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ORIGINAL ARTICLE
Korean J Pediatr 2005 July;48(7) :711-715.
The Effects of Early Enteral Feeding in Extremely Low Birth-Weight Infants
Ga Won Jeon (Jeon GW), Sung Eun Park (Park SE), Chang Won Choi (Choi CW), Jong Hee Hwang (Hwang JH), Yun Sil Chang (Chang YS), Won Soon Park (Park WS)
Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Corresponding Author: Won Soon Park ,Email: wspark@smc.samsung.co.kr
Copyright © 2005 by The Korean Pediatric Society
ABSTRACT
Purpose : With the recent improved survival of extremely low birth weight infants(ELBWI), enteral feeding has become a major issue. This study investigates the effects of early enteral feeding in ELBWI on their morbidity, duration of hospitalization, and mortality. Methods : ELBWI admitted to the neonatal intensive care unit at Samsung Medical Center from November 1994 to April 2004 who survived more than 14 days were enrolled. ELBWI were divided into two groups : an early feeding group(EF), in which enteral feeding was started within 3 days after birth; and a late feeding group(LF), in which enteral feeding was started beyond 3 days after birth. 80 ELBWI came under EF, and 131 ELBWI under LF. Results : Birth weight and gestational age did not differ between the two groups. In EF, the time to achieve full enteral feeding and the duration of parenteral nutrition were significantly shorter than in LF. The incidence of bronchopulmonary dysplasia was significantly lower in EF, but the incidences of sepsis, necrotizing enterocolitis, and cholestasis were not different between the two groups. There was no difference in the survival rate between the two groups, but the duration of hospitalization was significantly shorter in EF. Conclusion : Early enteral feeding in ELBWI did not increase the incidence of necrotizing enterocolitis and sepsis, but rather decreased the incidence of bronchopulmonary dysplasia and shortened the duration of hospitalization.
Keywords: Early enteral feeding | Extremely low birth weight infant | Trophic feeding
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