Nutritional Strategies for the Very Low Birthweight Infant

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

Acknowledgementp. ix
Forewordp. xiii
Glossaryp. xv
Introductionp. 1
Fluid and electrolyte management (Na, Cl and K)p. 9
Energyp. 17
Intravenous carbohydratesp. 23
Intravenous lipidsp. 29
Early total parenteral nutrition (TPN)p. 37
Parenteral calcium, phosphorus, magnesium, and vitamin Dp. 45
Parenteral vitaminsp. 51
Trace elements and ironp. 57
Parenteral nutrition guidep. 63
Parenteral nutrition-associated cholestasis in VLBW infantsp. 69
Enteral nutritionp. 79
Enteral feeding guidelines practicump. 89
Optimizing enteral nutrition: proteinp. 101
Human milkp. 111
Premature infant formulasp. 117
Standard infant formulasp. 123
Soya formulasp. 125
Protein hydrolysate formulasp. 127
Enteral calcium, phosphorus, magnesium, and vitamin Dp. 131
Ironp. 135
Hypercaloric feeding strategyp. 137
Growth in the neonatal intensive care unit influences neurodevelopmental and growth outcomesp. 141
Nutritional assessmentp. 143
Post-discharge strategiesp. 153
Nutritional management of preterm infants with short bowel syndromep. 163
Summaryp. 175
Indexp. 183
Table of Contents provided by Ingram. All Rights Reserved.

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