Nutritional management of moderate-late preterm infants: Survey of current practice.

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dc.contributor.author Alexander, Tanith en
dc.contributor.author Bloomfield, Francis en
dc.date.accessioned 2020-01-12T23:15:42Z en
dc.date.issued 2019-03 en
dc.identifier.issn 1440-1754 en
dc.identifier.uri http://hdl.handle.net/2292/49644 en
dc.description.abstract AIM:Moderate-late preterm (MLPT) babies account for over 80% of preterm babies born world-wide. Many MLPT babies require early nutritional support while full sucking feeds are established, but there is little evidence to guide practice. We aimed to determine current practice in Australia and New Zealand. METHODS:An electronic survey was sent to neonatal clinical directors within the Australia and New Zealand Neonatal Network requesting dissemination to colleagues involved in the care of MLPT babies (32-35+6 weeks' gestation). The questionnaire asked about respondents' nutritional management of MLPT babies and included scenarios for both moderate- (MPT) and late preterm (LPT) babies. RESULTS:There were 83 respondents. While waiting for mothers' milk to meet prescribed fluid volumes, 61% (MPT) to 53% (LPT) of respondents would provide dextrose 10% as the first nutritional support, with 15% (MPT) to 38% (LPT) providing infant formula. Of clinicians providing 10% dextrose, 31% (MPT) to 49% (LPT) were happy to do so for ≥3 days, with 5% comfortable doing so for 5 days in moderately preterm babies, before providing additional support. This additional support was infant formula in 73% (MPT) to 90% (LPT) of respondents. CONCLUSIONS:There is variation in the nutritional management of MLPT infants amongst neonatal clinicians, likely due to the lack of evidence from randomised controlled trials on which to base clinical practice. The majority of clinicians are happy providing only dextrose 10% for up to 2-3 days despite this form of nutritional support containing only carbohydrate. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries Journal of paediatrics and child health en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Milk, Human en
dc.subject Humans en
dc.subject Diet en
dc.subject Health Care Surveys en
dc.subject Infant Formula en
dc.subject Infant, Newborn en
dc.subject Infant, Premature en
dc.subject Australia en
dc.subject New Zealand en
dc.subject Practice Patterns, Physicians' en
dc.title Nutritional management of moderate-late preterm infants: Survey of current practice. en
dc.type Journal Article en
dc.identifier.doi 10.1111/jpc.14201 en
pubs.issue 3 en
pubs.begin-page 338 en
pubs.volume 55 en
dc.rights.holder Copyright: The author en
pubs.end-page 342 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Journal Article en
pubs.elements-id 752509 en
pubs.org-id Liggins Institute en
pubs.org-id LiFePATH en
dc.identifier.eissn 1440-1754 en
pubs.record-created-at-source-date 2018-08-29 en
pubs.dimensions-id 30152042 en


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