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Improved growth of extremely and very preterm babies: Evaluation of a quality-of-care initiative.
J Paediatr Child Health. 2020 Mar; 56(3):444-449.JP

Abstract

AIM

To measure growth outcomes in preterm infants after introduction of a nutritional care bundle.

METHODS

A total of 509 infants of less than 32 weeks' gestation in a level III neonatal intensive care unit in the UK were studied until they were discharged home. Growth and feeding data were extracted from a prospective data registry for 18 months before and after the intervention. The intervention consisted of earlier routine bovine-derived multi-component fortification once the infant has reached 120ml/kg/day of enteral feed from the first day of life and an exclusive human milk diet with routine bovine-derived multi-component fortification of 120 mL/kg/day.

RESULTS

After the intervention, growth velocity between birth and 28 days increased from 9.7 ± 4.1 to 12.2 ± 4.6 g/kg/day (mean ± standard deviation), and weight z score change decreased from -1.06 ± 0.56 to -0.76 ± 0.59 (P < 0.00002). For the entire group, growth velocity by the discharge home time point increased by 1 g/kg/day. However, the growth velocity of infants who were discharged on an exclusive human milk diet increased the most, from 10.8 ± 2.2 to 13.0 ± 2.8 g/kg/day (P < 0.00001), eliminating the difference seen between these infants and those discharged on infant formula before the intervention.

CONCLUSION

The introduction of a simple nutritional package improved weight gain, particularly in infants fed exclusive human milk at discharge.

Authors+Show Affiliations

Newborn Care Unit, John Radcliffe Hospital, Oxford, United Kingdom.Newborn Care Unit, John Radcliffe Hospital, Oxford, United Kingdom.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31774596

Citation

Levene, Ilana, and Kenny McCormick. "Improved Growth of Extremely and Very Preterm Babies: Evaluation of a Quality-of-care Initiative." Journal of Paediatrics and Child Health, vol. 56, no. 3, 2020, pp. 444-449.
Levene I, McCormick K. Improved growth of extremely and very preterm babies: Evaluation of a quality-of-care initiative. J Paediatr Child Health. 2020;56(3):444-449.
Levene, I., & McCormick, K. (2020). Improved growth of extremely and very preterm babies: Evaluation of a quality-of-care initiative. Journal of Paediatrics and Child Health, 56(3), 444-449. https://doi.org/10.1111/jpc.14662
Levene I, McCormick K. Improved Growth of Extremely and Very Preterm Babies: Evaluation of a Quality-of-care Initiative. J Paediatr Child Health. 2020;56(3):444-449. PubMed PMID: 31774596.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Improved growth of extremely and very preterm babies: Evaluation of a quality-of-care initiative. AU - Levene,Ilana, AU - McCormick,Kenny, Y1 - 2019/11/27/ PY - 2019/06/13/received PY - 2019/08/29/revised PY - 2019/09/09/accepted PY - 2019/11/28/pubmed PY - 2019/11/28/medline PY - 2019/11/28/entrez KW - extremely preterm KW - fortifier KW - human milk KW - nutrition KW - very preterm SP - 444 EP - 449 JF - Journal of paediatrics and child health JO - J Paediatr Child Health VL - 56 IS - 3 N2 - AIM: To measure growth outcomes in preterm infants after introduction of a nutritional care bundle. METHODS: A total of 509 infants of less than 32 weeks' gestation in a level III neonatal intensive care unit in the UK were studied until they were discharged home. Growth and feeding data were extracted from a prospective data registry for 18 months before and after the intervention. The intervention consisted of earlier routine bovine-derived multi-component fortification once the infant has reached 120ml/kg/day of enteral feed from the first day of life and an exclusive human milk diet with routine bovine-derived multi-component fortification of 120 mL/kg/day. RESULTS: After the intervention, growth velocity between birth and 28 days increased from 9.7 ± 4.1 to 12.2 ± 4.6 g/kg/day (mean ± standard deviation), and weight z score change decreased from -1.06 ± 0.56 to -0.76 ± 0.59 (P < 0.00002). For the entire group, growth velocity by the discharge home time point increased by 1 g/kg/day. However, the growth velocity of infants who were discharged on an exclusive human milk diet increased the most, from 10.8 ± 2.2 to 13.0 ± 2.8 g/kg/day (P < 0.00001), eliminating the difference seen between these infants and those discharged on infant formula before the intervention. CONCLUSION: The introduction of a simple nutritional package improved weight gain, particularly in infants fed exclusive human milk at discharge. SN - 1440-1754 UR - https://www.unboundmedicine.com/medline/citation/31774596/Improved_growth_of_extremely_and_very_preterm_babies:_Evaluation_of_a_quality-of-care_initiative L2 - https://doi.org/10.1111/jpc.14662 DB - PRIME DP - Unbound Medicine ER -
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