FACTORS AFFECTING EARLY WEIGHT GAIN OF PRETERM BABIES ADMITTED IN SULAIMANI NEONATAL CARE UNIT
Hevin Jaafar Ali a, Adnan Mohammed Hasan b, and Jamal Mohammed Hussein b
a Board Candidate, Directory of Health Ministry of Health, Kurdistan Region, Iraq.
b Department of Pediatrics, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.
Submitted: 18/8/2019; Accepted: 21/8/2020; Published: 21/9/2021
DOI Link: https://doi.org/10.17656/jsmc.10316
Prematurity is a term used for neonates born before 37 weeks of gestation; it is a leading cause of neonatal mortality. Preterm birth deprives the fetus of nutrient transfer in the third trimester, particularly amino acids, fats, and minerals. Preterm birth is therefore associated with significant nutritional deficits.
To assess the weight change of neonates delivered prematurely and admitted to the neonatal care unit (NCU).
Patients and Methods
In a prospective study, 99 neonates who were delivered prematurely and admitted to NCU were included; antenatal and intrapartum history was taken, APGAR score, weight at the time of admission was taken. Then, at the 3rd, 7th, 10th, and 14th days of admission, weight was measured again. Finally, the amount of feeding was calculated based on the type of feeding, including breast milk, formula, and mixed.
Weight loss can be seen with all types of feeding, but is more with breastfeeding (p< 0.05), the survival rate was highest among breastfed and mixed, however, more than 90% of formula milk neonates survived (p < 0.05). The correlation between gestational week and survival and discharge was significant. (P < 0.05).
Weight loss is more in babies receiving breast milk but least in neonates on formula feeding. Another factor, such as gestational age, might affect these findings. We need further research with a larger sample size and longer duration to estimate weight change in preterm neonates, including multiple centers.
Neonatal care unit (NCU), Preterm, Weight change, Breast milk, Formula milk.
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