Summary of best evidence on feeding management for very low and extremely low birth weight infants during the peridischarge period
10.3760/cma.j.cn115682-20241009-05504
- VernacularTitle:极低和超低出生体重儿围出院期喂养管理的最佳证据总结
- Author:
Ting SHEN
1
;
Wenying YAO
;
Ling JIANG
;
Ling NIE
;
Ting YU
;
Ting TU
Author Information
1. 苏州市立医院，南京医科大学附属苏州医院新生儿科，苏州 215000
- Publication Type:Journal Article
- Keywords:
Very low birth weight infants;
Extremely low birth weight infants;
Peridischarge period;
Enteral nutrition;
Feeding;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2025;31(19):2550-2559
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically identify and summarize the best available evidence on feeding management during the peridischarge period for very low birth weight infants (VLBWI) and extremely low birth weight infants (ELBWI), providing a reference for clinical nursing practice.Methods:Evidence on feeding management for VLBWI/ELBWI during the peridischarge period was retrieved from decision support systems, guideline repositories, major databases, and relevant professional organizations' websites. Sources included clinical decisions, guidelines, evidence summaries, systematic reviews, expert consensus documents and so on. The search spanned from database inception to April 2024. Guidelines were reviewed by four researchers, while other documents were screened and appraised by two researchers.Results:A total of 24 documents were included: six clinical decision tools, four guidelines, three systematic reviews, three evidence summaries, and eight expert consensus statements. A total of three primary themes, 10 secondary themes, and 49 best evidence items were synthesized. These covered: pre-discharge feeding management (establishing a peridischarge feeding team, parental feeding education, assessing feeding status of VLBWI/ELBWI, evaluating parental feeding competence, preparing feeding materials/environment and assessing community resources) ; discharge feeding management (providing feeding-related medical records and developing individualized feeding plans) ; post-discharge feeding management (setting growth and development goals, conducting follow-up and growth monitoring, and supplementing necessary nutrients) .Conclusions:The summarized best evidence provides a practical reference for healthcare professionals to effectively implement feeding management for VLBWI/ELBWI during the peridischarge period. Evidence-based strategies should be selectively applied in clinical practice based on individual conditions to ensure a successful transition to home feeding and support healthy growth and development of VLBWI/ELBWI.
