Nutrition & Feeding

For a multi-centre multi-country RCT on formula feeding for healthy term-born neonates (at risk for obesity), we are looking for researchers in Europe who have access to both PeaPod AND BodPod (Air Displacement Plethysmography (ADP)) in their institution. If you do have a PeaPod AND BodPod available, please contact us for potential participation in our trial! Thanks! Best wishes, Jacqueline Muts and Chris van den Akker (also on behalf of Hans van Goudoever) j.muts@amsterdamumc.nl and/or c.h.vandenakker@amsterdamumc.nl

I'm curious what preterm (or infant) growth charts are in typical use in your part of the world? I'm a neonatologist in the U.S. and my personal observation is that local U.S. East coast practice seems to use primarily the Fenton 2013 and Olsen 2010 intrauterine growth charts as targets for extrauterine growth. (For infants and children, it's a mixture of WHO and U.S. CDC charts.) I maintain a set of freely accessible web-based growth chart calculators (PediTools) which have been generally popular (~600,000+ page views per month) but have noticed that my primary traffic is from North America. This leads me to wonder whether other parts of the world use diff…

Hi guys, good afternoon! Today, at Twitter, Nick Embleton brought a discussion about tongue-tie (TT) and breastfeeding (BF). I've been thinking about it for some time now, since I'm very worried about overdiagnose of Ankyloglossia here, in Brazil. I'd like to know what's the tongue tie policie at your facilitys. 1) do you evaluate every baby for TT or just those who have dificult in BF? A: in Brazil, TT evaluation is one of the mandatory triage before discharge from the "well baby nursery" 2) who performes the evaluation? A: in my hospital, both the pediatrician and the speech therapist (ST). Usually, ST's evaluation finds higher incidence of Anky…

Hi! I'd like to know what is your experience in enteral feeding advance in preterm with IUGR or centralization? It's well known that a faster incremention in enteral volumes provides faster achievement of full volume without worst outcomes (https://www.nejm.org/doi/full/10.1056/NEJMoa1816654). But, in preterm with IUGR it's very frequent feeding intolerance, even with MOM or DM. Do you use a diferent strategy? Thank you for your attention!

May I ask whether anyone has experience with a prolonged hanging time of a parenteral nutrition (PN) bag (incl lipids) of up to 48h? We are probably changing our PN regimen into an all-in-one bag. Since the bag contains >400 mL, it would suffice for most premature infants for 2 days. One strategy could thus be to prolong hang time from 24h to 48h to cut PN costs by half. A recent Australian study (attached) also suggests this would be a feasible approach: https://www.ncbi.nlm.nih.gov/pubmed/23320598 Since our pharmacy will do all additions to the bag in an aseptic environment, including connection and filling the line, I think it could be an attr…

Good morning to all. For many years, when a term or preterm neonate was admitted in a hemodynamically unstable state to the hospital where I did my fellowship, these neonates were generally managed with intravenous fluids that included dextrose, sodium, potassium and calcium exclusively before deciding to start the enteral route with MEF or administer TPN (this due to lack of the unit). My question is, in this case of hemodynamically unstable patients, and because they may present systemic arterial hypotension and variations in central glycemic levels, would the use of total parenteral nutrition be recommended? That is, how to deal with these variations in blood pressure.…

Hi everybody how are you Lately we are seeing an increase in neonatal Cholestasis associated to parenteral nutrition, they could help me with some strategy to prevent it. thank you the population are patients under 1000gs who for sepsis, nec, dap remain with npt for more than 10 days what strategy in the npt assembly with respect to lipid glucose proteins can prevent cholestasis, and even during cholestasis that npt could use

For babies, less than 1.5 kg, how often nurses in you NICU check for gastric residual? And if there is some gastric residual, then do nurses discard it OR push it back and give additional feeding? How you make decision to advance feeding based on amount of gastric residual, provided patient is otherwise doing well? Are these decisions based on evidence or personal preferences?

how can we estimate and subtract breastfeeding volume in a newborn taking intravenous fluid ?

I feel so curious about pre and probiotics in infants specially preterm...I have been reading in this topic for 2 years its known and applied in my home country Egypt...but not so common in country I work now KSA.. @Stefan Johansson 👋 wishing to know more 😊