Volume : 6, Issue : 5, May - 2017

PREFEED ASPIRATE VS ABDOMINAL GIRTH: WHICH IS A BETTER PREDICTOR OF FEED INTOLERANCE

Dr. Ashka M. Shah, Dr. Charul Purani, Dr. K. M. Meheriya

Abstract :

<p>&nbsp;<b><span style="font-size:12.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,serif">INTRODUCTION: </span></b><span style="font-size: 12pt; line-height: 115%; font-family: &quot;Times New Roman&quot;, serif;">In most cases prefeed aspirate has been given emphasis in monitoring and detecting feed intolerance and risk of NEC while augmenting feeds in VLBW babies but nowadays abdominal girth is also used .</span></p> <p class="MsoNormal"><b><span style="font-size:12.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,serif">AIMS AND OBJECTIVES: </span></b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,serif">To compare abdominal girth monitoring versus prefeed aspirate in prediction of feed intolerance.<o:p></o:p></span></p> <p class="MsoNormal"><b><span style="font-size:12.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,serif">MATERIALS AND METHODS: </span></b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,serif">Prospective study was conducted in NICU at B.J. Medical College, Ahmedabad from May 2015 to August 2016 in which only<b> </b>healthy stable VLBW neonate babies on tube feedings and expressed east milk were included.<b><o:p></o:p></b></span></p> <p class="MsoNormal"><b><span style="font-size:12.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,serif">RESULTS: </span></b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,serif">Lesser feed tolerance episodes were found in AG group. The days to reach full enteral feeds (P=0.01) were significantly lower in the AG group. <o:p></o:p></span></p> <p class="MsoNormal"><b><span style="font-size:12.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,serif">CONCLUSION: </span></b><span style="font-size:12.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,serif">Monitoring feed intolerance by prefeed abdominal girth had advantages than prefeed aspiration.AG monitoring is thus less invasive and equally effective in monitoring feeding of VLBW babies.&nbsp;<o:p></o:p></span></p>