TY - JOUR
T1 - Premature Babies Can Be Cared for in the Maternity Ward without an Increased Risk and Discharged with a Feeding Tube If Necessary
AU - Rösch, Lea
AU - Hofstätter, Edda
AU - Krasnitzer-Leitner, Franziska
AU - Wald, Martin
N1 - Rösch, Hofstätter, Krasnitzer-Leitner, Wald: Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Paracelsus Medical University,
Salzburg 5020, Austria
PY - 2024/4/10
Y1 - 2024/4/10
N2 - In general, premature babies are discharged home when they reach full self-feeding. We established a discharge management protocol which allows for discharging late preterm babies with a feeding tube if necessary. This retrospective study included 108 preterm infants (34+ weeks) born in 2019 and 2020. The preterm infants discharged with a feeding tube (n = 32) were born at 35.23 weeks' gestation (+/- 0.884), with a birth weight of 2423 g (+/- 375.1), and were discharged at 7.22 days (+/- 3.63) and had a weight of 3466 g (+/- 591.3) at the first outpatient visit around the expected birth date. The preterm infants discharged without a feeding tube were born at 35.97 weeks' gestation (+/- 0.702) with a birth weight of 2589 g (+/- 424.84), discharged home at 6.82 days (+/- 7.11) and a weight of 3784 g (+/- 621.8) at the first outpatient visit. The gestational week and birth weight were statistically significantly different between the groups, with a p-value of <0.001 for each, and the length of hospital stay (p = 0.762) and weight at follow-up (p = 0.064) did not significantly differ. No infant required tube-feeding at the time of the first outpatient visit, i.e., the time of expected birth. Therefore, with well-thought-out management, it is possible and safe to discharge preterm infants home with a feeding tube.
AB - In general, premature babies are discharged home when they reach full self-feeding. We established a discharge management protocol which allows for discharging late preterm babies with a feeding tube if necessary. This retrospective study included 108 preterm infants (34+ weeks) born in 2019 and 2020. The preterm infants discharged with a feeding tube (n = 32) were born at 35.23 weeks' gestation (+/- 0.884), with a birth weight of 2423 g (+/- 375.1), and were discharged at 7.22 days (+/- 3.63) and had a weight of 3466 g (+/- 591.3) at the first outpatient visit around the expected birth date. The preterm infants discharged without a feeding tube were born at 35.97 weeks' gestation (+/- 0.702) with a birth weight of 2589 g (+/- 424.84), discharged home at 6.82 days (+/- 7.11) and a weight of 3784 g (+/- 621.8) at the first outpatient visit. The gestational week and birth weight were statistically significantly different between the groups, with a p-value of <0.001 for each, and the length of hospital stay (p = 0.762) and weight at follow-up (p = 0.064) did not significantly differ. No infant required tube-feeding at the time of the first outpatient visit, i.e., the time of expected birth. Therefore, with well-thought-out management, it is possible and safe to discharge preterm infants home with a feeding tube.
U2 - 10.3390/children11040456
DO - 10.3390/children11040456
M3 - Original Article
C2 - 38671673
SN - 2227-9067
VL - 11
JO - CHILDREN-BASEL
JF - CHILDREN-BASEL
IS - 4
M1 - 456
ER -