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ORIGINAL ARTICLE
Year : 2017  |  Volume : 6  |  Issue : 4  |  Page : 231-235

Early enteral feeding following repair of gastroschisis is associated with shorter length of admission and better nutritional outcomes


1 The Grace Centre for Newborn Care, The Children's Hospital at Westmead, Westmead; Department of Neonatology, Royal North Shore Hospital, St Leonards, NSW; Faculty of Medicine, University of Sydney, Sydney, Australia
2 The Grace Centre for Newborn Care, The Children's Hospital at Westmead, Westmead, Australia
3 Department of Paediatric Surgery, The Children's Hospital at Westmead, Westmead, Australia

Correspondence Address:
Patrick James Thompson
Department of Neonatology, Clinical Fellow, Level 6, Clinical Services Building, Royal North Shore Hospital, St Leonards, NSW 2065
Australia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcn.JCN_50_17

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Aim: The aim of the study was to review timing and substrate of initial enteral feeding in the management of infants with gastroschisis (GS) with analysis of their relationship to nutritional outcomes and length of Neonatal Intensive Care Unit (NICU) admission. Methods: A retrospective review was conducted of consecutive admissions of infants with GS to a quaternary NICU between 2010 and 2016. Demographic, clinical data and data on nutritional status and growth were collected. Relationships between time to initiate enteral feeding and length of NICU admission, duration of parenteral nutrition (PN), and time taken to regain birth weight were assessed, as well as effect of exclusive human milk on length of NICU admission and duration of PN. Results and Conclusions: Survival in this cohort was 100%. Significant positive correlations were found between time taken to initiate enteral feeding after abdominal closure and each of the primary outcomes: length of NICU stay, duration of PN, and time taken to regain birth weight. There was no effect of exclusive human milk feeding on either duration of PN or length of NICU stay. A higher rate of exclusive human milk feeding was observed than in published literature.


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