Feeding the late and moderately preterm infant:: A Position Paper of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition

Alexandre Lapillonne; Jiri Bronsky; Cristina Campoy; Nicholas Embleton; Mary Fewtrell; Nataša Fidler Mis; Konstantinos Gerasimidis; Iva Hojsak; Jessie Hulst; Flavia Indrio; Christian Mølgaard; Sissel Jennifer Moltu; Elvira Verduci; Magnus Domellöf

doi:10.1097/MPG.0000000000002397

Feeding the late and moderately preterm infant: A Position Paper of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition

Alexandre Lapillonne, Jiri Bronsky, Cristina Campoy, Nicholas Embleton, Mary Fewtrell, Nataša Fidler Mis, Konstantinos Gerasimidis, Iva Hojsak, Jessie Hulst, Flavia Indrio, Christian Mølgaard, Sissel Jennifer Moltu, Elvira Verduci, Magnus Domellöf

Lifecourse Nutrition & Health

19 Citations (Scopus)

Abstract

ABSTRACTNutritional guidelines and requirements for late or moderately preterm (LMPT) infants are notably absent, although they represent the largest population of preterm infants. The European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) Committee on Nutrition (CoN) performed a review of the literature with the aim to provide guidance on how to feed infants born LMPT, and identify gaps in the literature and research priorities.Only limited data from controlled trials are available. Late preterm infants have unique, often unrecognized, vulnerabilities that predispose them to high rates of nutritionally related morbidity and hospital readmissions. They frequently have feeding difficulties that delay hospital discharge, and poorer rates of breastfeeding initiation and duration compared with term infants. This review also identified that moderately preterm infants frequently exhibit postnatal growth restriction.The ESPGHAN CoN strongly endorses breast milk as the preferred method of feeding LMPT infants and also emphasizes that mothers of LMPT infants should receive qualified, extended lactation support, and frequent follow-up. Individualized feeding plans should be promoted. Hospital discharge should be delayed until LMPT infants have a safe discharge plan that takes into account local situation and resources.In the LMPT population, the need for active nutritional support increases with lower gestational ages. There may be a role for enhanced nutritional support including the use of human milk fortifier, enriched formula, parenteral nutrition, and/or additional supplements, depending on factors, such as gestational age, birth weight, and significant comorbidities. Further research is needed to assess the benefits (improved nutrient intakes) versus risks (interruption of breast-feeding) of providing nutrient-enrichment to the LMPT infant.

Original language	English
Journal	Journal of Pediatric Gastroenterology and Nutrition
Volume	69
Issue number	2
Pages (from-to)	259-270
Number of pages	12
ISSN	0277-2116
DOIs	https://doi.org/10.1097/MPG.0000000000002397
Publication status	Published - 2019

Keywords

Faculty of Science
Breastfeeding
Growth restriction
Premature infants
Recommendations

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10.1097/MPG.0000000000002397

Cite this

Lapillonne, A., Bronsky, J., Campoy, C., Embleton, N., Fewtrell, M., Fidler Mis, N., Gerasimidis, K., Hojsak, I., Hulst, J., Indrio, F., Mølgaard, C., Moltu, S. J., Verduci, E., & Domellöf, M. (2019). Feeding the late and moderately preterm infant: A Position Paper of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition. Journal of Pediatric Gastroenterology and Nutrition, 69(2), 259-270. https://doi.org/10.1097/MPG.0000000000002397

Feeding the late and moderately preterm infant: A Position Paper of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition. / Lapillonne, Alexandre; Bronsky, Jiri; Campoy, Cristina et al.
In: Journal of Pediatric Gastroenterology and Nutrition, Vol. 69, No. 2, 2019, p. 259-270.

Research output: Contribution to journal › Review › peer-review

Lapillonne, A, Bronsky, J, Campoy, C, Embleton, N, Fewtrell, M, Fidler Mis, N, Gerasimidis, K, Hojsak, I, Hulst, J, Indrio, F, Mølgaard, C, Moltu, SJ, Verduci, E & Domellöf, M 2019, 'Feeding the late and moderately preterm infant: A Position Paper of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition', Journal of Pediatric Gastroenterology and Nutrition, vol. 69, no. 2, pp. 259-270. https://doi.org/10.1097/MPG.0000000000002397

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abstract = "ABSTRACTNutritional guidelines and requirements for late or moderately preterm (LMPT) infants are notably absent, although they represent the largest population of preterm infants. The European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) Committee on Nutrition (CoN) performed a review of the literature with the aim to provide guidance on how to feed infants born LMPT, and identify gaps in the literature and research priorities.Only limited data from controlled trials are available. Late preterm infants have unique, often unrecognized, vulnerabilities that predispose them to high rates of nutritionally related morbidity and hospital readmissions. They frequently have feeding difficulties that delay hospital discharge, and poorer rates of breastfeeding initiation and duration compared with term infants. This review also identified that moderately preterm infants frequently exhibit postnatal growth restriction.The ESPGHAN CoN strongly endorses breast milk as the preferred method of feeding LMPT infants and also emphasizes that mothers of LMPT infants should receive qualified, extended lactation support, and frequent follow-up. Individualized feeding plans should be promoted. Hospital discharge should be delayed until LMPT infants have a safe discharge plan that takes into account local situation and resources.In the LMPT population, the need for active nutritional support increases with lower gestational ages. There may be a role for enhanced nutritional support including the use of human milk fortifier, enriched formula, parenteral nutrition, and/or additional supplements, depending on factors, such as gestational age, birth weight, and significant comorbidities. Further research is needed to assess the benefits (improved nutrient intakes) versus risks (interruption of breast-feeding) of providing nutrient-enrichment to the LMPT infant.",

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AU - Lapillonne, Alexandre

AU - Bronsky, Jiri

AU - Campoy, Cristina

AU - Embleton, Nicholas

AU - Fewtrell, Mary

AU - Fidler Mis, Nataša

AU - Gerasimidis, Konstantinos

AU - Hojsak, Iva

AU - Hulst, Jessie

AU - Indrio, Flavia

AU - Mølgaard, Christian

AU - Moltu, Sissel Jennifer

AU - Verduci, Elvira

AU - Domellöf, Magnus

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PY - 2019

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N2 - ABSTRACTNutritional guidelines and requirements for late or moderately preterm (LMPT) infants are notably absent, although they represent the largest population of preterm infants. The European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) Committee on Nutrition (CoN) performed a review of the literature with the aim to provide guidance on how to feed infants born LMPT, and identify gaps in the literature and research priorities.Only limited data from controlled trials are available. Late preterm infants have unique, often unrecognized, vulnerabilities that predispose them to high rates of nutritionally related morbidity and hospital readmissions. They frequently have feeding difficulties that delay hospital discharge, and poorer rates of breastfeeding initiation and duration compared with term infants. This review also identified that moderately preterm infants frequently exhibit postnatal growth restriction.The ESPGHAN CoN strongly endorses breast milk as the preferred method of feeding LMPT infants and also emphasizes that mothers of LMPT infants should receive qualified, extended lactation support, and frequent follow-up. Individualized feeding plans should be promoted. Hospital discharge should be delayed until LMPT infants have a safe discharge plan that takes into account local situation and resources.In the LMPT population, the need for active nutritional support increases with lower gestational ages. There may be a role for enhanced nutritional support including the use of human milk fortifier, enriched formula, parenteral nutrition, and/or additional supplements, depending on factors, such as gestational age, birth weight, and significant comorbidities. Further research is needed to assess the benefits (improved nutrient intakes) versus risks (interruption of breast-feeding) of providing nutrient-enrichment to the LMPT infant.

AB - ABSTRACTNutritional guidelines and requirements for late or moderately preterm (LMPT) infants are notably absent, although they represent the largest population of preterm infants. The European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) Committee on Nutrition (CoN) performed a review of the literature with the aim to provide guidance on how to feed infants born LMPT, and identify gaps in the literature and research priorities.Only limited data from controlled trials are available. Late preterm infants have unique, often unrecognized, vulnerabilities that predispose them to high rates of nutritionally related morbidity and hospital readmissions. They frequently have feeding difficulties that delay hospital discharge, and poorer rates of breastfeeding initiation and duration compared with term infants. This review also identified that moderately preterm infants frequently exhibit postnatal growth restriction.The ESPGHAN CoN strongly endorses breast milk as the preferred method of feeding LMPT infants and also emphasizes that mothers of LMPT infants should receive qualified, extended lactation support, and frequent follow-up. Individualized feeding plans should be promoted. Hospital discharge should be delayed until LMPT infants have a safe discharge plan that takes into account local situation and resources.In the LMPT population, the need for active nutritional support increases with lower gestational ages. There may be a role for enhanced nutritional support including the use of human milk fortifier, enriched formula, parenteral nutrition, and/or additional supplements, depending on factors, such as gestational age, birth weight, and significant comorbidities. Further research is needed to assess the benefits (improved nutrient intakes) versus risks (interruption of breast-feeding) of providing nutrient-enrichment to the LMPT infant.

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KW - Breastfeeding

KW - Growth restriction

KW - Premature infants

KW - Recommendations

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DO - 10.1097/MPG.0000000000002397

M3 - Review

C2 - 31095091

SN - 0277-2116

VL - 69

SP - 259

EP - 270

JO - Journal of Pediatric Gastroenterology and Nutrition

JF - Journal of Pediatric Gastroenterology and Nutrition

IS - 2

ER -

Feeding the late and moderately preterm infant: A Position Paper of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition

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Keywords

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