tailieunhanh - Is nutritional support needed in late preterm infants?

Late preterm birth accounts for 70 % of all preterm births. While the impact of feeding problems in very preterm infants has been widely investigated, data on late preterm infants’ feeding issues are scarce. | Giannì et al. BMC Pediatrics 2015 15 194 DOI S12887-015-0511-8 RESEARCH ARTICLE Open Access Is nutritional support needed in late preterm infants A A I a 1 r I r x 1 r rv . 1 A I I I . . 1 A 1 1 A 1 Maria Lorella Gianni Paola Roggero Pasqua Piemontese Nadia Liotto Anna Orsi Orsola Amato Francesca Taroni 1 Laura Morlacchi1 Dario Consonni2 and Fabio Mosca1 Abstract Background Late preterm birth accounts for 70 of all preterm births. While the impact of feeding problems in very preterm infants has been widely investigated data on late preterm infants feeding issues are scarce. The aim of the present study was to investigate the need of nutritional support during hospital stay in a cohort of late preterm infants and to identify the factors that most contribute to its occurrence. Methods We analyzed the medical records of late preterm infants born 2011-2013 admitted to a single institution. Neonatal data the need for nutritional support defined as the need for parenteral nutrition or intravenous fluids or tube feeding and the feeding status at discharge were retrieved. The occurrence of respiratory distress syndrome congenital malformations chromosomal diseases cardiac diseases sepsis hypoglycemia poor feeding and the need for surgical intervention were also collected. Results A total of 1768 late preterm infants were included. Among the 592 infants requiring a nutritional support 228 developed a respiratory distress syndrome two developed a sepsis one presented with a cardiac disease 24 underwent a surgical intervention eight had a chromosomal disease congenital malformation 80 had hypoglycemia. In addition 100 infants required nutritional support due to poor feeding and 149 were born small for gestational age. Birth weight 2000 g adjusted OR 95 CI p gestational age of 34 weeks adjusted OR 95 CI p being small for gestational age adjusted OR 95 CI p having a respiratory distress syndrome adjusted OR .