Early versus late feeding of low birth weight neonates--a controlled study.

Abstract

The effect on body weight, blood glucose, serum bilirubin and certain clinical parameters like regurgitation, difficulty with the first feed, morbidity, etc. was studied in 32 low birth weight babies randomly allotted to 4 different feeding schedules. The babies fed with milk or 5% glucose within the first 24 hours, had significantly higher blood glucose values at 48 hours when compared with the group who had been starved till that time. There was no significant difference regarding weight loss and rise in serum bilirubin between early and late fed babies. The morbidity was similar in the four groups and there was no mortality. In conclusion, there is no distinct advantage of forcing early feeding in low birth weight babies and no serious harm is likely to occur if feeds are delayed till 48 hours. The decision to start feeding in low birth weight babies should be individualised depending upon the vigour, colour, and respiratory rate of the infant.