FEEDING AT-RISK PRETERM INFANTS

Premature children get sick twice as often as full-term children. They are more susceptible to infections that are more severe. Rickets is more common in them, so vitamin D prophylaxis starts earlier and in larger doses. With good care, most premature babies survive and develop well, reaching...

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Main Authors: G. Grigorov, B. Mladenov
Format: Article
Language:English
Published: Trakia University 2025-03-01
Series:Trakia Journal of Sciences
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Online Access:https://tjs.trakia-uni.bg/index.php/tjs/article/view/113/126
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author G. Grigorov
B. Mladenov
author_facet G. Grigorov
B. Mladenov
author_sort G. Grigorov
collection DOAJ
description Premature children get sick twice as often as full-term children. They are more susceptible to infections that are more severe. Rickets is more common in them, so vitamin D prophylaxis starts earlier and in larger doses. With good care, most premature babies survive and develop well, reaching the height and weight of their peers by the end of the first or second year. Premature children, especially those weighing less than 1500g and/or less than 32 weeks of gestation (months), differ from full-term children in terms of: increased nutritional needs; limited structural stocks; the structural and functional immaturity of the gastro-intestinal tract, inversely proportional to the gestational age (digestive enzymes, intestinal motility, feeding reflexes of sucking, swallowing and coordination with breathing), which make complete enteral nutrition difficult or impossible; In addition, severe problems are often present in the neonatal period that complicate adequate nutritional intake. The purpose of nutrition in the neonatal period as part of modern complex intensive therapy for premature infants is to ensure: Normal growth corresponding to the intrauterine pace; "catch up growth", until term or at the latest until 52 years of age; To prevent extrauterine retardation (weight <10th percentile);Normal growth in this period has been found to mean normal growth at a later age and with the premise of a good neurological outcome. Therefore, the strategy of early and aggressive feeding is required in the concept of feeding at-risk newborns.
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spelling doaj-art-830e3db0b12c4acab5d9c887efe365e02025-08-20T02:46:35ZengTrakia UniversityTrakia Journal of Sciences1313-35512025-03-01231798410.15547/tjs.2025.01.013FEEDING AT-RISK PRETERM INFANTSG. GrigorovB. MladenovPremature children get sick twice as often as full-term children. They are more susceptible to infections that are more severe. Rickets is more common in them, so vitamin D prophylaxis starts earlier and in larger doses. With good care, most premature babies survive and develop well, reaching the height and weight of their peers by the end of the first or second year. Premature children, especially those weighing less than 1500g and/or less than 32 weeks of gestation (months), differ from full-term children in terms of: increased nutritional needs; limited structural stocks; the structural and functional immaturity of the gastro-intestinal tract, inversely proportional to the gestational age (digestive enzymes, intestinal motility, feeding reflexes of sucking, swallowing and coordination with breathing), which make complete enteral nutrition difficult or impossible; In addition, severe problems are often present in the neonatal period that complicate adequate nutritional intake. The purpose of nutrition in the neonatal period as part of modern complex intensive therapy for premature infants is to ensure: Normal growth corresponding to the intrauterine pace; "catch up growth", until term or at the latest until 52 years of age; To prevent extrauterine retardation (weight <10th percentile);Normal growth in this period has been found to mean normal growth at a later age and with the premise of a good neurological outcome. Therefore, the strategy of early and aggressive feeding is required in the concept of feeding at-risk newborns.https://tjs.trakia-uni.bg/index.php/tjs/article/view/113/126neonatologyenteral nutritionparenteral nutritionpreterm infants
spellingShingle G. Grigorov
B. Mladenov
FEEDING AT-RISK PRETERM INFANTS
Trakia Journal of Sciences
neonatology
enteral nutrition
parenteral nutrition
preterm infants
title FEEDING AT-RISK PRETERM INFANTS
title_full FEEDING AT-RISK PRETERM INFANTS
title_fullStr FEEDING AT-RISK PRETERM INFANTS
title_full_unstemmed FEEDING AT-RISK PRETERM INFANTS
title_short FEEDING AT-RISK PRETERM INFANTS
title_sort feeding at risk preterm infants
topic neonatology
enteral nutrition
parenteral nutrition
preterm infants
url https://tjs.trakia-uni.bg/index.php/tjs/article/view/113/126
work_keys_str_mv AT ggrigorov feedingatriskpreterminfants
AT bmladenov feedingatriskpreterminfants