Artificial enteral feeding for preterm < 1500 grs

[ammar]

Hi

I would like to discuss about the type of artificial enteral feedings (which formula) used in preterm < 1500 grs of weight. here at our unit, when there is not maternal milk, we begun with hypoallergenic formula and we convert it slightly to preterm formula when a total apport of enteral feeding of 150 ml/kg/day is achieved. is that a good thing?

Thanks

AMMAR KHALDI
CHILDREN'S HOSPITAL OF TUNIS, TUNISIA

[guyde]

I had a similar question to ask to the forum. About the preterm less than 1500g and less than 32 weeks, we use first maternal milk, and when not enough, we directly use a preterm formula. The actual question is: is there any evidence of a better tolerance of a slightly introduction of preterm milk? The hypoallergenic formula is not used anymore except in a case of family's history of allergy or in case of enteropathy.

[andreasrepa]

As far as I know, if there is no mother´s milk, it is recommended in the book "nutrition of the preterm infant - Tsang et al" to use hypoallergenic (hydrolysed) preterm formula (e.g. beba fg or prematil HA) as tolerance may be better with softer stools.

[doctorf]

dear andereasrepa
i would like to know prematil HA milk belong to which company ?
please answer
thanks

[andreasrepa]

Aptamil Prematil HA is from MILUPA
Beba FG iss from Nestle

Many greetings

[sSnjezana]

Hi,

Do you have a opinion about use of term formula (with PUFA and probiotics) for VLBW infants during the first day of life? We dont have bank of human milk, and we started feeding VLBW and ELBW infants with term formula because small concentrations(osmolarity?) of that milk (like NAN1)(???). I dont support this strategy at all. Any ideas? I need this as soon as possible.
Thanks

Snjezana:confused::mad:

[babynurse3]

We are looking in to how other units handle their tube feedings. We have some infants that do better if we infuse their feedings over 1-2 hours. Less reflux, etc. I would like to know from other units that do this, what is your protocol for this? Do you rinse your tubes after each feeding, do you replace your NG/OG tubes daily, do you follow your feedings with air? We are in the process of rewriting our policy and we are looking for evidence-based policies.
Thank you,
Babynurse3