Risk of necrotizing enterocolitis and feeding interventions for preterm infants with abnormal umbilical artery Doppler

Neonatal Netw. 2013 Jan-Feb;32(1):5-15. doi: 10.1891/0730-0832.32.1.5.

Abstract

Infants exposed to absent or reversed end-diastolic flow (ARE DF) in utero may be at an increased risk of developing necrotizing enterocolitis (NEC). This article reviews placental function and the development of ARE DF. Studies examining the relationship between AREDF and NEC are reviewed, yet research remains inconclusive regarding this relationship. Recent studies reveal that early minimal enteral feeding does not increase the incidence of NEC in infants with AREDF. Initiation and advancement of enteral feedings should be monitored closely in this subset of the neonatal intensive care unit (NICU) population.

Publication types

  • Review

MeSH terms

  • Clinical Trials as Topic
  • Enteral Nutrition / methods*
  • Enterocolitis, Necrotizing* / diagnosis
  • Enterocolitis, Necrotizing* / etiology
  • Enterocolitis, Necrotizing* / physiopathology
  • Female
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Infant, Premature, Diseases* / diagnosis
  • Infant, Premature, Diseases* / etiology
  • Infant, Premature, Diseases* / physiopathology
  • Intensive Care, Neonatal / methods
  • Monitoring, Physiologic
  • Nutrition Therapy / methods*
  • Placenta Diseases / diagnosis
  • Placenta Diseases / physiopathology
  • Placental Circulation
  • Pregnancy
  • Risk Factors
  • Ultrasonography, Doppler, Color / methods
  • Umbilical Arteries* / diagnostic imaging
  • Umbilical Arteries* / physiopathology