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 Pediatrjournal_title
Journal of tropical pediatricsauthors
Singhania RU,Bansal A,Sharma JNdoi
10.1093/tropej/35.2.77subject
Has Abstractpub_date
1989-04-01 00:00:00pages
77-81issue
2eissn
0142-6338issn
1465-3664journal_volume
35pub_type
杂志文章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
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doi:10.1093/tropej/46.3.172
更新日期:2000-06-01 00:00:00
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更新日期:2006-08-01 00:00:00
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journal_title:Journal of tropical pediatrics
pub_type: 杂志文章
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更新日期:1991-06-01 00:00:00
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更新日期:1992-12-01 00:00:00
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更新日期:2016-10-01 00:00:00
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pub_type: 杂志文章
doi:10.1093/tropej/37.6.310
更新日期:1991-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1093/tropej/fmi052
更新日期:2005-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:1997-08-01 00:00:00
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更新日期:2012-08-01 00:00:00
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更新日期:1996-12-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2005-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2014-04-01 00:00:00
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journal_title:Journal of tropical pediatrics
pub_type: 杂志文章
doi:10.1093/tropej/41.3.181
更新日期:1995-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-12-21 00:00:00