{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,21]],"date-time":"2024-12-21T05:17:39Z","timestamp":1734758259291,"version":"3.32.0"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T00:00:00Z","timestamp":1687910400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005744","name":"Lastentautien Tutkimuss\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005744","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Feeding a very low birthweight (VLBW, &lt;1500\u2009g) infant is challenging. Our aims were to study how prescribed enteral feeding is implemented in VLBW infants and to identify factors associating with slow enteral feeding progression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Our retrospective cohort included 516 VLBW infants born before 32\u2009weeks of gestation during 2005\u20132013 and admitted to Children's Hospital, Helsinki, Finland, for at least the two first weeks of life. Nutritional data were collected from birth until the age of 14\u201328\u2009days, depending on the length of stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found that enteral feeding progressed slower than recommended and implementation differed from the prescriptions, especially during the parenteral nutrition phase (milk intake 10\u201320\u2009mL\/kg\/day): 71% [40\u2013100], median [IQR], of the prescribed enteral milk was administered. The full prescribed amount was less likely administered if a higher volume of gastric residual was aspirated or if the infant did not pass stool during the same day. Longer opiate use, patent ductus arteriosus, respiratory distress syndrome and slower passage of the first meconium associated with slower enteral feeding progression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Enteral feeding of a VLBW infant is often not administered as prescribed, which possibly plays a significant role in the slow progression of enteral feeding.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.16885","type":"journal-article","created":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T14:20:46Z","timestamp":1687357246000},"page":"2084-2092","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Very low birthweight infants receive less enteral feeding than what is prescribed"],"prefix":"10.1111","volume":"112","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4052-2917","authenticated-orcid":false,"given":"Lotta","family":"Immeli","sequence":"first","affiliation":[{"name":"Pediatric Research Center, Children's Hospital University of Helsinki, Helsinki University Hospital  Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2813-7709","authenticated-orcid":false,"given":"Pauliina M.","family":"M\u00e4kel\u00e4","sequence":"additional","affiliation":[{"name":"Pediatric Research Center, Children's Hospital University of Helsinki, Helsinki University Hospital  Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Leskinen","sequence":"additional","affiliation":[{"name":"Pediatric Research Center, Children's Hospital University of Helsinki, Helsinki University Hospital  Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reijo","family":"Sund","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, School of Medicine, Institute of Clinical Medicine University of Eastern Finland  Kuopio Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9026-412X","authenticated-orcid":false,"given":"Sture","family":"Andersson","sequence":"additional","affiliation":[{"name":"Pediatric Research Center, Children's Hospital University of Helsinki, Helsinki University Hospital  Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e4ivi","family":"Luukkainen","sequence":"additional","affiliation":[{"name":"Pediatric Research Center, Children's Hospital University of Helsinki, Helsinki University Hospital  Helsinki 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