- 2023, Volume 54 - Number 4
- Published: November 15, 2023
Guidelines for enteral nutrition in infants born preterm: 2023 update by the Portuguese Neonatal Society. Part I. Nutrient requirements and enteral feeding approach during the hospital stay
Luís Pereira-da-Silva 1, Susana Pissarra 2, António Gomes 3, Rosalina Barroso 4, Cláudia Fernandes 5, Daniel Virella 6, Israel Macedo 7, Edmundo Santos 8, Andreia Teles 9, Manuela Cardoso 10
1 Retiring Editor-in-Chief of the Portuguese Journal of Pediatrics; Faculdade de Ciências Médicas, NOVA Medical School, Lisbon, Portugal; Unidade Local de Saúde São José, Hospital Dona Estefânia, Lisbon, Portugal; 2 Department of Neonatology, Centro Hospitalar e Universitário São João, Porto, Portuga; 3 NICU, Hospital Garcia de Orta, Almada, Portugal; 4 NICU, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal; 5 Neonatal Unit, Hospital Cuf Descobertas, Lisbon, Portugal; 6 Neonatal Unit, Hospital Dona Estefânia and Maternidade Dr. Alfredo da Costa, Unidade Local de Saúde São José, Lisbon, Portugal; 7 Medicine of Woman, Childhood and Adolescence academic area, NOVA Medical School, Faculdade de Ciências Médicas, Universidade NOVA de Lisboa, Lisbon; Neonatal Unit, Department of Pediatrics, Maternidade Dr. Alfredo da Costa and Hospital Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisbon; Portugal; 8 NICU, Hospital de S. Francisco Xavier, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal; 9 Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal; 10 Nutrition Unit, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal
Luís Pereira-da-Silva, Susana Pissarra, António Gomes, Rosalina Barroso, Cláudia Fernandes, Daniel Virella, Israel Macedo, Edmundo Santos, Andreia Teles, Manuela Cardoso
La información completa de afiliaciones y autor de correspondencia está disponible en la versión original en PDF.
*Correspondence: Andreia Teles, Email not available
Abstract
Recent evidence-based data motivated this update of the Portuguese Neonatal Society guidelines for the enteral nutrition of infants born preterm. The purpose of this document is to support the clinical practice and was mainly oriented by the updated European Society for Pediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) 2022 position paper, the World Health Organization recommendations 2022, and other reference articles, particularly systematic reviews. These guidelines are published in two parts. Part I addresses the nutrient requirements and the enteral feeding approach during the hospital stay, including optimization of the mother’s own milk feeding and methods for enteral feeding. Part II is directed to particularities of enteral feeding in specific clinical conditions, and feeding after discharge, including breastmilk fortification at home and introduction of complementary feeding.
