Content | EEN group | DEN group |
---|---|---|
Initiation time of enteral feeding | Feed if medically feasible during TH and rewarming | Feed if medically feasible after TH |
Feeding delivery method | Oral feeding intermittent feeding every 3 hours (20 ~ 30 min) or nasogastric tubes feeding bolus every 3 hours (30 minutes-1 hour) if infants unable to start oral feeds after evaluation of ability for sucking and swallowing daily | Same |
Feeding type of milk at initiation a | (1) Breast milk or common formula b if mothers` milk cannot be available (2) Breast milk or deep hydrolyzed protein milk if mothers` milk cannot be available when infants developed FI (second choice) | Same |
Volume of initiation enteral feeding | 10 ~ 20 ml/kg/d | Same |
Speed of feeding advancement a | (1) 10 ~ 20 ml/kg/d after starting feeds for 3 days and the maximum speed is 30 ml/kg/d (first choice) (2) 5 ~ 10 ml/kg/d for 3 days and the maximum speed is 20 ml/kg/d (second choice) when infants developed FI | Same |
Frequency of feeding advancement a | (1) Advancement of milk volume each 1 day up to the goal of full enteral feeds (first choice) (2) A short fast if necessary, then advancement of milk volume each 1 ~ 2 days up to the goal of full enteral feeds (second choice) when infants developed FI | Same |
Goal of full enteral feeds | 120 ml/kg/d | Same |
Maximum feeds a | (1) 150 ~ 160 ml/kg/d (first choice) (2) 140 ~ 150 ml/kg/d (second choice) when infants developed FI | Same |