Nutrition & Feeding

Hi all: There was some recommendation from AAP regarding fortifying the formula or breast milk in VLBW for 6-9 month or until the infant get into acceptable growth chart lines. As far as I k ow, many VLBW don't have a catch up growth may be until somewhere between 1-2 years. Of course even worse with the sick infants , SGA or IUGR. My questions are: What is your routine practice in discharging VLBW on fortified formula or BM. How do you recommend continuing that? Do their pediatricians follow the recommendation? How would you decide the fortification strength and length? Studies ? How do you guarantee that the nursing mother will continue pumping and fortifying the m…

Hi All I would like to know if you use MCT oils in VLBW infants. If, yes what are your protocols. Personally I am not a big fan of MCT oils and would use it only if I am not achieving enough weight despite EBM feeds of 200 ml/kg/day fortified with HMF and all investigations normal. Hope the New Year brings the best for you Dr K P Sanghvi Neonatologist Mumbai India

hi why should we stop enteral feeding in septic babies? what are the actual contraindications?! can you attach any article or link a useful website THANKS

There is a nice online resource to find the safety of maternal medications during breastfeeding. http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT

Dear colleagues, I am writing in the hope that you may be willing to help me with some research I am currently doing. I am a nurse based at the Tartu University Hospital, Estonia. Working within the Clinic of Anaesthesia and Intensive Care, Neonatal and Paediatric Intensive Care Unit. The research is looking into the potential issues associated with Transmission of bacterial infection via breast milk to neonates (gestational age 22-32 weeks), leading to sepsis via GI tract. I will be reporting my findings to an internal committee in order to shape our practice. Could you provide me any information or your practical experience in relation to the following,…

Hi , my friends I need a paper or PPT about breast feeding & growth & development. would you please send me it . with thanks, Jahanshahifard

Hi to all!!! Does anyone have experience with the use of LIPIDEM in parenteral nutriton? We started few months ago and the preliminary results are terrific!!!! No hypertrigliceridemia, rapid decrease of AST/ALT/GGT and bilirubin in a premie with parenteral colestasys. But only few cases...

Dear Stefan, Will it be possible for you to upload the " Swedish National Recommendation regarding handling of breast milk in neonatal care units" -once you mentioned in a reply thread in this forum. It could be of great help. Love. Roy.

What is the maximum TPN osmolarity for central line for preterm infants and please can you send the references. Thanks, Essa Al-awad

http://t3.gstatic.com/images?q=tbn:ANd9GcRFDeop5qk_m3eri5H0hS9dtwNXpfGDHq9kT3oGLEk7SqMhqHCM This is the official symbol of WBFW !!! Roy.