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American Academy of Pediatrics
Article

The Rapidity of Advancement of Feedings in Premature Infants: Evidence Basis and Current Recommendations

Shalabh Garg and Sunil Sinha
NeoReviews November 2018, 19 (11) e675-e681; DOI: https://doi.org/10.1542/neo.19-11-e675
Shalabh Garg
*Department of Neonatology, James Cook University Hospital, Middlesbrough, UK
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Sunil Sinha
*Department of Neonatology, James Cook University Hospital, Middlesbrough, UK
†Department of Neonatology, University of Durham, Durham, UK
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  • Abbreviations:
    ADEPT:
    Abnormal Doppler Enteral Prescription Trial
    CI:
    confidence interval
    IQR:
    interquartile range
    NEC:
    necrotizing enterocolitis
    RCT:
    randomized controlled trial
    RR:
    relative risk
    SIFT:
    Speed of Increasing Milk Feeds
  • Abstract

    It is every neonatologist’s aspiration to achieve “optimal postnatal growth” in preterm infants, because nutrition and growth of this population affect long-term neurodevelopmental outcomes. However, despite having this common goal, there are huge variations in the enteral feeding practices of preterm infants across the globe. One such practice is the rate of advancement of enteral feedings; there is no consensus about the optimal approach, even among international nutritional experts. In this review, we aim to provide readers with the rationale for different practices in feeding advancement and summarize the current literature.

    • Copyright © 2018 by the American Academy of Pediatrics

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    NeoReviews
    Vol. 19, Issue 11
    1 Nov 2018
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    The Rapidity of Advancement of Feedings in Premature Infants: Evidence Basis and Current Recommendations
    Shalabh Garg, Sunil Sinha
    NeoReviews Nov 2018, 19 (11) e675-e681; DOI: 10.1542/neo.19-11-e675

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    The Rapidity of Advancement of Feedings in Premature Infants: Evidence Basis and Current Recommendations
    Shalabh Garg, Sunil Sinha
    NeoReviews Nov 2018, 19 (11) e675-e681; DOI: 10.1542/neo.19-11-e675
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    • Table of Contents

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    • Article
      • Abstract
      • Education Gaps
      • Objectives
      • Introduction
      • Enteral Feeding and Risk of NEC
      • Current Focus on Enteral Feeding of Preterm Infants
      • Initiation of Enteral Feedings in Preterm Infants
      • Advancement of Enteral Feeding
      • Clinical Trials Comparing Feeding Rates
      • Rate of Feeding Advancement and Short-Term Nutritional Outcomes
      • Conclusion
      • Footnotes
      • References
    • Figures & Data
    • Info & Metrics
    • Comments

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