Abstract

The Journal is the primary organ of Continuing Paediatric Medical Education in Sri Lanka. The journal also has a website. Free full text access is available for all readers.The Sri Lanka Journal of Child Health is now indexed in SciVerse Scopus (Source Record ID 19900193609), Index Medicus for South-East Asia Region (IMSEAR), CABI (Centre for Agriculture and Bioscience International Global Health Database), DOAJ and is available in Google, as well as Google Scholar.The policies of the journal are modelled on the Committee on Publication Ethics (COPE) Guidelines on Principles of Transparency and Best Practice in Scholarly Publishing. Sri Lanka Journal of Child Health is recognised by the International Committee of Medical Journal Editors (ICMJE) as a publication following the ICMJE Recommendations.

Highlights

  • Breastfeeding is the optimal method of nutrition in preterm neonates

  • Inclusion and exclusion criteria: Babies born alive, with birth weights more than 500g, between 26 and weeks gestation, at De Soysa Hospital for Women (DSHW), Colombo, within the study period, and who required admission to the neonatal unit were included in the study

  • The volume of breast milk given on the first day ranged from 5 to 20 ml/kg/day administered mostly via nasogastric tube in a 2-3 hour interval

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Summary

Introduction

Breastfeeding is the optimal method of nutrition in preterm neonates. Studies done in other parts of the world suggest that babies who are breastfed within the first 24 hours have better outcomes. This is the first Sri Lankan study done about the outcomes of preterm babies who received breast milk within the first 24 hours. Preterm neonates are born prior to the deposition of fat and glycogen stores and have minimal reserves. They require essential fatty acids and higher glucose utilization for the comparatively larger brain surface area[6]. Recent studies have shown better outcomes with rapid advancement enteral feeds without increasing the risk of necrotizing enterocolitis (NEC) or feed intolerance[9,10]

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