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April 1987

Enteral Feeding in Very-Low-Birth-Weight Infants: A Comparison of Two Nasogastric Methods

Author Affiliations

From the Division of Neonatal/Perinatal Medicine, Department of Pediatrics and Adolescent Medicine, and the Center for Health Services Education and Research, St Louis University School of Medicine, Cardinal Glennon Children's Hospital and St Mary's Health Center, St Louis.

Am J Dis Child. 1987;141(4):439-444. doi:10.1001/archpedi.1987.04460040097025

• Nutritional benefits and feeding-related complications were prospectively compared in 53 preterm very-low-birth-weight infants receiving isoenergetic feeding by either the continuous nasogastric (n=30) or intermittent nasogastric (n=23) route. Stepwise regression techniques were used to develop models relating feeding-associated factors. Feeding method significantly affected weight gain in infants 1000 to 1249 g birth weight with continuous nasogastric feeding associated with an additional weight gain of 3.6 to 6.1 g/kg/d. No effects of feeding method on changes in occipitofrontal circumference, triceps skin-fold thickness, bilirubin values, or total protein values were demonstrable. There were few major differences between feeding groups on measures of feeding complications. Continuous nasogastric feeding was fairly well tolerated and resulted in improved weight gain when compared with Intermittent nasogastric feeding in preterm infants 1000 to 1249 g birth weight.

(AJDC 1987;141:439-444)

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