Neonatal, perinatal nutrition:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia u.a.
Saunders
1995
|
| Schriftenreihe: | Clinics in perinatology
22,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIV, 249 S. |
Internformat
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Datensatz im Suchindex
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| adam_text | NEONATAL/PERINATAL NUTRITION
CONTENTS
Preface xiii
Gilberto R. Pereira and Michael K. Georgieff
Nutritional Therapy for Pregnant Women
with a Metabolic Disorder 1
Richard Koch, Phyllis B. Acosta, and Julian C. Williams
Newborn screening programs have resulted in normal develop¬
ment primarily in women with phenylketonuria, galactosemia,
and homocystinuria. These women are in their reproductive stages
of life. They need specialized treatment resources for optimal fetal
outcome. There are a host of other metabolic disorders; however,
clinical experience with these disorders is so limited that specific
guidelines for therapy are largely unavailable.
Metabolic Substrates for Fetal Energy Metabolism
and Growth 15
Peter W. Aldoretta and William W. Hay, Jr
This article reviews the basic aspects of fetal nutrition with em¬
phasis on recent developments. Growth and energy requirements
are first described, followed by a discussion about the contribu¬
tions of main metabolic substrates for the fetus including amino
acids, carbohydrates, and lipids. While the placenta is not the pri¬
mary focus of this review, fetal and placental metabolism are inti¬
mately related. Current understanding of placental transport and
metabolism is included where relevant. Lastly, a current review
about the effects of nutrient deprivation on fetal growth and me¬
tabolism is presented.
CLINICS IN PERINATOLOGY
VOLUME 22 • NUMBER 1 • MARCH 1995 vii
Gastrointestinal Motility in the Neonate 37
Delma L. Broussard
Feeding intolerance is a common problem in neonates, especially
in the premature infant. Developmental patterns of gastrointesti¬
nal motility have been described in both animals and humans. This
article reviews the normal physiology of gastrointestinal motility,
its development and measurement, as well as current therapies for
gastrointestinal dysmotility.
Nutritional Care of the Extremely Premature Infant 61
Gilberto R. Pereira
Nutritional requirements of extremely premature infants are
greater than those of other premature and full term neonates. Nu¬
trition support for these infants should be initiated early in the
neonatal period combined with the use of parenteral nutrition and
minimal enteral feedings. Intermittent gastric gavage is the pre¬
ferred method to provide enteral feeding until sucking and swal¬
lowing mechanisms are mature. Fortified preterm human milk is
the first choice of feeding, and the best substitute is premature
infant formulas. Multivitamin supplementation may be necessary,
depending on the daily intake of infant formula. Iron supplemen¬
tation can be initiated as early as two weeks of age.
The Effects of Illness on Neonatal Metabolism
and Nutritional Management 77
Theresa M. Wahlig and Michael K. Georgieff
Nutritional management of acute and chronically ill neonates de¬
pends upon understanding the effects of illness on their metabo¬
lism. The nutrient requirements of infants with acute pulmonary
disease, bronchopulmonary dysplasia, congenital heart disease,
sepsis or intrauterine growth retardation are substantially different
from the requirements of the physiologically stable, healthy infant.
Appropriately tailored nutrient delivery is an effective means of
improving the survival and outcome of the premature or critically
ill neonate; nevertheless, a great deal more needs to be understood
about the effects of illness on the metabolism of the neonate in
order to optimize nutritional therapy.
Stable Isotopes as Metabolic Probes for Nutritional
Studies in Neonates 97
Marc Yudkoff and Itzhak Nissim
Metabolic and nutritional studies with stable isotope tracers have
proved valuable in the human newborn. This technique is accept¬
able ethically, because it does not expose the infant to radioac¬
tivity, and it is sensitive enough for the analysis of very small
viii CONTENTS
samples. The stable isotope method has been especially applied to
studies of neonatal carbohydrate, protein, and energy metabolism.
Antenatal Ultrasound and Fetal Doppler: Diagnosis
and Outcome in Intrauterine Growth Retardation 111
Emanuel P. Gaziano
This article reviews information relative to the antenatal diagnosis
of retarded fetal growth in singleton and multiple gestations draw¬
ing upon standard clinical means as well as ultrasonographic bio¬
metry and Doppler interrogation of certain vessels. The develop¬
ment of fetal Doppler technology enables assessment of the
recently described vascular changes and brain sparing effect as¬
sociated with certain types of growth retardation. Finally, a dis¬
cussion follows on adverse outcome in growth retardation and a
number of fetal assessment modalities that include: Doppler, ultra¬
sound assessed structural malformations, transcerebellar diameter,
and ponderal index and fetal blood sampling.
Recent Advances in Parenteral Nutrition 141
Caren L. Lipsky and Michael L. Spear
Nutritional support of critically ill infants and children has a major
impact on the morbidity and ultimate survival of these patients.
Parenteral nutrition has undergone many changes since its original
use more than 20 years ago. This article summarizes some of the
more recent modifications in parenteral nutrition. The use of insulin
to control hyperglycemia associated with parenteral nutrition is con¬
troversial, although many advocate its use as a means to optimize
caloric intake in the very low birthweight infant for whom this is
often a significant problem. The advantages of using a 20% lipid
emulsion, as opposed to a 10% emulsion, are emphasized. Supple¬
mentation with carnitine and selenium is controversial, and studies
endorsing and opposing their use are described.
Nutritional Role of Omega 3 Fatty Acids During
the Perinatal Period 157
Ricardo Uauy Dagach and Patricia Mena
There is now clear evidence that dietary supplementation of to 3
fatty acid is essential for normal eye and brain development. Corn
oil based diets induce oj 3 deficiency in preterm infants, affecting
retinal responses to light, cortical visual evoked potentials, and
behavioral measures of visual acuity. Preterm infants require doc
osahexanoic acid (DHA) because they are unable to form sufficient
quantities from precursors provided by soy oil based formula
products. Human milk provides an ideal source of essential fatty
acids for premature infants. There is increasing evidence that pre¬
mature infant formulas containing vegetable oils should be supple
CONTENTS ix
merited with long chain EFAs to promote optimal retinal and corti¬
cal visual development.
Metabolic Balance Studies in Premature Infants 177
Judith A. Ernst, Wendy K. Cruse, and James A. Lemons
Over the past decades metabolic balance studies have been exten¬
sively used for the purpose of determining the retention rates of
nutrients ingested by neonates. Traditionally, data derived from
these studies have been used to estimate nutritional requirements
in both full term and premature infants. This article provides a
historical review of the methodology used in classic metabolic bal¬
ance studies performed in neonates since 1955. In addition, de¬
scriptions of new methodologies that improve the reliability and
reproducibility of metabolic balance studies conducted in prema¬
ture infants that include: (1) the recognition that an acclimation
period of steady and sufficient energy intake is necessary prior to
the initiation of the balance study; (2) the use of a minimum period
of 72 hours for the total duration of balance study; and (3) the use
of stool markers to time the period. Also described in this article
are the retention rates of calcium and fat that were measured in
premature infants by means of metabolic balance studies con¬
ducted with the use of recommended methodology.
Minimal Enteral Feedings 195
Carol Lynn Berseth
The use of early minimal enteral nutrition provides direct and
indirect benefits to the mucosal function of the small intestine.
Because of concerns about the use of exclusive full enteral nutri¬
tion in the infant who experiences a complex clinical course, the
use of minimal enteral nutrition to supplement parenteral nutri¬
tion reduces the risk to benefit ratio of feeding the metabolically
stable low birthweight infant.
Suitability of Human Milk for the Low Birthweight Infant 207
Richard J. Schanler
Information is emerging now that supports the use of human milk
for low birthweight (LBW) infants. The nutritional benefits, in
terms of protein digestion, amino and fatty acid patterns, fat ab¬
sorption, and lactose digestion are recognized. Gastrointestinal
function may be enhanced with human milk feeding. Profound
effects on host defense, including a reduction in the rates of neona¬
tal infection and necrotizing enterocolitis, recently have been ac¬
knowledged. To enable the LBW infant to continue to receive a
mother s own milk, attention needs to be focused on specific nutri¬
ent limitations. Calcium and phosphorous require supplementa¬
tion. Protein and sodium supplements may be needed. Commer
X CONTENTS
dal formulations are available that enable the fortification of hu¬
man milk. Approaches that facilitate the feeding of a mother s own
milk should be adopted by neonatal units.
Trace Elements in Nutrition for Premature Infants 223
Stanley H. Zlotkin, Stephanie Atkinson, and Gillian Lockitch
Ten trace elements that are nutritionally essential include: zinc,
copper, selenium, chromium, manganese, molybdenum, cobalt,
fluoride, iodine, and iron. This article briefly reviews the bio¬
chemistry of these trace elements, describes clinical deficiency
states, and provides a rationale for recommended enteral and par
enteral intakes for preterm infants.
Index 241
Subscription Information Inside back cover
CONTENTS xi
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| spelling | Neonatal, perinatal nutrition Gilberto R. Pereira ... Philadelphia u.a. Saunders 1995 XIV, 249 S. txt rdacontent n rdamedia nc rdacarrier Clinics in perinatology 22,1 Foetussen gtt Pasgeborenen gtt Physiologie de la nutrition - Grossesse Physiologie de la nutrition du nourrisson Physiologie de la nutrition infantile Prematuren gtt Voeding gtt Fetus Nutrition Infant Nutrition Infant, Newborn metabolism Newborn infants Nutrition Nutrition Pregnancy Pregnancy Nutritional aspects Ernährung (DE-588)4015332-0 gnd rswk-swf Neugeborenenkrankheit (DE-588)4041779-7 gnd rswk-swf Neugeborenes (DE-588)4041781-5 gnd rswk-swf Diät (DE-588)4012031-4 gnd rswk-swf Fetalentwicklung (DE-588)4071188-2 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Neugeborenes (DE-588)4041781-5 s Ernährung (DE-588)4015332-0 s DE-604 Neugeborenenkrankheit (DE-588)4041779-7 s Diät (DE-588)4012031-4 s Fetalentwicklung (DE-588)4071188-2 s Pereira, Gilberto R. Sonstige oth Clinics in perinatology 22,1 (DE-604)BV000003382 22,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006769692&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Neonatal, perinatal nutrition Clinics in perinatology Foetussen gtt Pasgeborenen gtt Physiologie de la nutrition - Grossesse Physiologie de la nutrition du nourrisson Physiologie de la nutrition infantile Prematuren gtt Voeding gtt Fetus Nutrition Infant Nutrition Infant, Newborn metabolism Newborn infants Nutrition Nutrition Pregnancy Pregnancy Nutritional aspects Ernährung (DE-588)4015332-0 gnd Neugeborenenkrankheit (DE-588)4041779-7 gnd Neugeborenes (DE-588)4041781-5 gnd Diät (DE-588)4012031-4 gnd Fetalentwicklung (DE-588)4071188-2 gnd |
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| title | Neonatal, perinatal nutrition |
| title_auth | Neonatal, perinatal nutrition |
| title_exact_search | Neonatal, perinatal nutrition |
| title_full | Neonatal, perinatal nutrition Gilberto R. Pereira ... |
| title_fullStr | Neonatal, perinatal nutrition Gilberto R. Pereira ... |
| title_full_unstemmed | Neonatal, perinatal nutrition Gilberto R. Pereira ... |
| title_short | Neonatal, perinatal nutrition |
| title_sort | neonatal perinatal nutrition |
| topic | Foetussen gtt Pasgeborenen gtt Physiologie de la nutrition - Grossesse Physiologie de la nutrition du nourrisson Physiologie de la nutrition infantile Prematuren gtt Voeding gtt Fetus Nutrition Infant Nutrition Infant, Newborn metabolism Newborn infants Nutrition Nutrition Pregnancy Pregnancy Nutritional aspects Ernährung (DE-588)4015332-0 gnd Neugeborenenkrankheit (DE-588)4041779-7 gnd Neugeborenes (DE-588)4041781-5 gnd Diät (DE-588)4012031-4 gnd Fetalentwicklung (DE-588)4071188-2 gnd |
| topic_facet | Foetussen Pasgeborenen Physiologie de la nutrition - Grossesse Physiologie de la nutrition du nourrisson Physiologie de la nutrition infantile Prematuren Voeding Fetus Nutrition Infant Nutrition Infant, Newborn metabolism Newborn infants Nutrition Nutrition Pregnancy Pregnancy Nutritional aspects Ernährung Neugeborenenkrankheit Neugeborenes Diät Fetalentwicklung Aufsatzsammlung |
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