Enteral Feeding Practices for Very Preterm and Very Low Birth Weight Infants in Nigeria and Kenya

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Publication Date
2022-05-11
Author
Olukemi O Tongo, Macrine A Olwala, Alison W Talbert, Helen M Nabwera, Abimbola E Akindolire, Walter Otieno, Grace M Nalwa, Pauline EA Andang'o, Martha K Mwangome, Isa Abdulkadir, Chinyere V Ezeaka, Beatrice N Ezenwa, Iretiola B Fajolu, Zainab O Imam, Dominic D Umoru, Ismaela Abubakar, Nicholas D Embleton, Stephen J Allen
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Abstract/Overview
Optimizing nutrition in very preterm (28–32 weeks gestation) and very low birth weight (VLBW; 1,000 g to< 1,500 g) infants has potential to improve their survival, growth, and long-term health outcomes. Aim To assess feeding practices in Nigeria and Kenya for very preterm and VLBW newborn infants. Methods This was a cross-sectional study where convenience sampling was used. A standard questionnaire was sent to doctors working in neonatal units in Nigeria and Kenya. Results Of 50 respondents, 37 (74.0%) were from Nigeria and 13 (26.0%) from Kenya. All initiated enteral feeds with breastmilk, with 24 (48.0%) initiating within 24 h. Only 28 (56.0%) used written feeding guidelines. Starting volumes ranged between 10 and 80 ml/kg/day. Median volume advancement of feeds was 20 ml/kg/day (IQR 10–20) with infants reaching full feeds in 8 days (IQR 6–12). 26 (52.0%) of the units fed the infants 2 …
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https://repository.maseno.ac.ke/handle/123456789/5294
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