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.
Community-based primary care physicians are routinely challenged as they stabilize, evaluate, and care for term and late-preterm neonates. Although there have been many spectacular advances in care of neonates, the challenges and successes of caring for the most preterm, very low birth-weight newborns seem to dominate presentations and the Pediatric literature. This issue concentrates on the current evidence and the collected experience of neonatologists regarding the basics of caring for the vast majority of newborns. The newest recommendations of multiple organizations (including the AAP) are presented, including the rationale for each recommendation as well as controversial issues. The individual articles will provide the primary care provider with a comprehensive foundation for care of the neonate.
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