Tag Archives: nutrition

Early Exclusive Enteral Nutrition: not Early, not Exclusive, some Parenteral, but interesting anyway.

Posted on 27 May 2024 by Keith Barrington

This could have been part 3 of my recent duet of posts on the potential toxicity of TPN. Those 2 posts referred to the late preterm and the full term newborn. In this study (Razzaghy J, et al. Early and … Continue reading →

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When should we start Parenteral Nutrition?

Posted on 21 August 2020 by Keith Barrington

Following on from the previous post: This all brings me to a larger and very thorny issue, which is whether we should even be routinely starting parenteral nutrition (PN) immediately after birth at all! I hate to discuss this, as … Continue reading →

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Why is MOM best? part 2

Posted on 10 October 2019 by Keith Barrington

MOM is best, because it leads to the lowest incidence of NEC; but why? (if you didn’t read part 1, MOM is Mother’s Own Milk) The impacts of milk processing which create the differences in milk composition, detailed in my … Continue reading →

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Why is MOM best?

Posted on 10 October 2019 by Keith Barrington

Mother’s Own Milk (MOM) seems to be the best base for enteral nutrition of the preterm infant, in terms of the risk of infection, the risk of Enterocolitis (NEC) and, probably, long term neurodevelopment. Reasonably good data show that replacing … Continue reading →

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Measure gastric residuals? Safe to stop?

Posted on 30 April 2019 by Keith Barrington

A new RCT published in JAMA pediatrics compared growth and other clinical outcomes between infants <33 weeks gestation and <1250g who were managed with routine gastric residual measurements or without. (Parker LA, et al. Effect of Gastric Residual Evaluation on … Continue reading →

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Growing bigger, or growing better?

Posted on 6 December 2018 by Keith Barrington

Babies with postnatal growth failure in the NICU do worse in the long term. This is a statistical association known for a long time. We also know that increasing nutritional intake, in calories and protein can prevent the relative weight … Continue reading →

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Better Nutrition, Better Brains

Posted on 5 July 2017 by Keith Barrington

I write frequently on this blog about how prejudice regarding developmental and neurologic problems, and prejudice about preterm infants, combine to over-emphasize the difficulties that former preterm babies have, to the extent that professional societies develop guidelines for withholding care … Continue reading →

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Feed and grow

Posted on 25 May 2017 by Keith Barrington

How to measure growth? How to describe growth rates? What does it matter? Several related articles in today’s post, the first two are about how to measure growth in preterm infants: Ashton JJ, et al. Assessing the growth of preterm … Continue reading →

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Hey, doctor, leave those guts alone!

Posted on 24 August 2016 by Keith Barrington

Intestinal function is often sluggish after preterm delivery. Establishing early enteral nutrition, the goal of all of us, is interrupted often by repeated regurgitation, or large residuals (if you measure them) or abdominal distension. There are also reported correlations between … Continue reading →

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Neonatal Updates: Recent Nutritional Publications part 2.

Posted on 16 August 2016 by Keith Barrington

Breast Milk and how to use it Colacci M, et al. Growth and Development in Extremely Low Birth Weight Infants After the Introduction of Exclusive Human Milk Feedings. American journal of perinatology. 2016(EFirst). This is a before and after study … Continue reading →

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