Skip to main content
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1982 Aug;57(8):597–601. doi: 10.1136/adc.57.8.597

Poor weight gain of the low birthweight infant fed nasojejunally.

M F Whitfield
PMCID: PMC1627713  PMID: 6810764

Abstract

Forty-four appropriately grown preterm infants of birthweight 1-1.5 kg were allocated to nasojejunal (NJ) or nasogastric (NG) feeding at birth. Infants in the NJ group were transferred to NG feeding as soon as they weighed 1.5 kg. The mean caloric intake of infants in both groups was the same, but mean incremental weight velocity during NJ feeding was significantly less than during NG feeding. At expected date of delivery mean body weight and mean occipitofrontal circumference were significantly smaller in the NJ group. During the 3 months after the expected date of delivery, when all infants were being fed orally, the infants in the NJ group had significantly greater mean weight velocity and mean occipitofrontal circumference velocity than infants in the NG group so that by 3 months after the expected date of delivery there was no significant difference in bodyweight or occipitofrontal circumference between the groups. Low birthweight infants fed by the nasojejunal route from birth should be transferred to nasogastric feeding as soon as possible.

Full text

PDF
597

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beddis I., McKenzie S. Transpyloric feeding in the very low birthweight (1500 g and below) infant. One year's experience in an intensive care neonatal unit. Arch Dis Child. 1979 Mar;54(3):213–217. doi: 10.1136/adc.54.3.213. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Benda G. I. Modes of feeding low-birth-weight infants. Semin Perinatol. 1979 Oct;3(4):407–415. [PubMed] [Google Scholar]
  3. Caillie M. V., Powell G. K. Nasoduodenal versus nasogastric feeding in the very low birthweight infant. Pediatrics. 1975 Dec;56(6):1065–1072. [PubMed] [Google Scholar]
  4. Challacombe D. N., Richardson J. M., Anderson C. M. Bacterial microflora of the upper gastrointestinal tract in infants without diarrhoea. Arch Dis Child. 1974 Apr;49(4):264–269. doi: 10.1136/adc.49.4.264. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Cheek J. A., Jr, Staub G. F. Nasojejunal alimentation for premature and full-term newborn infants. J Pediatr. 1973 Jun;82(6):955–962. doi: 10.1016/s0022-3476(73)80424-x. [DOI] [PubMed] [Google Scholar]
  6. Drew J. H., Johnston R., Finocchiaro C., Taylor P. S., Goldberg H. J. A comparison of nasojejunal witn nasogastric feedings in low-birth-weight infants. Aust Paediatr J. 1979 Jun;15(2):98–100. doi: 10.1111/j.1440-1754.1979.tb01198.x. [DOI] [PubMed] [Google Scholar]
  7. Hamosh M., Sivasubramanian K. N., Salzman-Mann C., Hamosh P. Fat digestion in the stomach of premature infants. I. Characteristics of lipase activity. J Pediatr. 1978 Oct;93(4):674–679. doi: 10.1016/s0022-3476(78)80915-9. [DOI] [PubMed] [Google Scholar]
  8. Hey E. N., O'Connell B. Oxygen consumption and heat balance in the cot-nursed baby. Arch Dis Child. 1970 Jun;45(241):335–343. doi: 10.1136/adc.45.241.335. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Hyde J. Transpyloric feeding in the newborn. Br J Hosp Med. 1978 Jun;19(6):618–622. [PubMed] [Google Scholar]
  10. Lucas A., Adrian T. E., Christofides N., Bloom S. R., Aynsley-Green A. Plasma motilin, gastrin, and enteroglucagon and feeding in the human newborn. Arch Dis Child. 1980 Sep;55(9):673–677. doi: 10.1136/adc.55.9.673. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Lucas A., Bloom S. R., Aynsley-Green A. Development of gut hormone responses to feeding in neonates. Arch Dis Child. 1980 Sep;55(9):678–682. doi: 10.1136/adc.55.9.678. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Lucas A., Bloom S. R., Aynsley-Green A. Metabolic and endocrine events at the time of the first feed of human milk in preterm and term infants. Arch Dis Child. 1978 Sep;53(9):731–736. doi: 10.1136/adc.53.9.731. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Milner R. D., Minoli I., Moro G., Rubecz I., Whitfield M. F., Assan R. Growth and metabolic and hormonal profiles during transpyloric and nasogastric feeding in preterm infants. Acta Paediatr Scand. 1981 Jan;70(1):9–13. doi: 10.1111/j.1651-2227.1981.tb07165.x. [DOI] [PubMed] [Google Scholar]
  14. Roy R. N., Pollnitz R. B., Hamilton J. R., Chance G. W. Impaired assimilation of nasojejunal feeds in healthy low-birth-weight newborn infants. J Pediatr. 1977 Mar;90(3):431–434. doi: 10.1016/s0022-3476(77)80710-5. [DOI] [PubMed] [Google Scholar]
  15. Tanner J. M., Whitehouse R. H., Takaishi M. Standards from birth to maturity for height, weight, height velocity, and weight velocity: British children, 1965. II. Arch Dis Child. 1966 Dec;41(220):613–635. doi: 10.1136/adc.41.220.613. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Usher R., McLean F. Intrauterine growth of live-born Caucasian infants at sea level: standards obtained from measurements in 7 dimensions of infants born between 25 and 44 weeks of gestation. J Pediatr. 1969 Jun;74(6):901–910. doi: 10.1016/s0022-3476(69)80224-6. [DOI] [PubMed] [Google Scholar]
  17. Wells D. H., Zachman R. D. Nasojejunal feedings in low-birth-weight infants. J Pediatr. 1975 Aug;87(2):276–279. doi: 10.1016/s0022-3476(75)80602-0. [DOI] [PubMed] [Google Scholar]
  18. Whitfield M. F. Transpyloric feeding in infants undergoing intensive care. Arch Dis Child. 1981 Jul;56(7):571–572. doi: 10.1136/adc.56.7.571. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Wolfsdorf J., Makarawa S., Fernandes C., Fenner A. Transpyloric feeding in small preterm infants. Arch Dis Child. 1975 Sep;50(9):723–726. doi: 10.1136/adc.50.9.723. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Yu V. Y. Cardiorespiratory response to feeding in newborn infants. Arch Dis Child. 1976 Apr;51(4):305–309. doi: 10.1136/adc.51.4.305. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Yu V. Y., Rolfe P. Effect of feeding on ventilation and respiratory mechanics in newborn infants. Arch Dis Child. 1976 Apr;51(4):310–313. doi: 10.1136/adc.51.4.310. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. de Carvalho M., Davis J. A., Hudson G. J., Coward W. A. Gastric and jejunal feeding in high risk neonates. Arch Dis Child. 1980 Jul;55(7):575–575. doi: 10.1136/adc.55.7.575. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES