Feeding Outcomes in Preterm Neonates with Antenatal Abnormal Umbilical Artery Doppler Profile : A Retrospective Cohort Study

© 2023. The Author(s), under exclusive licence to Dr. K C Chaudhuri Foundation..

Neonates with absent-or-reversed umbilical artery end-diastolic flow (AREDF) are at an increased risk of feeding problems. In this retrospective study, authors evaluated the incidence of feed intolerance in 213 preterm neonates (January 2017-May 2022) with AREDF. The median (IQR) gestation and birth weight were 32 (30, 33) wk and 1120 (840, 1425) g, respectively. Of 213 neonates, 103 (48.4%; 95% CI 41.5%, 55.3%) neonates developed feed intolerance. Twelve of 213 neonates developed any stage necrotizing enterocolitis (NEC) (5.6%; 95% CI 2.9%, 9.6%) at a median age of 10 d. On multivariate regression, gestation was the only independent predictor of feed intolerance (OR 1.48; 95% CI 1.28, 1.70; for every 1 wk decrease below 36 wk). Almost 50% of preterm neonates with AREDF develop feed intolerance. Alternative feeding strategies warrant exploration to optimise nutrition in these neonates.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - year:2023

Enthalten in:

Indian journal of pediatrics - (2023) vom: 03. Nov.

Sprache:

Englisch

Beteiligte Personen:

Kainth, Deepika [VerfasserIn]
Chandra, Purna [VerfasserIn]
Singhal, Akash [VerfasserIn]
Verma, Ankit [VerfasserIn]
Sankar, M Jeeva [VerfasserIn]
Agarwal, Ramesh [VerfasserIn]
Thukral, Anu [VerfasserIn]

Links:

Volltext

Themen:

Absent-or-reversed end-diastolic flow
Feed intolerance
Journal Article
Preterm neonate

Anmerkungen:

Date Revised 03.11.2023

published: Print-Electronic

Citation Status Publisher

doi:

10.1007/s12098-023-04899-w

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364113588