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Table 3 Neonatal nutrition practices in the PreM Growth Study three cities at the time of the study

From: Validating the weight gain of preterm infants between the reference growth curve of the fetus and the term infant

 

Calgary

Regina

San Diego

A. Nutrition plans:

   

Goals for parenteral nutrition

   

Protein (g/kg/day)

3.5 to 4

3.5 to 4

4

Lipid (g/kg/day)

3 to 4

3 to 4

3.5

Type of amino acid

Trophamine 2001 to 2006, Primene 2006 to 2010

Aminosyn PF 2001- May 2005 Primene 2005 to 2010

Trophamine

Type of lipids

Intralipid

Intralipid

Intralipid

Beginning doses:

   

Protein (g/kg/day)

1-2 grams

1-2 grams

2 grams

Lipid (g/kg/day)

1 gram on day 1 or 2

0.5-1.0 grams on day 1 or 2

1-2 grams

Rate of increment:

   

Protein (g/kg/day)

1 gram

0.5-1.0

1 gram

Lipid (g/kg/day)

1 gram

0.5-1.0

1 gram

B. Actual nutrition data:

   

Parenteral nutrition start (day)

0.4 (0.6)

0.7 (1.0)

0 (0)

Minimal enteral feed start (day)

4.2 (4.1)

9.2 (5.2)

4.7 (4.0)

Enteral feeds start (day)

9.8 (7.3)

17.4 (9.2)

12.8 (10.5)

Full feeds (day)

22.2 (10.8)

36.2 (17.7)

29.4 (19.7)

C. Predominant hospital feedings:

   

Fortified breastmilk (%)

74.3

43.6

90.9

Non-Fortified breastmilk (%)

2.8

5.1

3.0

Preterm formula (%)

12.0

23.1

6.1

Term formula (%)

1.7

23.0

0

D. Post D/C* predominant feedings:

   

Non-Fortified breastmilk (%)

16.3

12.5

6.1

Breastmilk & post D/C* formula (%)

29.4

0

42.4

Breastmilk & term formula (%)

14.5

0

12.1

Post D/C* formula (%)

24.9

67.2

36.4

Term formula (%)

14.3

17.2

3.0

  1. * post D/C = post discharge.