ArticleBMC pediatrics2024
Predictors of time to full enteral feeding in low birth weight neonates admitted to neonatal intensive care unit: a prospective follow up study.
Article in BMC pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Quality of neonatal intensive care in Africa: a systematic review and meta-analysis.BMC health services research · 2026Pooled it
- Randomised Phase 2b trial of rhIGF-1/rhIGFBP-3 (OHB-607) for bronchopulmonary dysplasia prevention in preterm neonates: study protocolBMJ paediatrics open · 2026Article
- Feeding challenges in larger versus smaller preterm discordant twins.Frontiers in pediatrics · 2026Article
- How long does it take to start minimal enteral feeding in preterm Neonates admitted to NICUs in Southern Oromia, Ethiopia?Italian journal of pediatrics · 2025Observational
- Elimination ofAntibiotics (Basel, Switzerland) · 2025Article
- Impact of fast advancement and early fortification of enteral feedings in preterm infants, a retrospective, observational study.Frontiers in pediatrics · 2025Article
- Factors affecting feeding ability in children with neonatal intensive care unit stay: a cluster analysis using machine learning methods.Frontiers in pediatrics · 2025Article
- Trophic feeding initiation and its predictors in preterm neonates admitted to Neonatal Intensive Care Units: Multicenter study, Addis Ababa.SAGE open medicine · 2025Article
- Article
- Time to Initiate Trophic Feeding and Its Predictors Among Preterm Infants at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia.Sage open pediatricsArticle
- Improving Time to First Feeding for Preterm Infants: A Quality Improvement Approach.Pediatric quality & safetyArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurvival of LBW infants has increased in recent years because of novel perinatal interventions, but the introduction and advancement of enteral feeds for low birth weight infants is challenging. In Ethiopia the proportion of low birth weight infants is thought to be 17.3%. The purpose of this study was to determine the time to full enteral feeding (FEF) and its predictors in LBW neonates admitted to neonatal intensive care unit in selected hospitals of Addis Ababa, Ethiopia.
methodAn institutional based prospective follow up study was conducted from March 15 to June 15, 2022 among 282 LBW neonates admitted to six randomly selected hospitals. Both primary and secondary data was used by interviewing mothers and prospective medical chart review of neonates. The Cox regression model was used and variables having a p-value less than 0.05 with 95% CIs in a multivariable analysis were declared as statistically significant association with time to full enteral feeding.
resultOut of 282 neonates involved in this study, 211 (74.8%) of them reached at FEF. The overall median time to full enteral feeding was 5 days. Predictors significantly associated with time to full enteral feeding were educational level, birth weight, cesarean delivery, hospital acquired infection, being on antibiotics, age at initiation of trophic feeding, routine gastric residual evaluation and NICU location (hospital).
conclusionsThis study demonstrated the difficulty of understanding which low birth weight neonate will attain FEF in a timely manner and factors that affect time to FEF. There is a delay in full enteral feeding achievement among low birth weight neonates and there is a great deal of heterogeneity of practice among health care providers regarding feeding of infants as it was evidenced by a variation in feeding practice among hospitals. Nutrition should be considered as part of the management in neonatal intensive care units since low birth weight neonates are developing edematous malnutrition while they are in the NICU. There should be standard feeding protocol to avoid heterogeneity of practice and additional study should be conducted for each categories of GA and BW with long follow up time.
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