Preterm Bebeğin Taburcu Olduktan Sonra Büyüme İzlemi, Beslenme ve Aşılanmasında Kanıta Dayalı Uygulamalar

Year 2009, Volume: 9 Issue: 4, 167 - 171, 01.10.2009

Zeynep İnce

Abstract

Yenidoğan bakımındaki tıbbi ve teknolojik gelişmeler sonu- cu preterm bebeklerin hayatta kalma şansları giderek art- makta ve daha çok sayıda preterm bebek hastaneden erken dönemde taburcu olmakta, bu bebeklerin izleminde genel pediatristler giderek daha fazla rol almaktadır. Taburculuk sonrası izlemde önemli olan noktalar; bebeğin önceden tanımlanmış sorunlarını izlemek, ortaya çıkabilecek yeni sorunları tanımak ve gerektiğinde ilgili Bilim Dallarına yönlendirmek, aynı zamanda rutin sağlam çocuk izlemini de yürütmektir. Bu yazıda, preterm bebeklerin taburculuk sonrası büyüme izlemi, beslenme ve aşılamasına dair kanı- ta dayalı bilgiler tartışılmıştır

Keywords

Preterm, taburculuk, izlem

Evidence Based Practices in Growth Monitoring, Feeding and Vaccination of Preterm Babies After Discharge from the Hospital

Abstract

The survival of preterm babies has increased considerably as a result of medical and technological advances in neo- natal care. An increased number of babies are being disc- harged earlier from the hospital and general pediatricians are more frequently involved in the post-discharge care of these babies. Important points in the follow-up are to monitor pre-defined clinical problems, to diagnose newly emerging ones, to consult with subspecialties when needed and at the same time provide routine follow-up care. In this paper evidence based practices in growth monitoring, fee- ding and vaccination of preterm babies after discharge from the hospital are discussed

Keywords

Preterm, postrdischarge care, follow-up

References

• 1. Verma RP, Sridhar S, Spitzer AR. Continuing care of NICU graduates. Clin Pediatr 2003; 42:299-315.
• 2. Casey PH. Growth of low birth weight preterm children. Semin Perinatol 2008; 32:20-7.
• 3. Fenton TR. A new growth chart for preterm babies: Babson and Benda’s chart updated with recent data and a new format. BMC Pediatrics 2003; 3:13 (http://www.biomedcentral. com/1471-2431/3/13).
• 4. Sauer PJJ. Can extrauterine growth approximate intrauterine growth? Should it? Am J Clin Nutr 2007; 85(suppl):608S13S.
• 5. Rao SC, Tompkins J. Growth curves for preterm infants. Early Hum Dev 2007; 83:643-51.
• 6. Niklasson A, Albertsson-Wikland K. Continuous growth referrence from 24th week of gestation to 24 months by gender. BMC Pediatrics 2008; 8:8 (http://www.biomedcentral. com/1471-2431/8/8).
• 7. Gökçay G, Furman A, Neyzi O. Updated growth curves for Turkish children aged 15 days to 60 months. Child Care Health Dev 2008 Apr (Epub ahead of print).
• 8. Hall RA. Nutritional follow-up of the breastfeeding premature infant after hospital discharge. Pediatr Clin North Am 2001; 48:453-60.
• 9. ESPGHAN Committee on Nutrition- Medical Position Paper. Feeding preterm infants after hospital discharge, a commentary by the ESPGHAN Committee on Nutrition. JPGN 2006; 42:596-603.
• 10. McLeod G, Sheriff J. Preventing postnatal growth failureThe significance of feeding when the preterm infant is clinically stable. Early Hum dev 2007; 83:659-65.
• 11. Greer FR. Post-discharge nutrition: what does the evidence support? Semin Perinatol 2007; 31:89-95.
• 12. Henderson G, Fahey T, McGuire W. Nutrient-enriched formula versus standard term formula for preterm infants following hospital discharge. Cochrane Database Syst Rev 2007; (4):CD004696.
• 13. Koo WWK, Hockman EM. Posthospital discharge feeding for preterm infants: effects of standard compared with enriched milk formula on growth, bone mass and body composition. J Clin Nutr 2006; 84:1357-64.
• 14. Henderson G, Fahey T, McGuire W. Nutrient-enriched formula milk versus human breast milk for preterm infants following hospital discharge. Cochrane Database Syst Rev 200; (4):CD004862.
• 15. Henderson G, Fahey T, McGuire W. Multicomponent fortification of human breast milk for preterm infants following hospital discharge. Cochrane Database Syst Rev 2007; (4):CD004866.
• 16. O’Connor DL, Khan S, Weishuhn K, et al (Postdischarge Feeding Study Group). Growth and nutrient intakes of human milk-fed preterm infants provided with extra energy and nutrients after hospital discharge. Pediatrics 2008; 121:766-76
• 17. Fewtrell MS. Growth and nutrition after discharge. Semin Neonatol 2003; 8:169-76.
• 18. Bonhoeffer J, Siegrist C-A, Heath PT. Immunisation of premature infants. Arch Dis Child 2006; 91:929-35.
• 19. American Academy of Pediatrics- Saari TN, and the Committee on Infectious Diseases. Immunization of preterm and low birth weight infants. Pediatrics 2003; 112:193-8.
• 20. Lee J, Robinson JL, Spady DW. Frequency of apnea, bradycardia and desaturations following first diphteria-tetanuspertussis-inactivated polio-Haemophilus inluenzae type B immunization in hospitalized preterm infants. BMC Pediatrics 2006; 6:20 (http://www.biomedcentral.com/1471-2431/6/820).
• 21. Carbone T, McEntire B, Kisin D, et al. Absence of an increase in cardiorespiratory events after diphteria-tetanus-acellular pertussis immunization in preterm infants: a randomized, multicenter study. Pediatrics 2008; 121:e1085-e1090.