scholarly journals Early full enteral feeding in very low birth weight babies on day one

2021 ◽  
Author(s):  
Revanasiddappa Bhosgi ◽  
Kirankumar Harwalkar
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Enteral Feeding ◽  
Very Low Birth Weight ◽  
Average Duration ◽  
Early Discharge ◽  
Early Improvement ◽  
Duration Of Stay ◽  
Low Birth Weight Babies

Background: Nutrition in very low birth weight babies is most important factor in early improvement of neonate. It also decides duration of stay in intensive care unit. Objectives of the current study were to initiate required full enteral feed at the earliest and to know the outcome of such neonates.Methods: It is a hospital based retrospective study conducted from October 2019 to December 2019 in Gulbarga institute of medical sciences, Kalaburagi. 40 clinically stable VLBW neonates on day 1 started on enteral feeding are included in the study. Babies with birth weight more than 1.5 kgs or less than 1 kg, hemodynamically unstable at start of feeds are excluded from the study. Collected data is analysed by SPSS 17.Results: Total 40 VLBW babies were included in the study. Among them, 28 neonates tolerated feeds, were improved & discharged early with an average duration of stay of 16days with early birth weight gain by 14 days. 10 neonates had feed intolerance with signs of Necrotizing enterocolitis during course of treatment, were improved and discharged with an average duration of stay of 22 days. Mortality was seen in 2 neonates due to associated sepsis.  Conclusions: Initiation of full enteral feeds in stable VLBW babies is effective mode for improvement, weight gain and early discharge from hospital.

scholarly journals Role of human milk fortifier on weight gain in very low birth weight babies

2018 ◽  
Vol 5 (2) ◽  
pp. 353
Author(s):  
Ganesh K. Verma ◽  
Amitesh Yadav
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Human Milk ◽  
Very Low Birth Weight ◽  
Postnatal Growth ◽  
Medical Sciences ◽  
Low Birth Weight Babies ◽  
Mean Time

Background: Poor weight gain and postnatal growth of VLBW neonates continues to be a major problem. Breast feeding with HMF fortification show positive effect on growth. Main objective is to study the weight gain pattern in very low birth weight babies supplemented with HMF.Methods: This is an observational study conducted in NICU, Department of Pediatrics, U.P. Rural Institute of Medical Sciences and research Saifai, India between January 2015- June 2016 for assessing the weight gain pattern in VLBW neonates supplemented with HMF.Results: Maximum number of babies supplemented with HMF achieved the targeted weight in 8-14 days (32.2%) followed by those who attained this weight within 15-21 days (30%), 22-28 days (21.1%), <7 days (13.3%) and >28 days (3.3%) respectively. Mean time taken to achieve the targeted weight was 16.69±7.19 days.Conclusions: We concluded that the supplementation with HMF, can result in a significant increase in growth. We demonstrated that fortification of human milk, with HMF did not cause any measured adverse effects in VLBW neonates. 

Prevalence and predictors of adverse outcomes in neonatal seizures

2021 ◽  
pp. 1-7
Author(s):  
K. Famra ◽  
P. Barta ◽  
A. Aggarwal ◽  
B.D. Banerjee
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Birth Asphyxia ◽  
Adverse Outcomes ◽  
Neonatal Seizures ◽  
Clinical Practices ◽  
Inborn Errors ◽  
Mortality And Morbidity ◽  
Low Birth Weight Babies

OBJECTIVES: Neonatal seizures are significant cause of neonatal mortality and morbidity. Current study was planned to study prevalence of adverse outcomes in neonatal seizures and identify its predictors. METHODS: This observational descriptive study was carried out on 220 neonates with seizures. Neonates who succumbed to illness/ death before investigations, or whose maternal records were incomplete were excluded. Blood sugar, serum calcium, serum electrolytes, and USG skull were done in all patients. CT scan, MRI and inborn errors of metabolism profile were done as and when indicated. Adverse outcomes were defined as death, phenobarbitone non responders, or abnormal examination at discharge. Antenatal, perinatal and neonatal predictors of adverse outcomes in neonatal seizures were evaluated. RESULTS: Out of 220 neonates with seizures 76(34.5%) had adverse outcomes. Very low birth weight babies (≤1500 gm) [OR 1.27(CI 0.57–2.84)], microcephaly [OR 5.93 (CI 0.55–64.41)], Apgar score≤3 at 5 minutes [OR 11.28(CI 14.18–30.45)], seizure onset within 24 hours [OR 5.99(CI 12.43–14.78)], meningitis [OR 2.63(CI 0.08–6.39)], septicemia [OR1.22(CI 0.45–3.31)] and abnormal cranial USG [OR 7.95(CI 12.61–24.22)] were significant predictors of adverse outcomes in neonates with seizures. CONCLUSION: Prematurity, very low birth weight, birth asphyxia, meningitis, septicemia and abnormal USG could predict adverse outcomes in neonatal seizures. Improved antenatal and neonatal clinical practices may help reduce adverse outcomes in these patients.

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