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Pediatric Education and Research 1(2):p 57-63, . | DOI:
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Does Increase in Feed Volume from 150 Ml/Kg/Day to 200 Ml/Kg/Day Accelerate Growth in VlBW Babies without Significant Added Risk
Gaurav Machale , Gaurav Machale; Umesh Vaidya; Sunil Mhaske
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Pediatric Education and Research 1(2):p 57-63, . | DOI:
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Abstract
Extra-uterine malnutrition is common in preterm very low birth weight (VLBW) newborns in spite of fortification with available human milk fortifiers. Hypothesizing that increasing the volume of feed would be safe and will lead to better postnatal weight gain we randomized 96 babies with birth weight less than 1500 gm after reaching the full feeds (i.e.150 ml/kg/day), to continue feeds at 150 ml/kg/day (standard volume) or to increase to 200 ml/kg/day (high volume) of expressed breast milk or preterm formula feed. Expressed breast milk was fortified with available fortifier. There was significantly higher daily weight gain in high volume group as compared to standard volume group. Appropriate for gestational age (AGA) babies showed significantly higher weight gain as compared to small for gestational age (SGA) babies, both in high and standard volume group. Incidence of feed intolerance did not differ significantly between two feeding groups. High volume feeds at 200 ml/kg/day was safe and resulted in better daily weight gain than standard volume feeds i.e.150 ml/kg/day in preterm very low birth weight babies
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- Gaurav Machale
, - Gaurav Machale; Umesh Vaidya; Sunil Mhaske
,
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| Published | N/A |