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首页> 外文期刊>Journal of paediatrics and child health >Nutritional management of moderate–late preterm infants: Survey of current practice
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Nutritional management of moderate–late preterm infants: Survey of current practice

机译：中度晚期早产儿的营养管理：目前的实践调查

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Aim Moderate–late preterm (MLPT) babies account for over 80% of preterm babies born world‐wide. Many MLPT babies require early nutritional support while full sucking feeds are established, but there is little evidence to guide practice. We aimed to determine current practice in Australia and New Zealand. Methods An electronic survey was sent to neonatal clinical directors within the Australia and New Zealand Neonatal Network requesting dissemination to colleagues involved in the care of MLPT babies (32–35 +6 weeks’ gestation). The questionnaire asked about respondents’ nutritional management of MLPT babies and included scenarios for both moderate‐ (MPT) and late preterm (LPT) babies. Results There were 83 respondents. While waiting for mothers' milk to meet prescribed fluid volumes, 61% (MPT) to 53% (LPT) of respondents would provide dextrose 10% as the first nutritional support, with 15% (MPT) to 38% (LPT) providing infant formula. Of clinicians providing 10% dextrose, 31% (MPT) to 49% (LPT) were happy to do so for ≥3 days, with 5% comfortable doing so for 5 days in moderately preterm babies, before providing additional support. This additional support was infant formula in 73% (MPT) to 90% (LPT) of respondents. Conclusions There is variation in the nutritional management of MLPT infants amongst neonatal clinicians, likely due to the lack of evidence from randomised controlled trials on which to base clinical practice. The majority of clinicians are happy providing only dextrose 10% for up to 2–3 days despite this form of nutritional support containing only carbohydrate.
机译：目标中期晚期早产（MLPT）婴儿占全球出生的80％以上的早产婴儿。许多MLTP婴儿需要早期营养支持，同时建立完全吸吮饲料，但几乎没有证据指导实践。我们旨在确定澳大利亚和新西兰的现行实践。方法对澳大利亚和新西兰新生儿网络的新生儿临床董事送到新生儿临床董事，要求向参与MLTPT婴儿的照顾的同事（32-35 + 6周）。调查问卷询问了MLTP婴儿的受访者的营养管理，包括中等 - （MPT）和晚期早产（LPT）婴儿的情景。结果有83名受访者。在等待母乳的牛奶达到规定的液体体积时，61％（MPT）至53％（LPT）的受访者将提供10％作为第一个营养支持的葡萄糖，15％（MPT）至38％（LPT）提供婴儿公式。提供10％葡萄糖的临床医生，31％（MPT）至49％（LPT）很乐意为≥3天，以5％舒适的舒适在适度的早产婴儿在提供额外的支持之前进行5％。此额外支持是73％（MPT）的婴儿配方（MPT）至90％（LPT）的受访者。结论新生儿临床医生中MLTP婴儿的营养管理有变异，可能是由于缺乏来自随机对照试验的证据，从而基于临床实践。尽管这种形式的营养支持仅包含仅碳水化合物，但大多数临床医生才能只提供右侧葡萄糖10％，最多2-3天。

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