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Journals
Journal of Mother and Child
Volume 28 (2024): Issue 1 (February 2024)
Open Access
Nutrition of Newborns with Hypoxic-Ischaemic Encephalopathy during Therapeutic Hypothermia - A Survey of Practice in Polish Neonatal Care Units
Aleksandra Warchoł
Aleksandra Warchoł
and
Przemko Kwinta
Przemko Kwinta
| Mar 05, 2024
Journal of Mother and Child
Volume 28 (2024): Issue 1 (February 2024)
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Article Category:
Research article
Published Online:
Mar 05, 2024
Page range:
8 - 13
Received:
Dec 27, 2023
Accepted:
Feb 04, 2024
DOI:
https://doi.org/10.34763/jmotherandchild.20242801.d-23-00115
Keywords
neonatal care
,
hypoxic-ischaemic encephalopathy
,
therapeutic hypothermia
,
nutrition
,
enteral feeding
© 2024 Aleksandra Warchoł et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Figure 1.
Nutrition of newborns with hypoxic-ischaemic encephalopathy during therapeutic hypothermia.Legend:Orange: Parenteral NutritionViolet: Parenteral and Enteral Nutrition
Figure 2.
The distribution of first enteral feeding volumes (*if the body weight of a full-term newborn is assumed to be 3 kg).
Figure 3.
Stated reasons for withholding enteral nutrition during therapeutic hypothermia.Legend:A: Unstable hemodynamic condition of the patientB: Increased risk of NEC (Necrotising Enterocolitis)C: No recommendation for enteral feeding during therapeutic hypothermiaD: Lack of safety data for enteral feeding during therapeutic hypothermiaE: Use of intravenous sedation, mechanical ventilationF: Weak or absent intestinal peristalsisG: Some staff members have significant concerns regarding enteral feeding during hypothermia and are difficult to convinceH: We provide trophic feeding during hypothermia if toleratedI: Increased risk of sepsis
Figure 4.
Stated reasons for introducing enteral nutrition during therapeutic hypothermia.Legend:A: Reducing the risk of sepsisB: Shortening the stay in the Neonatal Intensive Care Unit (NICU)C: Reducing the risk of NEC (Necrotising Enterocolitis)D: Increasing the percentage of breastfed newbornsE: Increasing infant survivalF: Gastrointestinal tract stimulation, prevention of mucosal atrophyG: Because there are no contraindicationsH: Gastrointestinal tract colonisation