Significant variations in feeding practices and choice of guidelines for the management of late preterm infants among healthcare professionals in Nigeria.

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Clinical Guidelines
Authored By
Owolabi AJ, Samuel FO, Feskens EJM, Schaafsma A, Melse-Boonstra A
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Pediatric Medicine
Emergency Medicine
Internal/Family Medicine
Speciality
Pediatric Medicine
Emergency Medicine
Internal/Family Medicine
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volume
112
ISSN
1651-2227
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1651-2227
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true
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["Owolabi AJ, Samuel FO, Feskens EJM, Schaafsma A, Melse-Boonstra A","Publisher: Wiley-Blackwell Country of Publication: Norway NLM ID: 9205968 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1651-2227 (Electronic) Linking ISSN: 08035253 NLM ISO Abbreviation: Acta Paediatr Subsets: MEDLINE","Journal Article","2023-10-01","Acta paediatrica (Oslo, Norway : 1992) [Acta Paediatr] 2023 Oct; Vol. 112 (10), pp. 2137-2148. Date of Electronic Publication: 2023 Jul 21.","English","1651-2227","Infant, Premature* , Milk, Human*, Infant ; Infant, Newborn ; Humans ; Nigeria ; Gestational Age ; Delivery of Health Care","Infant, Infant, Newborn, Humans, Nigeria, Gestational Age, Delivery of Health Care, Infant, Premature, Milk, Human","Acta paediatrica (Oslo, Norway : 1992)","112"]
Description
Aim: We aimed to gain insights into current nutritional management practices of late preterm infants (34-36 weeks gestational age) in Nigeria.<br />Methods: Purposive sampling was employed to recruit 19 healthcare professionals (neonatologists, paediatricians, general practitioners and nurses) involved in the care and nutritional management of late preterm infants in Lagos and Ogun states, Nigeria. Data were collected using interviews, either individually or in small focus groups, between 15 August and 6 September 2022. Thematic analysis of interview transcripts was carried out to interpret the data.<br />Results: Ten distinct themes emerged across the research questions and objectives. For growth monitoring, 11, 6, 1 and 1 of our participants preferred to use the 2006 WHO growth standards, Fenton preterm growth chart, Ballard score and Intergrowth-21, respectively. Regarding the growth velocity of late preterm infants, most healthcare professionals aimed for 15 g/kg BW/day or more during hospitalisation. Breastmilk was unanimously the primary feeding option for late preterm infants. Most healthcare professionals preferred to use international guidelines over local guidelines.<br />Conclusion: Our study shows that there is a wide divergence in the nutritional guidelines used in managing late preterm infants in Nigeria. Regarding growth monitoring, healthcare professionals tended to aim for a growth velocity higher than necessary for late preterm infants, which may be disadvantageous for their long-term health.<br /> (© 2023 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.)
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