Table 3.
Neonatal nutrition practices in the PreM Growth Study three cities at the time of the study
| Calgary | Regina | San Diego | |
|---|---|---|---|
| A. Nutrition plans: |
|
|
|
| Goals for parenteral nutrition |
|
|
|
| Protein (g/kg/day) |
3.5 to 4 |
3.5 to 4 |
4 |
| Lipid (g/kg/day) |
3 to 4 |
3 to 4 |
3.5 |
| Type of amino acid |
Trophamine 2001 to 2006, Primene 2006 to 2010 |
Aminosyn PF 2001- May 2005 Primene 2005 to 2010 |
Trophamine |
| Type of lipids |
Intralipid |
Intralipid |
Intralipid |
| Beginning doses: |
|
|
|
| Protein (g/kg/day) |
1-2 grams |
1-2 grams |
2 grams |
| Lipid (g/kg/day) |
1 gram on day 1 or 2 |
0.5-1.0 grams on day 1 or 2 |
1-2 grams |
| Rate of increment: |
|
|
|
| Protein (g/kg/day) |
1 gram |
0.5-1.0 |
1 gram |
| Lipid (g/kg/day) |
1 gram |
0.5-1.0 |
1 gram |
| B. Actual nutrition data: |
|
|
|
| Parenteral nutrition start (day) |
0.4 (0.6) |
0.7 (1.0) |
0 (0) |
| Minimal enteral feed start (day) |
4.2 (4.1) |
9.2 (5.2) |
4.7 (4.0) |
| Enteral feeds start (day) |
9.8 (7.3) |
17.4 (9.2) |
12.8 (10.5) |
| Full feeds (day) |
22.2 (10.8) |
36.2 (17.7) |
29.4 (19.7) |
| C. Predominant hospital feedings: |
|
|
|
| Fortified breastmilk (%) |
74.3 |
43.6 |
90.9 |
| Non-Fortified breastmilk (%) |
2.8 |
5.1 |
3.0 |
| Preterm formula (%) |
12.0 |
23.1 |
6.1 |
| Term formula (%) |
1.7 |
23.0 |
0 |
| D. Post D/C* predominant feedings: |
|
|
|
| Non-Fortified breastmilk (%) |
16.3 |
12.5 |
6.1 |
| Breastmilk & post D/C* formula (%) |
29.4 |
0 |
42.4 |
| Breastmilk & term formula (%) |
14.5 |
0 |
12.1 |
| Post D/C* formula (%) |
24.9 |
67.2 |
36.4 |
| Term formula (%) | 14.3 | 17.2 | 3.0 |
* post D/C = post discharge.