Nutrition & Feeding

Dear Stefan, I really feel from the core of my heart that we need a separate forum [inside the General Neonatal Care Section] called "Breast Feeding". Eager to hear your valuable opinion. The following link I would have liked to post there instead of "nutrition" I guess. http://global-breastfeeding.org/ May be it could be a fountainhead! Love. Roy.

Hello everyone. I am writing to ask if anyone has experience with handling maldextrin as a nutritional supplement for preterm infants. Sincerely, Fernando Agama C. Unidad de Neonatología Hospital "Dr. Enrique Garcés" Quito-Ecuador

http://www.bfmed.org/Resources/Protocols.aspx

Dear all can you pls share with me milk preparation and milk storage practices in your hospitals and if you have evidence based ones. thanks.

Hi Everyone, In the North-west of England, we are trying to standardise guidelines within a clinical network (3 x level 3 units + supporting L1+ L2 units). Some units prefer a closed system for OGT for babies on Ncpap whilst others prefer to leave the gastric tube open, attached to a short extension tube and syring thus allowing reflux of feed into the syringe between hourly bolus feeds. However, as we all know, this could present significant risk of aspiration if the tube becomes dislodged. I'd be interested to know what is your practice and the rationale behind your choice and particularly if you can direct me to evidence as I've sourced just about every database I ha…

Hi I would like to discuss about the type of artificial enteral feedings (which formula) used in preterm < 1500 grs of weight. here at our unit, when there is not maternal milk, we begun with hypoallergenic formula and we convert it slightly to preterm formula when a total apport of enteral feeding of 150 ml/kg/day is achieved. is that a good thing? Thanks AMMAR KHALDI CHILDREN'S HOSPITAL OF TUNIS, TUNISIA

is it always necessary to have a central line for parenteral nutrition in newborns?

Hello, we are reorganizing our unit protocol TPN. We currently use lipids in form of LCT (Intralipid 20%) Preparations might warrant change to lipids in form LCT/MCT (Lipofundina) ? Thank you Javier Casanovas MD Sevilla Spain

Do you ever draw feeding syringes for multiple children from a single bottle of donated breast milk or are all donated bottles assigned to one specific child? If they are assigned, are the bottles received for a specific child (assigned at reception/prior to reception) or are they received into a general pool of milk and then assigned to a child at a later time? Are there ever situations in which a child is not allowed to receive donor milk? How common is the use of donated breast milk?

hi all I would like to know which maximal concentration (%)of aminoplasmal or AA in peripheral line,in case of premature for ex 2000 g. Thank.