The Effect of Early Enteral Trophic Feeding within 24 Hours after Birth in Extremely Low Birth Weight Infants of 26 Weeks and Less, and Birth Weight below 1,000 g.

Lee,  Hyun Young; Lee,  Ga Yeun; Kim,  Myo Jing; Jeon,  Ga Won; Shim,  Jae Won; Chang,  Yun Sil; Park,  Won Soon

Original Article

Journal of the Korean Society of Neonatology 2007;14(1):59-65.
Published online May 1, 2007.

The Effect of Early Enteral Trophic Feeding within 24 Hours after Birth in Extremely Low Birth Weight Infants of 26 Weeks and Less, and Birth Weight below 1,000 g.

Hyun Young Lee, Ga Yeun Lee, Myo Jing Kim, Ga Won Jeon, Jae Won Shim, Yun Sil Chang, Won Soon Park

¹Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. yschang@smc.samsung.co.kr
²Department of Pediatrics, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

재태연령 26주 이하, 출생체중 1,000 g 미만인 초미숙아에서 출생 당일 시행한 조기 장관영양의 효과

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Abstract

PURPOSE
To investigate the effect of early enteral trophic feeding within 24 hours after birth compared with being started within 7 days after birth in extremely low birth weight infants (ELBWIs).
METHODS
We retrospectively analyzed the medical records of all ELBWIs with gestational age of 26 weeks and less, and birth weight below 1,000 g, admitted within 24 hours after birth to neonatal intensive care unit of Samsung Medical Center from January 2000 to June 2006 who were alive at the time of discharge. Data for nutritional status and morbidities were compared between Era 1 (n=76), in which early enteral trophic feeding was started within 7 days after birth and Era 2 (n=46), started within 24 hours after birth.
RESULTS
Compared to era 1, despite that gestational age and enteral feeding strarting time of ELBWIs was significantly earlier (25(+4)+/-0(+6) vs. 24(+6)+/-1(+5) weeks, 4.5+/-5.1 vs. 0.7+/-1.3 days), the time to achieve full enteral feeding was significantly shorter, and the weight gain at corrected age of 36 weeks was significantly higher in era 2. Also the incidence of early and total confirmed sepsis, total parenteral nutrition induced cholestasis, was lower and the duration of hospitalization was significantly shorter in era 2 compared to era 1, without differences in the incidence of NEC, moderate to severe BPD, and severe IVH (> or =Gr III) between two eras.
CONCLUSION
Early enteral trophic feeding in ELBWI within 24 hours after birth was safe and beneficial.

Key Words: Extremely low birth weight infants; Early enteral trophic feeding