What is the effect of fast feed advancement in the duration to establish full enteral feeds among preterm infants ≤35 weeks gestation with birth weight ≤2000 g? A systematic review

Publication Name

Journal of Neonatal Nursing

Abstract

Early transition to full enteral intake reduces the risk of nosocomial infection and metabolic complications related to prolonged use of parenteral nutrition. Evidence on what feed advancement rates will reduce these complications and minimize extrauterine growth restriction is necessary. This is a systematic review to determine the efficacy and safety of fast feed advancement in the duration to establish full enteral feeds and its associated clinical outcomes among low-birth-weight and very-low-birth-weight preterm infants. The included literature were searched in CINAHL, Pubmed, Cochrane, and Embase databases using the keywords: preterm infants, premature infants, low birth weight, very low birth weight, extremely low birth weight, and enteral advancement. Faster rates of feeding increments seem to be well tolerated by stable preterm neonates with a shorter time to establish full enteral feeding, with no statistically significant difference in the incidence of NEC between the two feeding regimens.

Open Access Status

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Link to publisher version (DOI)

http://dx.doi.org/10.1016/j.jnn.2022.07.021