Summary and Conclusions
The effect on body weight, blood glucose, serum bilirubin and certain clinical parameters like regurgitation, difficulty with the first feed, morbidity, etc. was studied in 32 low birth weight babies randomly allotted to 4 different feeding schedules. The babies fed with milk or 5% glucose within the first 24 hours, had significantly higher blood glucose values at 48 hours when compared with the group who had been starved till that time. There was no significant difference regarding weight loss and rise in serum bilirubin between early and late fed babies. The morbidity was similar in the four groups and there was no mortality. In conclusion, there is no distinct advantage of forcing early feeding in low birth weight babies and no serious harm is likely to occur if feeds are delayed till 48 hours. The decision to start feeding in low birth weight babies should be individualised depending upon the vigour, colour, and respiratory rate of the infant.
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References
Bauman, W.A. (1960). Early feeding of dextrose and saline solution to premature infants.Pediatrics,26, 756.
Beard, G., Panos, C.T., Marasigon, B.V., Eminianus, J., Kennedy, H.F. and Lamb, J. (1966). Perinatal stress and premature neonate. II. Effect of fluid and caloric deprivation on blood glucose.J. Pediat. 68, 329.
Cornblath, M., Joassim, G., Weisskoff, B. and Swiatek, K.R. (1966). Hypoglycaemia in the newborn.P.C.N.A. 13, 905.
Goodhart, J.F. (1913). In The Diseases of Children. Edited by J. F. Still. Churchill, London, p. 36.
Haworth, J.C. and Ford, J.D. (1963). The effect of early or late feeding and glucagon on blood sugar and serum bilirubin levels of premature babies.Arch. Dis. Childh. 38, 328.
Hess, J.H. (1923). Infant Feeding.Amer. med. Ass. Chicago, p. 55.
Lawrence, B.M. and Smith, B.H. (1962). the premature baby’s diet.Lancet,1, 589.
Smith, C.A. Yudkin, S., Young, W., Minkowsky, A. and Cushman, A. (1949). Adjustments of electrolytes and water following premature birth.Pediatrics,3, 34.
Wennbergh, R.P., Schwartz, R., and Sweet, A.Y. (1966). Early versus delayed feeding of low birth weight infants—effects on physiologic jaundice.J. Pediat. 68, 860.
Wharton, B.A. and Bower, B.D. (1965). Immediate or later feeding for premature babies? a controlled trial.Lancet,2, 769.
Wu, P.Y.K., Teilmann, P., Gabler, M., Vaughan, M., and Metcoff, Jr. (1967). Early versus late feeding of low birth weight neonates, effect on serum bilirubin, blood glucose and response to glucagon and epinephrin.J. Pediat,68, 329.
Ylppo, A. (1954). Premature children—should they fast or be fed on the first day of life?Ann. Pediat. Fenn. 1, 99.
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From the Department of Pediatrics, All India Institute of Medical Sciences, New Delhi.
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Singh, M., Monteiro, C. & Ghai, O.P. Early versus late feeding of low birth weight neonates-A controlled study. Indian J Pediatr 37, 54–58 (1970). https://doi.org/10.1007/BF02896729
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DOI: https://doi.org/10.1007/BF02896729