The goal of nutritional management in VLBW and ELBW infants is the achievement of postnatal growth at a rate that approximates the intrauterine growth of a normal fetus at the same postconceptional age. In reality, however, growth lags considerably after birth; although non-nutritional factors are involved, nutrient deficiencies are critical in explaining delayed growth. This practical clinically-oriented pocketbook reviews and summarises all available clinical evidence. It enables the reader to implement parenteral or enteral feeding plans, with the goals of reducing postnatal weight loss, earlier return to birthweight, and improved catch-up growth. Both nutrient balance and growth and the impact on neurodevelopment and health outcomes are evaluated. With many tables and algorithms to summarise key data and management strategies, Nutritional Strategies for the Very Low Birthweight Infant is an invaluable guide for all healthcare professionals caring for premature babies.
David H. Adamkin is Professor of Pediatrics and Director of the Division of Neonatal Medicine, University of Louisville, Louisville, Kentucky, USA.
'This is a wonderful contribution to the practical literature on neonatal nutritional care. It highlights the important contribution of optimal nutrition to the prevention of long-term neurodevelopmental and health sequelae as consequences of severe prematurity. Hopefully, Dr Adamkin's recommendations regarding nutritional management of this very vulnerable population will find general acceptance in our NICUs.' Doody's Notes
'... very practical, easy to use ...' Pediatric Endocrinology Reviews