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Title: Health-care professionals’ approach in feeding term small-for-gestational age infants and its potential implications to later growth outcomes
Authors: Le Ye Lee
Leilani Muhardi
Fook Choe Cheah
Sarayut Supapannachart
Inga C. Teller
Jacques Bindels
Eline M. van Der Beek
Ruurd M. van Elburg
Nutricia Research, Netherlands
Nutricia Research, Singapore
Emma Kinderziekenhuis
National University Hospital, Singapore
Faculty of Medicine, Ramathibodi Hospital, Mahidol University
University of Groningen, University Medical Center Groningen
Universiti Kebangsaan Malaysia
Keywords: Medicine
Issue Date: 1-Apr-2018
Citation: Journal of Paediatrics and Child Health. Vol.54, No.4 (2018), 370-376
Abstract: © 2017 Paediatrics and Child Health Division (The Royal Australasian College of Physicians) Aim: To understand feeding practices, nutrition management and postnatal growth monitoring of term small-for-gestational age (tSGA) infants in Southeast Asia. Methods: Anonymous questionnaires to assess practices on feeding, nutrition management and post-natal growth monitoring of tSGA infants were distributed among health-care professionals (HCPs) participating in regional/local perinatology symposia in Malaysia, Thailand and Singapore. Results: Three hundred seventy-seven respondents from Malaysia (37%), Thailand (27%), Singapore (18%) and other Asian countries (19%) participated in the survey. Respondents were neonatologists (35%), paediatricians (25%) and other HCPs (40%) including nurses and midwives. Exclusive human milk feeding was reported the most preferred feeding option for tSGA infants, followed by fortified human milk feeding (60% and 20%, respectively). This was consistent among the different countries. The perceived nutrient requirements of tSGA infants varied between countries. Most respondents from Malaysia and Singapore reported requirements to be similar to preterm infants, while the majority from Thailand reported that it was less than those of preterm infants. The World Health Organization Growth Chart of 2006 and Fenton Growth Charts of 2013 were the most frequently used charts for growth monitoring in the hospital and after discharge. Conclusions: Nutrition management and perceived nutrient requirements for tSGA infants among practising HCPs in Southeast Asia showed considerable variation. The impetus to form standardised and evidence based feeding regimens is important as adequate nutritional management and growth monitoring particularly in this population of infants will have long term impact on population health.
ISSN: 14401754
Appears in Collections:Scopus 2018

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