribution of anti-malarials at the community level is one of the interventions recommended to reduce mortality from febrile illnesses. Inappropriate treatment of fever with anti-malarials may result in missed diagnosis and delays in appropriate treatments including consideration of other illnesses than malaria. We ...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmq074

    authors: Orostegui L,Balu L,Chevret L,Habes D,Pussard E

    更新日期:2011-06-01 00:00:00

  • Aetiology of acute diarrhoea in hospitalized children in Rio de Janeiro City, Brazil.

    abstract::Enteropathogens were investigated in 406 children aged 0-3 years with diarrhoea attending the Salles Neto Municipal Hospital. Enteric bacterial pathogens were isolated from 49 per cent of the children. Enterotoxigenic Escherichia coli (ETEC) (20.9 per cent), enteropathogenic E. coli (EPEC) (16.5 per cent), rotavirus (...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/39.6.365

    authors: Mangia AH,Duarte AN,Duarte R,Silva LA,Bravo VL,Leal MC

    更新日期:1993-12-01 00:00:00

  • Death in a diarrhoeal cohort of infants and young children soon after discharge from hospital: risk factors and causes by verbal autopsy.

    abstract::Assessing mortality pattern of children after discharge from hospital is important to guide appropriate management policy. We studied young children aged 1-23 months, who were discharged from an urban Diarrhoea Treatment Hospital. Children were enrolled on discharge from the hospital, and followed at home after 6 and ...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/42.6.342

    authors: Islam MA,Rahman MM,Mahalanabis D,Rahman AK

    更新日期:1996-12-01 00:00:00

  • Coma in Mozambican gravidas: causes and perinatal outcome.

    abstract::Ninety-one consecutive cases of coma were identified among gravidas at Maputo Central Hospital. The commonest causes were eclampsia (70 cases), cerebral malaria (six cases), and meningitis (five cases). Fetal mortality in eclampsia was 23 per cent and maternal mortality 10 per cent. There was a markedly higher inciden...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/38.3.100

    authors: Ching C,Songane F,Bergström S,Povey G

    更新日期:1992-06-01 00:00:00

  • Toxoplasmosis in young Jamaicans.

    abstract::Of 511 young (1-19 years of age) Jamaicans sampled for IgG antibodies to Toxoplasma by the ELISA method, there was an overall prevalence of 45 per cent. Seropositivity ranged from 24-26 per cent in the 2-year-olds, up to 54 per cent in the 5-9-year-olds. There was no significant difference in prevalence between the se...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/35.5.234

    authors: Rawlins SC,Prabhakar P

    更新日期:1989-10-01 00:00:00

  • High-dose intravenous immunoglobulin downregulates the activated levels of inflammatory indices except erythrocyte sedimentation rate in acute stage of Kawasaki Disease.

    abstract::We evaluated the effects of high-dose intravenous immunoglobulin (IVIG) administration on various protein parameters, including inflammatory profiles, in children with Kawasaki disease (KD). Sixty-three children with KD were treated with IVIG at 2 g/kg over 12 h. Serial examinations of laboratory indices were performe...

    journal_title:Journal of tropical pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1093/tropej/fmh087

    authors: Lee KY,Lee HS,Hong JH,Han JW,Lee JS,Whang KT

    更新日期:2005-04-01 00:00:00

  • Pattern of Congenital Anomalies in Newborn: A 4-Year Surveillance of Newborns Delivered in a Tertiary Healthcare Facility in the South-East Nigeria.

    abstract::Congenital abnormalities are important causes of morbidity and mortality in children and significantly add to the burdens on healthcare in developing countries. Unfortunately, there remains a paucity of information on congenital birth defects in most developing countries. This is a 4-year prospective study that assess...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmx067

    authors: Ekwochi U,Asinobi IN,Osuorah DCI,Ndu IK,Ifediora C,Amadi OF,Sunday Mba G

    更新日期:2018-08-01 00:00:00

  • Cytomegalovirus infection in preterm triplets transmitted via breast milk.

    abstract::Cytomegalovirus (CMV) may transmit perinatally or from breast milk. The risk for development of symptomatic CMV disease in very-low-birth-weight premature infants after transmission from maternal breast milk is not clear. There are scarce data in the literature about congenital CMV infection in multiple pregnancies, b...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmt087

    authors: Demirel G,Celik IH,Canpolat FE,Dilmen U

    更新日期:2014-04-01 00:00:00

  • Age-related weight-for-height charts for south Iranian school children.

    abstract::Analysis of data from the Shiraz (Iran) growth study requires to take age into account when assessing weight-for-height of school children aged 6-12. A unified structure standard score method is used to construct age-related weight-for-height. Weight-for-height charts were drawn for each age-sex category of children. ...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/41.3.181

    authors: Ayatollahi SM

    更新日期:1995-06-01 00:00:00

  • Leave against Medical Advice in Children: Rural Indian Perspective.

    abstract:OBJECTIVES:To determine the burden and etiological factors of leave against medical advice (LAMA) in Indian children. METHODOLOGY:In this prospective study, legal guardians of 528 patients who took the decision of LAMA were interviewed (using structured question answers based multi-option) and data were captured over ...

    journal_title:Journal of tropical pediatrics

    pub_type: 杂志文章

    doi:10.1093/tropej/fmaa110

    authors: Datta D,Mondal T,Sarkar M,Chel S,Das SK,Nandy A,M Ivan D,Mondal R

    更新日期:2020-12-21 00:00:00