Acquisition of full enteral feeds may depend on stooling pattern in very premature infants
The objective of this study was to determine whether acquisition of normal stooling pattern is associated with full enteral feeding and growth. This is a prospective observational study of infants with a gestational age of
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| Veröffentlicht in: | Journal of perinatal medicine 2012-06, Vol.40 (4), p.427-431 |
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| container_issue | 4 |
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| container_title | Journal of perinatal medicine |
| container_volume | 40 |
| creator | de Pipaón Marcos, Miguel Sáenz Bueno, Ma Teresa Montes SanJosé, Belén Torralba, Esmeralda Gil, Milagros Parada, Isabel Amo, Pilar |
| description | The objective of this study was to determine whether acquisition of normal stooling pattern is associated with full enteral feeding and growth.
This is a prospective observational study of infants with a gestational age of |
| doi_str_mv | 10.1515/jpm-2011-0227 |
| format | Article |
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This is a prospective observational study of infants with a gestational age of <28 weeks (n=121). All infants admitted to our unit during the study period were managed using the same protocol for rectal stimulation and enemas: we used rectal stimulation if abdominal distension and no defecation occurred in the previous 24 h; enema administration was practiced if abdominal distension persists and no defecation had occurred after rectal stimulation. Age of normal bowel habit (T-NBH) is defined as days when two stools passed each day without enemas or stimulation for three consecutive days. Full enteral feeding is measured by time to receive 120 mL/kg/day (T-120). Multivariable linear regression estimated the contribution of T-NBH on T-120 and the effect of tolerance on growth.
T-NBH was 16 days (12, 24 days) and T-120 was 16 days (12, 24 days). T-120 decreased with earlier normal bowel habit (r=0.625, P<0.0001). Change in weight z-score between 36 weeks postmenstrual age and birth was less pronounced with earlier full enteral feeding (r=–0.446, P<0.0001).
Normalization of bowel habit is an important determinant of full enteral feeding of very immature infants. Earlier full enteral feeding is associated with less postnatal growth failure.</description><identifier>ISSN: 0300-5577</identifier><identifier>EISSN: 1619-3997</identifier><identifier>DOI: 10.1515/jpm-2011-0227</identifier><identifier>PMID: 22752775</identifier><identifier>CODEN: JPEMAO</identifier><language>eng</language><publisher>Berlin: Walter de Gruyter</publisher><subject>Biological and medical sciences ; Defecation - physiology ; Delivery. Postpartum. Lactation ; Enteral Nutrition ; Female ; Gastrointestinal tract ; Gastrointestinal Tract - growth & development ; Gastrointestinal Tract - physiology ; Gastrointestinal Transit - physiology ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Newborn ; Infant, Premature - growth & development ; Infant, Premature - physiology ; Male ; Medical sciences ; Metabolic diseases ; nutrition – growth ; Physical Stimulation ; Prospective Studies ; Rectum</subject><ispartof>Journal of perinatal medicine, 2012-06, Vol.40 (4), p.427-431</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-707c24a787524482f78c3dd7742528cef8089e78731fe416ae17196a71cdf7d93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.degruyter.com/document/doi/10.1515/jpm-2011-0227/pdf$$EPDF$$P50$$Gwalterdegruyter$$H</linktopdf><linktohtml>$$Uhttps://www.degruyter.com/document/doi/10.1515/jpm-2011-0227/html$$EHTML$$P50$$Gwalterdegruyter$$H</linktohtml><link.rule.ids>315,781,785,27926,27927,66756,68540</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26419977$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22752775$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Pipaón Marcos, Miguel Sáenz</creatorcontrib><creatorcontrib>Bueno, Ma Teresa Montes</creatorcontrib><creatorcontrib>SanJosé, Belén</creatorcontrib><creatorcontrib>Torralba, Esmeralda</creatorcontrib><creatorcontrib>Gil, Milagros</creatorcontrib><creatorcontrib>Parada, Isabel</creatorcontrib><creatorcontrib>Amo, Pilar</creatorcontrib><title>Acquisition of full enteral feeds may depend on stooling pattern in very premature infants</title><title>Journal of perinatal medicine</title><addtitle>J Perinat Med</addtitle><description>The objective of this study was to determine whether acquisition of normal stooling pattern is associated with full enteral feeding and growth.
This is a prospective observational study of infants with a gestational age of <28 weeks (n=121). All infants admitted to our unit during the study period were managed using the same protocol for rectal stimulation and enemas: we used rectal stimulation if abdominal distension and no defecation occurred in the previous 24 h; enema administration was practiced if abdominal distension persists and no defecation had occurred after rectal stimulation. Age of normal bowel habit (T-NBH) is defined as days when two stools passed each day without enemas or stimulation for three consecutive days. Full enteral feeding is measured by time to receive 120 mL/kg/day (T-120). Multivariable linear regression estimated the contribution of T-NBH on T-120 and the effect of tolerance on growth.
T-NBH was 16 days (12, 24 days) and T-120 was 16 days (12, 24 days). T-120 decreased with earlier normal bowel habit (r=0.625, P<0.0001). Change in weight z-score between 36 weeks postmenstrual age and birth was less pronounced with earlier full enteral feeding (r=–0.446, P<0.0001).
Normalization of bowel habit is an important determinant of full enteral feeding of very immature infants. Earlier full enteral feeding is associated with less postnatal growth failure.</description><subject>Biological and medical sciences</subject><subject>Defecation - physiology</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Enteral Nutrition</subject><subject>Female</subject><subject>Gastrointestinal tract</subject><subject>Gastrointestinal Tract - growth & development</subject><subject>Gastrointestinal Tract - physiology</subject><subject>Gastrointestinal Transit - physiology</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature - growth & development</subject><subject>Infant, Premature - physiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>nutrition – growth</subject><subject>Physical Stimulation</subject><subject>Prospective Studies</subject><subject>Rectum</subject><issn>0300-5577</issn><issn>1619-3997</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0b9LxDAUwPEgip4_RlfJIrhUkzS51-Ik4i8QXHRxKTF5kR5pWpNWuf_eHHfq4tSQfHg8viXkmLNzrri6WAxdIRjnBRMCtsiMz3ldlHUN22TGSsYKpQD2yH5KC8a4Ukrskr1MlQBQM_J6ZT6mNrVj2wfaO-om7ymGEaP21CHaRDu9pBYHDJZmk8a-9214p4Meswq0DfQT45IOETs9ThHzjdNhTIdkx2mf8GjzPSAvtzfP1_fF49Pdw_XVY2FKUGMBDIyQGqq8kpSVcFCZ0loAKZSoDLqKVTXm55I7lHyukQOv5xq4sQ5sXR6Qs_XcIfYfE6ax6dpk0HsdsJ9Sw5koRS0Vg0yLNTWxTymia4bYdjouM2pWOZucs1nlbFY5sz_ZjJ7eOrS_-qdfBqcboJPR3kUdTJv-3Fzy_CtWgy7X7kv7XM3ie5yW-dAs-imGXOf_BSSTMq_xDWemkK4</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>de Pipaón Marcos, Miguel Sáenz</creator><creator>Bueno, Ma Teresa Montes</creator><creator>SanJosé, Belén</creator><creator>Torralba, Esmeralda</creator><creator>Gil, Milagros</creator><creator>Parada, Isabel</creator><creator>Amo, Pilar</creator><general>Walter de Gruyter</general><general>De Gruyter</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120601</creationdate><title>Acquisition of full enteral feeds may depend on stooling pattern in very premature infants</title><author>de Pipaón Marcos, Miguel Sáenz ; Bueno, Ma Teresa Montes ; SanJosé, Belén ; Torralba, Esmeralda ; Gil, Milagros ; Parada, Isabel ; Amo, Pilar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-707c24a787524482f78c3dd7742528cef8089e78731fe416ae17196a71cdf7d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Biological and medical sciences</topic><topic>Defecation - physiology</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Enteral Nutrition</topic><topic>Female</topic><topic>Gastrointestinal tract</topic><topic>Gastrointestinal Tract - growth & development</topic><topic>Gastrointestinal Tract - physiology</topic><topic>Gastrointestinal Transit - physiology</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature - growth & development</topic><topic>Infant, Premature - physiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>nutrition – growth</topic><topic>Physical Stimulation</topic><topic>Prospective Studies</topic><topic>Rectum</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Pipaón Marcos, Miguel Sáenz</creatorcontrib><creatorcontrib>Bueno, Ma Teresa Montes</creatorcontrib><creatorcontrib>SanJosé, Belén</creatorcontrib><creatorcontrib>Torralba, Esmeralda</creatorcontrib><creatorcontrib>Gil, Milagros</creatorcontrib><creatorcontrib>Parada, Isabel</creatorcontrib><creatorcontrib>Amo, Pilar</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of perinatal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Pipaón Marcos, Miguel Sáenz</au><au>Bueno, Ma Teresa Montes</au><au>SanJosé, Belén</au><au>Torralba, Esmeralda</au><au>Gil, Milagros</au><au>Parada, Isabel</au><au>Amo, Pilar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acquisition of full enteral feeds may depend on stooling pattern in very premature infants</atitle><jtitle>Journal of perinatal medicine</jtitle><addtitle>J Perinat Med</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>40</volume><issue>4</issue><spage>427</spage><epage>431</epage><pages>427-431</pages><issn>0300-5577</issn><eissn>1619-3997</eissn><coden>JPEMAO</coden><abstract>The objective of this study was to determine whether acquisition of normal stooling pattern is associated with full enteral feeding and growth.
This is a prospective observational study of infants with a gestational age of <28 weeks (n=121). All infants admitted to our unit during the study period were managed using the same protocol for rectal stimulation and enemas: we used rectal stimulation if abdominal distension and no defecation occurred in the previous 24 h; enema administration was practiced if abdominal distension persists and no defecation had occurred after rectal stimulation. Age of normal bowel habit (T-NBH) is defined as days when two stools passed each day without enemas or stimulation for three consecutive days. Full enteral feeding is measured by time to receive 120 mL/kg/day (T-120). Multivariable linear regression estimated the contribution of T-NBH on T-120 and the effect of tolerance on growth.
T-NBH was 16 days (12, 24 days) and T-120 was 16 days (12, 24 days). T-120 decreased with earlier normal bowel habit (r=0.625, P<0.0001). Change in weight z-score between 36 weeks postmenstrual age and birth was less pronounced with earlier full enteral feeding (r=–0.446, P<0.0001).
Normalization of bowel habit is an important determinant of full enteral feeding of very immature infants. Earlier full enteral feeding is associated with less postnatal growth failure.</abstract><cop>Berlin</cop><pub>Walter de Gruyter</pub><pmid>22752775</pmid><doi>10.1515/jpm-2011-0227</doi><tpages>5</tpages></addata></record> |
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| subjects | Biological and medical sciences Defecation - physiology Delivery. Postpartum. Lactation Enteral Nutrition Female Gastrointestinal tract Gastrointestinal Tract - growth & development Gastrointestinal Tract - physiology Gastrointestinal Transit - physiology Gestational Age Gynecology. Andrology. Obstetrics Humans Infant, Newborn Infant, Premature - growth & development Infant, Premature - physiology Male Medical sciences Metabolic diseases nutrition – growth Physical Stimulation Prospective Studies Rectum |
| title | Acquisition of full enteral feeds may depend on stooling pattern in very premature infants |
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