1,721,092 research outputs found
[The contribution of enteral nutrition in the premature infant]
No full textIn recent years, improvements in obstetrical and neonatal care have significantly improved survival in preterm and, particularily, the very low birth weight infant. Several studies stress the importance of timely and adequate nutrition in these high-risk infants on a short- and long-term. Presently, there is little consensus among the neonatologists concerning the optimal way to initiate, advance or maintain enteral feeding in preterm Infants. The preferred food for premature infants is fortified milk from the infant's own mother or,alternatively, formula designed for premature infants. The recent guidelines proposed by ESPGHAN Committee on Nutrition provide minimal and maximal levels of intake for individual macro- and micro-nutrients
La sopravvivenza e lo sviluppo dei nati estremamente pretermine al limite della vitalità: considerazioni etiche sulla loro assistenza
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Management of babies born extremely preterm at less than 26 weeks of gestation
Full text linkhttp://fn.bmj.com/content/94/1/2.full/reply#fetalneonatal_el_2755
The treatment of ELBW newborns needs to be customized and any intervention should be performed in the patient’s best interest. The approach of neonatologists to the medical care of extremely premature newborn differs from country to country, as it is influenced by different medical, social ethical and legal considerations. In case of extreme prematurity, if the neonatologist realizes that any therapeutic effort is useless, intensive therapies that could translate into pursuit of futile treatment should of course be curtailed
[Nutritional requirements of the low birth-weight newborn infant]
No full textThe preterm newborn infant for his very high growth rate is especially vulnerable to any deficiency or excess of the nutritional intake. Moreover he differs from the older infant because of the immaturity of many biological function. Such immaturity is temporary in the term newborn, while lasts longer in the preterm newborn infant. In this paper needs for energy, proteins, lipids, carbohydrates and minerals in the preterm newborn are reported. They are based on metabolic balance studies carried out in preterm newborn infants fed either human milk or different formulas. The own mother fresh milk, supplemented with phosphorus, appears to be the best feeding for the preterm infant. Formulas conveniently adapted in carbohydrates, proteins, lipids and minerals content may be used as reasonable substitutes. On the contrary the pooled pasteurized human milk is not advisable
Nutrition and kidney in preterm infant
No full textIn pre- and post-natal period nutrition can influence the function of many organs, including the kidneys. Intrauterine growth restriction and low weight at birth are associated with reduced nephron number, a risk factor for later cardiovascular and renal diseases. The development of such adult diseases may be favored, in animals, by additional risk factors, including postnatal overnutrition and/or rapid postnatal growth. In preterm infants, during the first weeks of life, high values of serum urea are presents due to immaturity of the renal function. Thus the urea cannot be used in the first weeks of life as a parameter to evaluate the adequacy of protein intake. In comparison with older infants, healthy preterm infants, fed on human milk and adapted formulas, show a lower renal solute load because the higher growth rate associated with a raised nitrogen and mineral retention rate. Preterm infants are vulnerable to disturbances of acid-base metabolism, with a predisposition to metabolic acidosis due to a transient age-related low renal capacity for net acid excretion
It’s time for a new healthcare policy in Italy to improve prognosis of newborns of immigrant parents
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