I Made Kardana
Bagian Ilmu Kesehatan Anak, Fakultas Kedokteran Universitas Udayana, RSUP Sanglah, Denpasar

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Journal : Babali Nursing Research

Time to Achieve Full Enteral Feeding in Very Low Birth Weight Infants and Associated Factors in Neonatology Unit Sukmawati, Made; Kardana, I Made; Artana, I Wayan Dharma; Putra, Putu Junara; Cempaka, Putu Mas Vina Paramitha; Clearesta, Kartika Eda
Babali Nursing Research Vol. 4 No. 3 (2023): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.43270

Abstract

Background: Enteral intolerance in premature infants is associated with several morbidities, especially in very low birth weight (VLBW). There are only a few dietary practices to provide better outcomes in newborns with VLBW. This study aimed to assess the factors associated with the time to achieve full enteral feeding (FEF) in infants with VLBW. Methods: This was a retrospective study on infants with VLBW in the Neonatology Unit of Sanglah Central General Hospital, Bali from November 2020 to January 2022. The infants started trophic feeding with breastmilk and or formula milk. The age of FEF was determined when the target of 150 ml/kgBW/day was reached. The association of risk factors was analyzed using the Mann-Whitney test, the Kruskal-Wallis test, and linear regression analysis. Results: A total of 79 VLBW infants with a median gestational age of 30 weeks (25-38) were recruited. The median age of FEF was achieved in 9(7-15) days. Late trophic feeding (more than 24 hours), severe asphyxia, culture positive-sepsis, and using a mechanical ventilator were associated with a longer timing of FEF. While in the multivariate analysis, small for gestational age (SGA), late trophic feeding, severe asphyxia, absence of prenatal dexamethasone, and culture-positive sepsis were independent factors for longer FEF in this population. Conclusion: In VLBW infants, the age of FEF in our population was reached in 2 weeks. Small for gestational age, late trophic feeding, severe asphyxia, prenatal dexamethasone coverage, and culture-positive sepsis were associated with delay in FEF. Further studies of multi-centers and analyzing the factors of delayed TF might be needed.
Co-Authors Anak Agung Ngurah Subawa Ariputra -, Ariputra Artana, Wayan Dharma Ayu Ketut Surya Dewi Ayu Setyorini Mestika Mayangsari Bowolaksono * Carissa Lidia Cempaka, Putu Mas Vina Paramitha Clearesta, Kartika Eda Desak Laksmi DIAN SAVITRI Dyah Kanya Wati Ekaputri, Dian Sulistya Franky Luhulima Gusti Ayu Putu Nilawati Hendra Santoso Hendry Raymen Satria Hendy Hendy I Gde Raka Widiana I Gede Deden Susma Sugara I Gede Ketut Aryana, I Gede Ketut I Gusti Agung Ngurah Sugitha Adnyana I Gusti Ayu Putu Eka Pratiwi I Gusti Ngurah Made Suwarba I Made Arimbawa I Nyoman Adipura I Nyoman Budi Hartawan I Nyoman Sartika I Nyoman Wande I Putu Sidhi Rastu Karyana I Wayan Darma Artana I Wayan Dharma Artana I Wayan Dharma Artana, I Wayan Dharma I Wayan Retayasa IB. Mahendra Ida Bagus Agung Winaya Ida Bagus Mudita Ida Bagus Subanada IM Dharmajaya Kadek Deddy Ariyanta Kadek Deddy Ariyanta Kadek Deddy Ariyanta Ketut Dewi Kumara Wati Ketut Siki Kawiyana Ketut Suarta Ketut Suarta Ketut Suarta Komang Ayu Witarini Komang Kari Kristopher May Pamudji Lim, Heriyanto Lufyan, Reddy Luh Gede Yuliadewi NS Made Bandem Kenny Wijaya Nugraha Made Darmajaya Made Darmajaya Made Indah Nastiti Utami Budha Made lndah Nastiti Utami Budha Made Sukmawati Made Widia Markus Gunawan Ni Kadek Mulyantari Ni Luh Gede Wahyuni Suismaya Ni Made Sukewanti Ni Made Sumiartini Ni Nyoman Mahartini Ni Nyoman Mahartini Ni Putu Siadi Purniti Novita Purnamasari Assa Novita Purnamasari Assa NP Veny Kartika Yantie Nyoman Gina Henny Kristianti Putu Junara Putra Putu Junara Putra, Putu Junara Rathasari, Ni Made Dea Adilla Setya Wandita Sianny Herawati Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Soetjiningsih Sukmawati, Made Susanti Halim Wayan Retayasa Wayan Retayasa Wayan Sulaksmana Sandhi Parwata Wijaya, I Made Samitha Yoga Putra