Breaking News
December 9, 2018 - Deprescribing could help manage polypharmacy in older adults
December 9, 2018 - FDA Warns of Rare Stroke Risk With MS Drug Lemtrada (Alemtuzumab)
December 9, 2018 - Feds say heroin, fentanyl remain biggest drug threat to US
December 9, 2018 - Eliminating microglia can reverse some aspects of stress sensitization, study shows
December 9, 2018 - New genetic insight could help treat rare debilitating heart and lung condition
December 9, 2018 - MiRagen Therapeutics Announces Final Safety, Biodistribution and Clinical Efficacy Data From Phase 1 Cobomarsen Clinical Trial in Patients With Mycosis Fungoides
December 9, 2018 - Work with your doctor to weigh pros, cons of treatment options for hyperthyroidism
December 9, 2018 - CWRU researcher secures $14.6 million funding for genetic study into Alzheimer’s disease
December 9, 2018 - High intensity statin treatment and adherence could save more lives
December 9, 2018 - Surgery patients use only 1/4 of prescribed opioids, and prescription size matters
December 9, 2018 - AXT offers Phi Optics upgrade to QPI systems for inverted light microscopes
December 9, 2018 - New booklet could help improve conditions of young pupils with albinism
December 9, 2018 - Few Physicians Work in Practices That Use Telemedicine
December 9, 2018 - Older Adults and Oral Health
December 9, 2018 - Health utility values improve after septorhinoplasty
December 9, 2018 - New EU-funded project provides insight into how the brain develops
December 9, 2018 - Expanded use of tele-emergency services can help strengthen rural hospitals
December 9, 2018 - Infections in the Young May Be Tied to Risk for Mental Illness: Study
December 9, 2018 - Profile: Native Hawaiians and Pacific Islanders
December 9, 2018 - Snoring poses greater cardiac risk to women
December 9, 2018 - Researcher takes further steps in understanding how and why cute aggression occurs
December 9, 2018 - Researchers create new light-activated tools for controlling neurons
December 9, 2018 - Spinal cord injury disrupts the body’s internal clock, study shows
December 9, 2018 - Babies recognize nested structures similar to our grammar
December 9, 2018 - UT Austin researcher receives $2.5 million CZI grant for neurodegenerative disease research
December 9, 2018 - Sleep problems found to be prevalent and increasing among college students
December 9, 2018 - Study reveals why some children are susceptible to the effects of maltreatment
December 9, 2018 - Study investigates influence of different opioids on driving performance
December 9, 2018 - Jazz Pharmaceuticals Announces First Patient Enrolled in Phase 3 Clinical Trial Evaluating JZP-258 for the Treatment of Idiopathic Hypersomnia
December 9, 2018 - Eliminating microglia prevents heightened immune sensitivity after stress
December 9, 2018 - Boys with social difficulties are at greatest risk of early substance use
December 9, 2018 - ‘Wrong’ connective tissue cells linked to worse prognosis in breast cancer patients
December 8, 2018 - Chronic, refractory schizophrenia patients benefit from targeted cognitive training
December 8, 2018 - Advertising in kids’ apps more prevalent than parents may realize
December 8, 2018 - New way to trace the transmission histories of rare genetic diseases
December 8, 2018 - ASH: A+CHP Bests CHOP for Peripheral T-Cell Lymphoma
December 8, 2018 - Results of pediatric genomic epilepsy tests often reclassified
December 8, 2018 - New way of controlling HIV latency to completely eradicate the virus
December 8, 2018 - Phasefocus to showcase the Livecyte 2 at ASCB
December 8, 2018 - KHN’s ‘What the Health?’ Is health spending the next big political issue?
December 8, 2018 - Mussels take in microplastic pollution fibers and flush most of them out again
December 8, 2018 - AHA: How to Stop Smoking … for Good
December 8, 2018 - Scientists overturn odds to make Parkinson’s discovery
December 8, 2018 - Health benefits of producing marula vinegar
December 8, 2018 - Failure of critical cellular energy sensor responsible for CKD progression, study finds
December 8, 2018 - Ethnicity can be reliable indicator of gut microbiota diversity
December 8, 2018 - Safe Sleep for Baby | NIH News in Health
December 8, 2018 - Study looks at ways technology can support nutritional needs of Parkinson’s patients
December 8, 2018 - Infant milk allergy is being overdiagnosed say experts
December 8, 2018 - Graphene may one day be used to test for ALS
December 8, 2018 - Houston Methodist launches real-time website to track flu cases
December 8, 2018 - RedHill Announces Positive Top-Line Results from Confirmatory Phase 3 Study with Talicia for H. pylori Infection
December 8, 2018 - A way to measure obesity and health beyond BMI
December 8, 2018 - New diagnostic tools may help identify breast cancer patients who could benefit from targeted therapies
December 8, 2018 - Duke-NUS researchers highlight possible role of bioaerosol sampling in pandemic surveillance
December 8, 2018 - Study quantifies links between alcohol, drug use and violent deaths
December 8, 2018 - Mothers’ stress levels at conception linked to child’s response to life challenges at age 11
December 8, 2018 - MIT researchers develop antimicrobial peptides from South American wasp’s venom
December 8, 2018 - Obesity prevention among low-income, diverse preschool-aged children and parents
December 8, 2018 - Mount Sinai researcher awarded $2.5 million to advance understanding of neurodegenerative diseases
December 8, 2018 - CZI announces funding for open-source software efforts to improve image analysis in biomedicine
December 8, 2018 - New book encompasses the vast history of reproduction
December 8, 2018 - Low-income women in Texas are not receiving contraception after childbirth, study shows
December 8, 2018 - Study expands knowledge about sexuality and gender gaps in political attitudes
December 8, 2018 - Drug reduces hot flash frequency, improves quality of life in breast cancer survivors
December 8, 2018 - Imaging, Biopsy Often Still Needed After Mastectomy
December 8, 2018 - Physical Activity Guidelines for Americans: 2nd edition
December 8, 2018 - Machine learning can improve chemical toxicity prediction
December 8, 2018 - Researchers explore why and how Mediterranean diet may mitigate cardiovascular risk
December 8, 2018 - Multigene test is a helpful decision making tool in breast cancer treatment, study shows
December 8, 2018 - New EZ-2 centrifugal evaporator to safely remove solvents from cytotoxic drug preparations
December 8, 2018 - UMGCCC uses Gammapod radiotherapy to treat breast cancer patients
December 8, 2018 - Men with inflammatory bowel disease have higher prostate cancer risk
December 8, 2018 - Newly developed molecules may provide more reliable relief for people with autoimmune diseases
December 8, 2018 - Exercise program during adjuvant breast cancer treatment may provide cardiovascular benefits
December 8, 2018 - Acutely injured deceased-donor kidneys are suitable for transplant, study suggests
December 8, 2018 - Researchers find two connective tissue cells to be linked to worse prognosis of breast cancer
December 8, 2018 - VCU researchers test vaccine against opioid abuse
December 8, 2018 - An App, Your Fingernail — and Anemia Screening Is Done
December 8, 2018 - New study offers hope for patients suffering from a rare form of blindness
How to feed the smallest preemies: A new guide is available

How to feed the smallest preemies: A new guide is available

image_pdfDownload PDFimage_print

Feeding the tiniest, most vulnerable human beings takes patience and know-how. The smallest premature babies arrive before they’re ready to suckle, with dangerously immature digestive systems. They’re vulnerable to necrotizing enterocolitis, in which intestinal tissue dies and must be surgically removed.

But there’s more to neonatology than avoiding the most severe complications, as two Stanford experts recently explained to me. Their work on an updated toolkit for the California Perinatal Quality Care Collaborative, released in September, will help spread the latest research on preemie nutrition to doctors around the world.

The new toolkit gives guidance for medical caregivers on nutrition for very-low-birth-weight babies, those born weighing less than 1,500 grams (3.3 pounds) and reflects advances published since the last version came out in 2008. The toolkit is free online.

“We now have compelling data that correlates optimal growth with optimal neurodevelopment,” said William Rhine, MD, a neonatologist with Lucile Packard Children’s Hospital Stanford and a co-author of the toolkit. “It’s clear that if we want the best long-term developmental outcomes for these babies, we have to focus on nutrition in the first weeks and months of life.”

“Any way we can make the baby grow more appropriately and do well will also minimize their risk for other bad things to happen, including necrotizing enterocolitis,” said toolkit co-author Olivia Mayer, a registered dietitian who works in the neonatal intensive care unit at Packard Children’s. “Both the baby and the family will benefit.”

The importance of consuming pumped breast milk is better understood now, Mayer said. The benefits include decreased risk of infection, fewer illnesses in the first year of life and lower risk for several other medical problems in the long run.

Recent trials have also shown that these babies benefit from a planned approach to introducing nutrition, preferably their mother’s own milk, into the stomach. NICUs should use a step-wise progression based on birth weight, feeding a small amount over the first few days to get the baby’s gut used to food and then gradually increasing the amount fed over the next seven to 10 days, with a gradual decrease in intravenous nutrition at the same time, Rhine explained.

The alternative to this phased-in feeding method is having each doctor who rotates in and out of the NICU decide what to do day-by-day. But that is much harder on babies. “You don’t want eight doctors to have eight different approaches,” Rhine said.

Mayer will be part of a Packard Children’s team joining several California NICUs that will rely on the updated toolkit to identify further possible improvements in how they feed their patients. Participating NICUs will get data on their own performance and be able to see how they measure up to other hospitals. It’s an approach that the CPQCC has already used to improve several other areas of preemie care.

“We can share [techniques] and ask ‘What are you doing differently?’” said Mayer. “We owe it to these babies to help them have the best growth and outcomes possible.”

Photo by Don Harder

Tagged with:

About author

Related Articles