Enteral feeding practices in preterm infants in South Africa

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dc.contributor.authorRaban, M S
dc.contributor.authorJoolay, Y
dc.contributor.authorHorn, A R
dc.contributor.authorHarrison, M C
dc.date.accessioned2016-04-29T08:19:42Z
dc.date.available2016-04-29T08:19:42Z
dc.date.issued2013
dc.date.updated2016-04-29T08:13:46Z
dc.description.abstractBackground: Optimal feeding regimens in babies weighing <1 000 g have not been established, and wide variations occur. In South Africa (SA) this situation is complicated by varied resource constraints. Objective: To determine the preterm enteral feeding practices of paediatricians in SA. Methods: We invited 288 paediatricians to participate in a cross-sectional web-based survey. Results. We received responses from 31.2% of the paediatricians; 43.6% were from the state sector and 56.4% from the private sector. Most participants worked in medium-sized neonatal units with 6 - 10 beds. The proportions commencing feeds within the first 24 hours were 24% in infants of <25 weeks’ gestational age, 36% in infants 25 - 27 weeks, and 65% in infants 28 - 31 weeks. Feed volumes were routinely advanced daily in 47% of infants <25 weeks, 68% of infants 25 - 27 weeks, and 90% of infants 28 - 31 weeks. Forty-five per cent of infants <25 weeks received continuous intragastric feeds, while 50% of those in the 28 - 31 weeks group were on 3-hourly bolus feeds. The majority of the participants targeted full enteral feeds of 161 - 180 ml/kg/d, 66.7% had access to donor milk, and 77% used breastmilk fortifier. Conclusion: This is the first study to survey feeding practices in SA. The survey did not highlight differences in feeding practices among paediatricians. These data could be valuable in the design of local collaborative trials to determine optimal feeding strategies.en_ZA
dc.identifierhttp://dx.doi.org/10.7196/SAJCH.503
dc.identifier.apacitationRaban, M. S., Joolay, Y., Horn, A. R., & Harrison, M. C. (2013). Enteral feeding practices in preterm infants in South Africa. <i>South African Journal of Child Health</i>, http://hdl.handle.net/11427/19316en_ZA
dc.identifier.chicagocitationRaban, M S, Y Joolay, A R Horn, and M C Harrison "Enteral feeding practices in preterm infants in South Africa." <i>South African Journal of Child Health</i> (2013) http://hdl.handle.net/11427/19316en_ZA
dc.identifier.citationRaban, M. S., Joolay, Y., Horn, A. R., & Harrison, M. C. (2013). Enteral feeding practices in preterm infants in South Africa. South African Journal of Child Health, 7(1), 8-12.en_ZA
dc.identifier.issn1994-3032en_ZA
dc.identifier.ris TY - Journal Article AU - Raban, M S AU - Joolay, Y AU - Horn, A R AU - Harrison, M C AB - Background: Optimal feeding regimens in babies weighing <1 000 g have not been established, and wide variations occur. In South Africa (SA) this situation is complicated by varied resource constraints. Objective: To determine the preterm enteral feeding practices of paediatricians in SA. Methods: We invited 288 paediatricians to participate in a cross-sectional web-based survey. Results. We received responses from 31.2% of the paediatricians; 43.6% were from the state sector and 56.4% from the private sector. Most participants worked in medium-sized neonatal units with 6 - 10 beds. The proportions commencing feeds within the first 24 hours were 24% in infants of <25 weeks’ gestational age, 36% in infants 25 - 27 weeks, and 65% in infants 28 - 31 weeks. Feed volumes were routinely advanced daily in 47% of infants <25 weeks, 68% of infants 25 - 27 weeks, and 90% of infants 28 - 31 weeks. Forty-five per cent of infants <25 weeks received continuous intragastric feeds, while 50% of those in the 28 - 31 weeks group were on 3-hourly bolus feeds. The majority of the participants targeted full enteral feeds of 161 - 180 ml/kg/d, 66.7% had access to donor milk, and 77% used breastmilk fortifier. Conclusion: This is the first study to survey feeding practices in SA. The survey did not highlight differences in feeding practices among paediatricians. These data could be valuable in the design of local collaborative trials to determine optimal feeding strategies. DA - 2013 DB - OpenUCT DP - University of Cape Town J1 - South African Journal of Child Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2013 SM - 1994-3032 T1 - Enteral feeding practices in preterm infants in South Africa TI - Enteral feeding practices in preterm infants in South Africa UR - http://hdl.handle.net/11427/19316 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/19316
dc.identifier.urihttp://sajch.org.za/index.php/SAJCH/article/view/503
dc.identifier.vancouvercitationRaban MS, Joolay Y, Horn AR, Harrison MC. Enteral feeding practices in preterm infants in South Africa. South African Journal of Child Health. 2013; http://hdl.handle.net/11427/19316.en_ZA
dc.languageengen_ZA
dc.publisherHealth and Medical Publishing Groupen_ZA
dc.publisher.departmentDivision of Neonatologyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en_ZA
dc.sourceSouth African Journal of Child Healthen_ZA
dc.source.urihttp://www.sajch.org.za/index.php/SAJCH
dc.subject.otherenteral feeding
dc.subject.otherpreterm
dc.subject.otherbreast milk
dc.subject.othersurvey
dc.titleEnteral feeding practices in preterm infants in South Africaen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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