Category Archives: Nutrition

Tip 233: UNICEF BFI 2

The second 5 steps (out of 10) to successful breast-feeding are: 6. Give newborn infants no food or drink other than breast milk, unless medically indicated 7. Practice rooming in—allow mothers and infants to remain together 24h a day 8. Encourage … Continue reading

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Tip 232: UNICEF Baby Friendly Initiative

Baby Friendly Initiative (BFI) accreditation programme was introduced to hospitals in the UK in 1994. The first 5 steps (out of 10) to successful breast-feeding are: Have a written breastfeeding policy that is routinely communicated to all healthcare staff Train … Continue reading

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Tip 197: iron 2

Without an exogenous source of iron, the preterm infant becomes depleted by about eight weeks. External link: Larmour, K., Shaw, V., 2016. Enteral nutrition for the preterm infant, version 2.0. Great Ormond Street Hospital for Children NHS Trust: London. Previously published: … Continue reading

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Tip 195: iron

Iron deficiency results in poor neurodevelopmental outcome in preterm infants. ESPGHAN recommends starting 2-3mg/kg/day at two to six weeks of age (two to four weeks in ELBW infants). Intakes of >5mg/kg/day should be avoided. Sytron provides 5.5mg iron per 1ml. … Continue reading

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Tip 192: vitamin D

Vitamin D is required with calcium and phosphorus for bone mineralisation. ESPGHAN recommend 20-25 µg per day but this is difficult to achieve and prolonged supplementation at this level might be harmful, thus the aim is to provide 10µg/day. Abidec provides … Continue reading

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Tip 189: vitamin A

Preterm infants have low vitamin A status at birth and this has been associated with increased risk of developing chronic lung disease (CLD). ESPGHAN recommend an intake of 400-1000µg RE (retinol equivalent)/kg/day. Abidec provides 400µg RE per 0.6ml. Dalivit provides … Continue reading

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Tip 185: postnatal growth failure 2

Indications for inadequate growth are: Consistent weight loss over several days When weight, length and/or head circumference velocity decreases over one week When weight velocity alone decreases over two weeks. The time that preterm infants are at most nutritional risk is … Continue reading

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