Enteral feeding of intrauterine growth restriction preterm infants: theoretical risks and practical implications

  • Valentina Bozzetti | vbozzetti@hotmail.com Neonatal Intensive Care Unit, MBBM Foundation, San Gerardo Hospital, Monza, Italy.
  • Paolo E. Tagliabue Neonatal Intensive Care Unit, MBBM Foundation, San Gerardo Hospital, Monza, Italy.

Abstract

Intrauterine growth restriction (IUGR) infants are thought to have impaired gut function after birth secondary to intrauterine redistribution of the blood flow, due to placental insufficiency, with a consequent reduction of gut perfusion. For this reason, infants complicated by IUGR have been considered at higher risk of feeding intolerance. Postnatal evaluation of splanchnic perfusion, through Doppler of the superior mesenteric artery, and of splanchnic oxygenation, through near infrared spectroscopy measurements, may be useful in evaluating the persistence (or not) of the redistribution of blood flow occurred in utero.

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Author Biographies

Valentina Bozzetti, Neonatal Intensive Care Unit, MBBM Foundation, San Gerardo Hospital, Monza
Neonatal Intensive Care Unit
Paolo E. Tagliabue, Neonatal Intensive Care Unit, MBBM Foundation, San Gerardo Hospital, Monza
Neonatal Intensive Care Unit
Published
2017-06-28
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Section
Invited Reviews
Keywords:
Enteral feeding, IUGR, Preterm infants, Risks
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How to Cite
Bozzetti, V., & Tagliabue, P. E. (2017). Enteral feeding of intrauterine growth restriction preterm infants: theoretical risks and practical implications. La Pediatria Medica E Chirurgica, 39(2). https://doi.org/10.4081/pmc.2017.160