The goal of nutritional management in VLBW and ELBW infants is the
achievement of postnatal growth at a rate that approximates the
intrauterine growth of a normal fetus at the same postconceptional
age. In reality, however, growth lags considerably after birth;
although non-nutritional factors are involved, nutrient
deficiencies are critical in explaining delayed growth. This
practical clinically-oriented pocketbook reviews and summarises all
available clinical evidence. It enables the reader to implement
parenteral or enteral feeding plans, with the goals of reducing
postnatal weight loss, earlier return to birthweight, and improved
catch-up growth. Both nutrient balance and growth and the impact on
neurodevelopment and health outcomes are evaluated. With many
tables and algorithms to summarise key data and management
strategies, Nutritional Strategies for the Very Low Birthweight
Infant is an invaluable guide for all healthcare professionals
caring for premature babies.
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