DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20195188

Nutritional management of very low birth weight at a hospital center of Antananarivo

Zoly Nantenaina Ranosiarisoa, Mirana Zita Ramananirina, Rosa Lalao Tsifiregna, Lovaniaina Ravelomanana, Noëline Ravelomanana

Abstract


Background: Very low birth weight (VLBW) new-borns represent vulnerable group. The lower the birth weight, the higher the mortality rate. The objective of this study was to describe the nutritional management of VLBW new-borns and to determine their hospital outcome.

Methods: A retrospective cohort study was carried out during 24 months in a hospital center of Antananarivo. All newborns weighing less than 1500 g at birth and admitted to neonatal resuscitation service were included.

Results: Of the 577 newborns admitted during this period, 48 were retained as very low birth weight. All had less than to 37 gestational age. New-borns less than or equal to 32 gestational age had a 4.02-fold risk of dying. VLBW with a birth weight less than 1,000 g were 2.12 times more likely to die than those between 1,000 and 1,499 g. The use of artificial milk was neither associated with the onset of digestive intolerance nor associated with VLBW early outcome.

Conclusions: Hospital nutritional management of VLBW requires specific and delicate care. Breast milk is ideal for the newborn. But if it is not available immediately, the alternative that is not disadvantageous is artificial milk.


Keywords


Care, Mortality, Nutrition, Prematury, Very low birth weight

Full Text:

PDF

References


United Nations Children’s Fund WHO. Low birth weight: country, regional and global estimates. New York: UNICEF. 2004:7. Available at: http//:apps.who.int/iris/bitstream/10665/…/9280638327. Pdf. Assessed on 16th May 2018.

Lemons J, Charles R, William O, Sheldon B, Lu-Ann P, Barabara J, et al. Very low birth weight outcomes of the National Institute of Child Health and Human Development Neonatal Research Network January 1995 through December 1996. Am Acad Pediatr. 2001;107:1-8.

Canbak Y, Silfeler I, Dorum BA, Kurnaz H, Dorum S. The ratio of mortality and morbidity in very low birth weight in a public hospital. Turk Arch Pediatr. 2011;46:137-43.

Eric C, Ann R. Management and outcomes of very low birth weight. The N Engl J Med. 2008;358(16):1700-11.

Faye PM, Diagne-Guèye NR, Paraiso IR, Bâ A. Croissance pondérale postnatale des nouveau-nés de faible poids de naissance au service de néonatologie du centre hospitalier national d’enfants Albert Royer: Incidence du retard de croissance extra-utérin. J Pediatr Puéric. 2016;29:20-7.

Isayama T, Lee SK, Mori R, Kusuda S, Fujimura M, Ye XY, et al. Comparison of mortality and morbidity of very low birth weights infants between Canada and Japan. Pediatr. 2012;130(4):e957-65.

Ranaivo NAR, Tsifiregna RL, Ramananirina MZ, Ranosiarisoa ZN, Rajaonarison RHJ, Robinson AL. Facteurs influençant la survie des nouveau-nés de très faible poids de naissance au CHUGOB. Rev Malg Ped. 2018;1(1):8-17.

NjomNlend A, Zeudja C, Ndiang S, NgaMotaze A, Ngassam L, Nsoa L. Tendances évolutives de la mortalité néonatale des nouveau-nés de moins de 1500g de 1998 à 2013 au centre hospitalier d’Essos, Yaounde, Cameroun. Arch Pediatr. 2016;23:895-8.

Velaphi SC, Mokhachane M, Mphahlele RM, Beckh-Arnold E, Kuwanda ML, Cooper PA. Survival of very-low-birth-weight infants according to birth weight and gestational age in a public hospital. S Afr Med J. 2005;95(7):504-9.

Eric C, Ann R. Management and outcomes of very low birth weight. The N Engl J Med. 2008;358(16):1700-11.

Khorshidi M, Nooshirvanpour P, Najafi S. Incidence of low birth weight in mazandaran province North Iran. Oman Med J. 2013;28:39-41.

Nair NS, Rao RS, Chandrashekar S, Acharya D, Bhat HV. Socio-demographics and maternal determinants of low birth weight: a multivariate approach. Indian J Pediatr. 2000;67(5):9-14.

Lepercq J, Boileau P. Physiologie de la croissance fœtale. EMCGynécologie Obstétrique. 2005(2):199-208.

Morgan J, Bombell S, Guire W. Early trophic feeding versus enteral fasting for very preterm or very low birth weight infants. Cochrane Database Syst Rev. 2013;3:1-30.

Emily H, Cynthia M, Julie R, Sarah T. Early enteral feeding in very low birth weight infants. Early Human Develop. 2014;90:227-30.

Henderson G, Anthony M, McGuire W. Formula milk versus maternal breast milk for feeding preterm or low birth weight infants. Cochrane Database Syst Rev. 2007;(4):1-54.

Millet C. Pathologies digestives et nutrition. EMC- Pédiatrie. 2012;7(2):1-8.

Rigourd V, Nicloux M, Hovanishian S, Giuséppi A, Hachem T, Assaf Z, et al. Conseil pour l’allaitement maternel. J Pediatrpuéric. 2018;31:51-74.

David HA, Paula GR. Fortification of human milk in very low birth weight infants (VLBW <1500 g Birth Weight). Clin Perinat. 2014;41(02):405-21.

Mandy BB, Richard AE. Neurodevelopmental outcomes and nutritional strategies in very low birth weight infants. Sem Fetal Neonat Med. 2017;22(1):42-8.

World Health Organization. Guidelines on optimal feeding of low birth-weight infants in low- and middle-income countries. ISBN. 2011. Available at: https://www.who.int/maternal_child_adolescent/documents/9789241548366.pdf?ua=1. Accessed on 16th May 2018.

Eidelman AI, Shanler RJ, Johnston M, Landers M. Breastfeeding and the use of human milk. Pediatr Am Acad Pediatr. 2012;129(3):e827-4.