To evaluate enteral feeding practices in neonatal units in different countries and on different continents.A web-based survey of 127 tertiary neonatal intensive care units in Australia, Canada, Denmark, Ireland, New Zealand, Norway, Sweden and the UK.124 units (98%) responded. 59 units (48%) had a breast milk bank or access to donor human milk (Australia/New Zealand 2/27, Canada 6/29, Scandinavia 20/20 and UK/Ireland 31/48). The proportion of units initiating enteral feeding within the first 24 h of life was: 43/124 (35%) if gestational age (GA) <25 weeks, 53/124 (43%) if GA 25-27 weeks and 88/124 (71%) if GA 28-31 weeks. In general, Scandinavian units introduced enteral feeds the earliest, followed by UK/Ireland. Continuous feeding was routinely used for infants below 28 weeks' gestation in almost half of the Scandinavian units and in approximately one sixth of units in UK/Ireland, but rarely in Australia/New Zealand and Canada. Minimal enteral feeding for 4-5 days was common in Canada, but rare in Scandinavia. Target enteral feeding volume in a 'stable' preterm infant was 140-160 ml/kg/day in most Canadian units and 161-180 ml/kg/day or higher in units in the other regions. There were also marked regional differences in criteria for use and timing when human milk fortifier was added.This study highlights areas of uncertainty and demonstrates marked variability in feeding practices. It provides valuable data for planning collaborative feeding trials to optimise outcome in preterm infants.
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机译：为了评估不同国家和不同大陆的新生儿单位的肠内喂养习惯，对澳大利亚，加拿大，丹麦，爱尔兰，新西兰，挪威，瑞典和英国的127个三级新生儿重症监护病房进行了基于网络的调查.124个单位（ 98％）回应。 59个单位（占48％）拥有母乳库或可以使用供体母乳（澳大利亚/新西兰2/27，加拿大6/29，斯堪的纳维亚20/20和英国/爱尔兰31/48）。出生后头24小时内开始肠内喂养的单位比例为：如果胎龄（GA）<25周，则为43/124（35％），如果GA 25-27周和88/124，则为53/124（43％） （GA的28-31周）（71％）。通常，斯堪的纳维亚单位最早采用肠内饲料，其次是英国/爱尔兰。在英国/爱尔兰，约有一半的斯堪的纳维亚产区和大约六分之一的产区常规用于连续妊娠28周以下的婴儿，但澳大利亚/新西兰和加拿大很少。最小的肠内喂养时间为4-5天在加拿大很普遍，但在斯堪的纳维亚很少。在大多数加拿大单位中，“稳定”早产儿的目标肠内喂养量为140-160 ml / kg /天，在其他地区则为161-180 ml / kg /天或更高。添加母乳强化剂时，使用标准和时机也存在明显的地区差异。本研究突出了不确定性领域并证明了喂养方式的明显差异。它为计划协作喂养试验以优化早产儿结局提供了宝贵的数据。
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