Nutritional Strategies for the Very Low Birthweight Infant

by David H. Adamkin

• ISBN13: 9780521732468
• ISBN10: 0521732468
• Edition: 1st
• Format: Paperback
• Copyright: 2009-09-28
• Publisher: Cambridge University Press

Summary

The goal of nutritional management in VLBW and ELBW infants is the achievement of postnatal growth at a rate that approximates the intrauterine growth of a normal fetus at the same postconceptional age. In reality, however, growth lags considerably after birth; although non-nutritional factors are involved, nutrient deficiencies are critical in explaining delayed growth. This practical clinically-oriented pocketbook reviews and summarises all available clinical evidence. It enables the reader to implement parenteral or enteral feeding plans, with the goals of reducing postnatal weight loss, earlier return to birthweight, and improved catch-up growth. Both nutrient balance and growth and the impact on neurodevelopment and health outcomes are evaluated. With many tables and algorithms to summarise key data and management strategies, Nutritional Strategies for the Very Low Birthweight Infant is an invaluable guide for all healthcare professionals caring for premature babies.

Author Biography

David H. Adamkin is Professor of Pediatrics and Director of the Division of Neonatal Medicine, University of Louisville, Louisville, Kentucky, USA.

Table of Contents

Acknowledgement	p. ix
Foreword	p. xiii
Glossary	p. xv
Introduction	p. 1
Fluid and electrolyte management (Na, Cl and K)	p. 9
Energy	p. 17
Intravenous carbohydrates	p. 23
Intravenous lipids	p. 29
Early total parenteral nutrition (TPN)	p. 37
Parenteral calcium, phosphorus, magnesium, and vitamin D	p. 45
Parenteral vitamins	p. 51
Trace elements and iron	p. 57
Parenteral nutrition guide	p. 63
Parenteral nutrition-associated cholestasis in VLBW infants	p. 69
Enteral nutrition	p. 79
Enteral feeding guidelines practicum	p. 89
Optimizing enteral nutrition: protein	p. 101
Human milk	p. 111
Premature infant formulas	p. 117
Standard infant formulas	p. 123
Soya formulas	p. 125
Protein hydrolysate formulas	p. 127
Enteral calcium, phosphorus, magnesium, and vitamin D	p. 131
Iron	p. 135
Hypercaloric feeding strategy	p. 137
Growth in the neonatal intensive care unit influences neurodevelopmental and growth outcomes	p. 141
Nutritional assessment	p. 143
Post-discharge strategies	p. 153
Nutritional management of preterm infants with short bowel syndrome	p. 163
Summary	p. 175
Index	p. 183
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