Nutritional Strategies for the Very Low Birthweight Infant

The goal of nutritional management in VLBW and ELBW infants is the achievement of postnatal growth at a rate that approximates the intrauterine growth of a normal fetus at the same postconceptional age. In reality, however, growth lags considerably after birth; although non-nutritional factors are involved, nutrient deficiencies are critical in explaining delayed growth. This practical clinically-oriented pocketbook reviews and summarises all available clinical evidence. It enables the reader to implement parenteral or enteral feeding plans, with the goals of reducing postnatal weight loss, earlier return to birthweight, and improved catch-up growth. Both nutrient balance and growth and the impact on neurodevelopment and health outcomes are evaluated. With many tables and algorithms to summarise key data and management strategies, Nutritional Strategies for the Very Low Birthweight Infant is an invaluable guide for all healthcare professionals caring for premature babies.

• Practical pocketbook on both parenteral and enteral nutrition for all low birthweight infants • Handy ‘Practical Tips’ list at the end of each chapter summarises key information • Many tables of nutritional requirements

Contents
Dedication; Acknowledgements; Foreword; Glossary; 1. Introduction; 2. Fluid and electrolytes management (Na, Cl and K); 3. Energy; 4. Intravenous carbohydrates; 5. Intravenous lipids; 6. Early total parenteral nutrition (TPN); 7. Parenteral calcium, phosphorous, magnesium and Vitamin D; 8. Parenteral vitamins; 9. Trace elements and iron; 10. Parenteral nutrition guide; 11. Parenteral nutrition-associated cholestasis in VLBW infants; 12. Enteral nutrition; 13. Enteral feeding guidelines pPracticum; 14. Optimizing enteral nutrition: protein; 15. Human milk; 16. Premature infant formulas; 17. Standard infant formulas; 18. Soya formulas; 19. Protein hydrolysate formulas; 20. Enteral calcium, phosphorus, magnesium and Vitamin D; 21. Iron; 22. Hypercaloric feeding strategy; 23. Growth in the neonatal intensive care unit influences neurodevelopmental and growth outcomes; 24. Nutritional assessment; 25. Post discharge strategies; 26. Nutritional management of preterm infants with short bowel syndrome; 27. Summary; Index.