Nutrition & Feeding

Is there any good quality evidence around probiotics and reduction or increase in infections in neonates?

Dear colleagues, I would love to read your thoughts on how you manage moderate/late preterm infants admitted in the NICU who do not have enough mother's milk. How do you feed them? Do you prefer to keep them on IV fluids/PN until MOM is available? Do you have unlimited donor milk to use for every baby? How is your level of concern about cow's milk allergy (CMA)? I work in a teaching hospital in South Brazil and I'm an enthusiast (aren't we all?) on improving breastfeeding rates in the NICU. How things work here: we have a limited resource of human donor milk, so we prioritize it to newborns under 32 weeks (when MOM is not available, of course). For babies older than that,…

Do you use mct oil in feeding premature babies?

What I would like neonatologists to know about the Norwegian RCT on Immediate SSC for Very Preterm Neonates A recent randomized clinical trial published in JAMA Network Open challenges assumptions about the neurodevelopmental impact of immediate skin-to-skin contact (SSC) for very preterm infants (28–31 weeks’ gestation). Conducted across three Norwegian neonatal units (2014–2020), the study compared 2 hours of SSC in the delivery room versus standard incubator care, following 108 stable preterm neonates until age 2–3 years. While the primary outcome—neurodevelopmental scores on the Bayley-III—showed no difference between groups, the trial confirmed SSC’s significant ben…

Is there any role of DHA supplements in preterm babies especially ELBW

When an ELBW neonate is on Amino acid infusion what is the upper limit of blood Urea that must be considered before stopping or reducing the amino acid infusion

This is an illustrative example of social inequalities - how breastfeeding rates vary by socioeconomic/-demographic factors in the UK. What do you think about it? My personal thoughts - the neonatal community need to be aware and take this into account when counseling etc, but (IMHO) this boils down political strategies how to overcome societal gaps (so a difficult perspective!) And (again IMHO), this is not UK-specific results, they are probably generalizable to most context (Sweden, for sure!) ADC Fetal & Neonatal EditionAssociation between maternal sociodemographic characteris...Objective To ascertain the sociodemographic and geographical determinants of exclusive …

I wanted to share a link to a short survey done by Sara Bjurman, a fellows I supervise. It only takes a few minutes to complete and the link is https://forms.office.com/e/0rbYem4Bwg Find the intro-info below:

I came across this paper about "colostrum-kits", that a structured way of informing mothers before risk deliveries about colostrum and how to express it, can shorten the time it takes to first colostrum feeding. (link below) Would be interesting to hear from you all if/how you do this in your NICUs. https://link.springer.com/epdf/10.1186/s13006-024-00682-5

Good time for all! Dear colleagues, we are talking about preterm, late preterm, early term babies, and it’s very important for everybody. But the babies with gestational age about 42+ weeks are without our attention. We observed two babies with serious hypoglycemia (0,1 mmol/l) with seizures at 3 days of life, which we explained by transient hyperinsulinism associated with post term age. Seizures rapidly stopped by intravenous glucose infusion without any complications. Intravenous glucose 10% 12-8- 6 mg/kg/min infusion was 3 h, oral 20% 2 ml/kg hourly 6 h, and didn’t use after 9 hours of start with normal glucose blood tests. Both babies were on breas…