DOI QR코드

DOI QR Code

Dietary Status of Preterm Infants and the Need for Community Care

미숙아 식이 관련 현황과 가정지원 커뮤니티 케어 요구도

  • Jeon, Ji Su (Department of Food and Nutrition, Kookmin University) ;
  • Seo, Won Hee (Department of Pediatrics, Korea University College of Medicine) ;
  • Whang, Eun mi (Nutrii Co., Ltd. Research Institute of Food&Life Cycle) ;
  • Kim, Bu Kyung (Department of Food and Nutrition, Kookmin University) ;
  • Choi, Eui Kyung (Department of Pediatrics, Korea University College of Medicine) ;
  • Lee, Jang Hoon (Department of Pediatrics, Korea University College of Medicine) ;
  • Shin, Jeong Hee (Department of Pediatrics, Ajou University School of Medicine) ;
  • Han, Young Shin (Nutrii Co., Ltd. Research Institute of Food&Life Cycle) ;
  • Chung, Sang-Jin (Department of Food and Nutrition, Kookmin University)
  • 전지수 (국민대학교 식품영양학과) ;
  • 서원희 (고려대학교 안산병원 소아청소년과) ;
  • 황은미 ((주)뉴트리아이, 생애주기 식생활연구소) ;
  • 김부경 (국민대학교 식품영양학과) ;
  • 최의경 (고려대학교 안산병원 소아청소년과) ;
  • 이장훈 (고려대학교 구로병원 소아청소년과) ;
  • 신정희 (아주대학교 의과대학 소아청소년과) ;
  • 한영신 ((주)뉴트리아이, 생애주기 식생활연구소) ;
  • 정상진 (국민대학교 식품영양학과)
  • Received : 2022.07.14
  • Accepted : 2022.08.19
  • Published : 2022.08.31

Abstract

Objectives: This study compared the nutritional intakes of early and late preterm infants in a neonatal intensive care unit (NICU) and at home. The dietary problems and the need for community care services for premature infants were further investigated. Methods: This is a cross-sectional and descriptive study on 125 preterm infants and their parents (Early preterm n = 70, Late preterm n = 55). The data were collected by surveying the parents of preterm infants and from hospital medical records. Results: No significant differences were obtained between the early and late preterm infant groups when considering the proportion of feeding types in the NICU and at home. Early preterm infants were fed with a greater amount of additional calories at home and had more hours of tube feeding (P = 0.022). Most preterm infants had feeding problems. However, there was no significant difference between early and late preterm infants in the mental pain of parents, sleeping, feeding, and weaning problems at home. Many parents of preterm babies had no external support, and more than half the parents required community care to take care of their preterm babies. Conclusions: Regardless of the gestational age, most preterm infants have several problems with dietary intake. Our study indicates the need to establish community care services for preterm infants.

Keywords

Acknowledgement

This research was supported by a grant from the National Research Foundation of Korea (HI19C0273). There are no financial or other issues that might lead to conflict of interest.

References

  1. World Health Organization. The prevention of perinatal mortality and morbidity. WHO expert committee World Health Organization; 1970. Report No. 457.
  2. Engle WA. A recommendation for the definition of "late preterm" (near-term) and the birth weight-gestational age classification system. Seminars in perinatology 2006; 30(1): 2-7. https://doi.org/10.1053/j.semperi.2006.01.007
  3. World Health Organization. Preterm birth [Internet]. World Health Organization; 2018 [cited 2020 Sep 1]. Available from: https://bit.ly/2RWokG3.
  4. Chawanpaiboon S, Vogel JP, Moller A, Lumbiganon P, Petzold M, Hogan D et al. Global, regional, and national estimates of levels of preterm birth in 2014: A systematic review and modelling analysis. Lancet Glob Health 2019; 7(1): e37-e46. https://doi.org/10.1016/S2214-109X(18)30451-0
  5. Korean Statistical Information Service. Population trend survey, birth, birth by province/pregnancy period [Internet]. KOSIS; 2020 [cited 2020 Jun 30]. Available from: http://kosis.kr/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01#SelectStatsBoxDiv.
  6. Lee Y. A comparative study on the support policy for prematurity in some OECD countries. Health Soc Welf Rev 2016; 36(4): 63-96. https://doi.org/10.15709/hswr.2016.36.4.63
  7. Hahn W, Chang J, Chang YS, Shim KS, Bae C. Recent trends in neonatal mortality in very low birth weight Korean infants: In comparison with Japan and the USA. J Korean Med Sci 2011; 26(4): 467-473. https://doi.org/10.3346/jkms.2011.26.4.467
  8. Boykova M, Kenner C. Transition from hospital to home for parents of preterm infants. J Perinat Neonatal Nurs 2012; 26(1): 81-87. https://doi.org/10.1097/JPN.0b013e318243e948
  9. Behrman RE, Butler AS. Preterm birth: Causes, consequences, and prevention. Washington, DC: National academies press; 2007.
  10. Adamkin DH. Feeding problems in the late preterm infant. Clin Perinatol 2006; 33(4): 831-837. https://doi.org/10.1016/j.clp.2006.09.003
  11. Lee SL. A survey on general characteristics and feeding methods of the premature infants. J Korean Diet Assoc 2008; 14(4): 361-370.
  12. Choi BS, Kim JA, Sin SM. Nutritional and growth status of premature infants during neonatal period. J Nutr Health 1990; 23(2): 124-134.
  13. Armstrong KL, Morris J. Promoting secure attachment, maternal mood and child health in a vulnerable population: A randomized controlled trial. J Paediatr Child Health 2000; 36(6): 555-562. https://doi.org/10.1046/j.1440-1754.2000.00591.x
  14. Hawaii government. Healthy start program [Internet]. Hawaii government; 2020 [cited 2020 Sep 8]. Available from: https://health.hawaii.gov/mchb/home/healthy-start-program/.
  15. Fruehgeborene. The premature child "e.V. [Internet]. Fruehgeborene; 2020 [cited 2020 Sep 6]. Available from: https://www.fruehgeborene.de/.
  16. Chung KM, Lee KS, Park JA, Kim HJ. Standardization study for the Korean version of Parenting Stress Index (K-PSI). Korean J Psychol Gen 2008; 27(3): 689-707.
  17. Sullivan S, Schanler RJ, Kim JH, Patel AL, Trawoger R, Kiechl-Kohlendorfer U et al. An exclusively human milk-based diet is associated with a lower rate of necrotizing enterocolitis than a diet of human milk and bovine milk-based products. J Pediatr 2010; 156(4): 562-567. https://doi.org/10.1016/j.jpeds.2009.10.040
  18. Schanler RJ, Lau C, Hurst NM, Smith EO. Randomized trial of donor human milk versus preterm formula as substitutes for mothers' own milk in the feeding of extremely premature infants. Pediatrics 2005; 116(2): 400-406. https://doi.org/10.1542/peds.2004-1974
  19. Heiman H, Schanler RJ. Enteral nutrition for premature infants: The role of human milk 2007; 12(1): 26-34.
  20. Schanler RJ, Shulman RJ, Lau C. Feeding strategies for premature infants: Beneficial outcomes of feeding fortified human milk versus preterm formula. Pediatrics 1999; 103(6): 1150-1157. https://doi.org/10.1542/peds.103.6.1150
  21. O'Connor DL, Khan S, Weishuhn K, Vaughan J, Jefferies A, Campbell DM et al. Growth and nutrient intakes of human milk-fed preterm infants provided with extra energy and nutrients after hospital discharge. Pediatrics 2008; 121(4): 766-776. https://doi.org/10.1542/peds.2007-0054
  22. Holditch Davis D, Bartlett TR, Blickman AL, Miles MS. Posttraumatic stress symptoms in mothers of premature infants. J Obstet Gynecol Neonatal Nurs 2003; 32(2): 161-171. https://doi.org/10.1177/0884217503252035
  23. Leonard CH, Clyman RI, Piecuch RE, Juster RP, Ballard RA, Behle MB. Effect of medical and social risk factors on outcome of prematurity and very low birth weight. J Pediatr 1990; 116(4): 620-626. https://doi.org/10.1016/S0022-3476(05)81616-6
  24. Huhtala M, Korja R, Lehtonen L, Haataja L, Lapinleimu H, Rautava P et al. Parental psychological well-being and behavioral outcome of very low birth weight infants at 3 years. Pediatrics 2012; 129(4): e937-e944. https://doi.org/10.1542/peds.2011-2411
  25. Crnic KA, Greenberg MT, Ragozin AS, Robinson NM, Basham RB. Effects of stress and social support on mothers and premature and full-term infants. Child Dev 1983; 209-217.
  26. DeMauro SB, Patel PR, Medoff-Cooper B, Posencheg M, Abbasi S. Postdischarge feeding patterns in early-and late-preterm infants. Clin Pediatr 2011; 50(10): 957-962. https://doi.org/10.1177/0009922811409028
  27. Samara M, Johnson S, Lamberts K, Marlow N, Wolke D. Eating problems at age 6 years in a whole population sample of extremely preterm children. Dev Med Child Neurol 2010; 52(2): e16-e22. https://doi.org/10.1111/j.1469-8749.2009.03512.x
  28. Escobar GJ, Joffe S, Gardner MN, Armstrong MA, Folck BF, Carpenter DM. Rehospitalization in the first two weeks after discharge from the neonatal intensive care unit. Pediatrics 1999; 104(1): e2.
  29. Elfzzani Z, Ojha S, Dorling J. Education of family members to support weaning to solids and nutrition in later infancy in infants born preterm. Cochrane Database Syst Rev 2016; 2016(6): 1-85
  30. Ehrenkranz RA, Dusick AM, Vohr BR, Wright LL, Wrage LA, Poole WK. Growth in the neonatal intensive care unit influences neurodevelopmental and growth outcomes of extremely low birth weight infants. Pediatrics 2006; 117(4): 1253-1261. https://doi.org/10.1542/peds.2005-1368
  31. Fanaro S, Borsari G, Vigi V. Complementary feeding practices in preterm infants: An observational study in a cohort of Italian infants. J Pediatr Gastroenterol Nutr 2007; 45: S210-S214. https://doi.org/10.1097/01.mpg.0000302974.90867.f1
  32. Lopez GL, Anderson KH, Feutchinger J. Transition of premature infants from hospital to home life. Neonatal Netw 2012; 31(4): 207-214. https://doi.org/10.1891/0730-0832.31.4.207
  33. Duggan AK, McFarlane EC, Windham AM, Rohde CA, Salkever DS, Fuddy L et al. Evaluation of Hawaii's healthy start program. Future Child 1999; 9(1): 66-90. https://doi.org/10.2307/1602722
  34. Health Resources & Services Administration. Healthy Start [Internet]. Health Resources & Services Administration; 2020 [cited 2020 Sep 15]. Available from: https://mchb.hrsa.gov/maternal-child-health-initiatives/healthy-start.
  35. Escarne JG, Atrash HK, David S, Baker B, Reyes M. Introduction to the special issue on healthy start. Matern Child Health J 2017; 21(1): 1-3.
  36. Seo WH. Development of a personal and environmental cohesive health platform and service industry model to prevent premature infant disability. Ministry of Health & Welfare; 2020 Feb. Report No. 1465029165.
  37. Gemeinsamer Budesausschuss. Vereinbarung uber Massnahmen zur QS der Versorgung von Fruh- und Neugeborenen:Anderung der Richtlinie [Internet]. Gemeinsamer Budesausschuss; 2013 [cited 2020 Sep 9]. Available from: https://www.g-ba.de/beschluesse/1754/.
  38. Univerasitatsklinikum Schleswig-Holstein. The German Neonatal Network (GNN) [Internet]. Univerasitatsklinikum Schleswig-Holstein; 2020 [cited 2020 Sep 9]. Available from: https://www.vlbw.de/.
  39. Fruhstart. Nachsorgepass [Internet]. Fruhstart; 2020 [cited 2020 Sep 6]. Available from: http://www.fruehstart-hamburg.de/.
  40. sukoyaka21. Healthy parent and child 21 [Internet]. sukoyaka21; 2014 [cited 2020 Sep 15]. Available from: http://sukoyaka21.jp/about.
  41. Ministry of Health, Labor and Welfare. Healthy Parents and Children 21 2nd Interim Evaluation. Ministry of Health, Labor and Welfare; 2010 Mar.
  42. Ahn Y. Development of the model for community-based health care program for premature infants and family. Child Health Nurs Res 2002; 8(2): 129-140.
  43. Yoon SW, Jin JH, Jung HJ, Song JE, Lee SA, Bae SJ. A plan to improve the support policy through clinical prognosis of preterm infants by gestational period. National Health Insurance Service Ilsan Hospital Research Center; 2020 Feb. Report No. 2019-20-006.
  44. Lee HJ, Park H. Neurodevelopmental outcome of preterm infants at childhood: Cognition and language. Hanyang Med Rev 2016; 36(1):55-58. https://doi.org/10.7599/hmr.2016.36.1.55
  45. Ammaniti M, Lucarelli L, Cimino S, D'Olimpio F, Chatoor I. Maternal psychopathology and child risk factors in infantile anorexia. Int J Eat Disord 2010; 43(3): 233-240.
  46. Yatziv T, Gueron-Sela N, Meiri G, Marks K, Atzaba-Poria N. Prematurity and maladaptive mealtime dynamics: The roles of maternal emotional distress, eating-related cognitions, and mind-mindedness. J Abnorm Child Psychol 2020; 48(8): 1089-1103. https://doi.org/10.1007/s10802-020-00639-2