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

Hi there,

I think basically if any infant is hemodynamically unstable, he may have unstable end organ perfusion and fullfeeds may hurt more than benifit the infant..once the infant is a bit stable(which is usually acheivable within 3-4 days), trophic feeds, at least, should be started for a few days or 10-15 cc/kg may be continued for few days before increasig the amount wisley.

I have hard time to believe that leaving the infant a week or 10 days NPO is a good thing !! ofcourse as long as we are not dealing with NEC or some other GI issues.

I wish if I had more recent articles to support my argument but I'm currently at my house not in the hspital to use pubmed or others.

but here are some articles that I could find:

Journal of Perinatology (2005) 25, S7–S11. doi:10.1038/sj.jp.7211309

you can look at the references at the end of this article and use them.

here's another one:

Arch Dis Child Fetal Neonatal Ed 2000;82:F29-F33 doi:10.1136/fn.82.1.F29

THANKS A LOT

I completely agree with @feraszaman. I'm on the subway (!) but can share our practise, ie enteral feeds as tolerated.

We aim For at least minimal enteral feeding with nec being on of few exceptions

I agree with the viewers. I guess if there is.no gut hypoperfusion or stasis due to.sepsis. Then we may start on with feeds.preferably expressed breast milk

We continue to feed if the baby tolerates it.