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Cohen RS, Mayer O, Fogleman AD. Managing the Human-Milk-Fed, Preterm, VLBW Infant at NICU Discharge. ACTA ACUST UNITED AC 2015. [DOI: 10.1177/1941406415590684] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Feeding prematurely born infants after their stay in the neonatal intensive care unit (NICU) remains problematic. Growth in the NICU is almost always well below the intrauterine rate, and extrauterine growth restriction is common. Breastfeeding is difficult in the NICU, and human milk alone may not always provide adequate protein or minerals for optimal growth. At the time of NICU discharge, a regimen is needed that is supportive of both ongoing lactation and optimal nutrition. However, there is no one regimen that suits all babies and families. We propose a simplified algorithm to help guide the clinical team in deciding what dietary regimen is best suited for their patients.
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Affiliation(s)
- Ronald S. Cohen
- Stanford University, Stanford, California (RSC)
- Lucile Packard Children’s Hospital Stanford, Palo Alto, California (OM)
- North Carolina State University, Raleigh, North Carolina (ADF)
| | - Olivia Mayer
- Stanford University, Stanford, California (RSC)
- Lucile Packard Children’s Hospital Stanford, Palo Alto, California (OM)
- North Carolina State University, Raleigh, North Carolina (ADF)
| | - April D. Fogleman
- Stanford University, Stanford, California (RSC)
- Lucile Packard Children’s Hospital Stanford, Palo Alto, California (OM)
- North Carolina State University, Raleigh, North Carolina (ADF)
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