Enteral Nutrition for Very Preterm Infants

Sunday, April 30, 2023

8:00 AM – 9:30 AM ET

Location: Convention Center: 202 A

CE: Live CME: 1.50

Selected By: ASPR

Chair(s)

Katsumi Mizuno

Chief Professor
Showa University School of Medicine, Department of Pediatrics
Tokyo, Tokyo, Japan
Sanjay Patole, MD, DCH, FRACP, MSc, DrPH (he/him/his)

Clinical Professor, Neonatal Directorate
KEM Hospital for Women
Perth, Western Australia, Australia

Disclosure(s):

Katsumi Mizuno, n/a: Japan Human Milk Bank Association: Consultant (Ongoing)

Sanjay Patole, MD, DCH, FRACP, MSc, DrPH: No financial relationships to disclose

Session

Description: Currently, enteral feedings for very preterm infant(VPI)s are initiated earlier, i.e. within 12 hours of life, because nutrition, especially enteral nutrition, is recognized as an important factor for short and long-term outcomes of VPIs. In this session, the first half will be focused on the current situation of neonatal nutrition in Japan.
In Japan, JASMINE (JApanese Study of an Exclusive Human MIlk Diet in Premature NEonates) trial has been conducted since Oct. 2021. The interim report will be shared with the audience from Dr. Mizuno. Enteral feeding during early postnatal days often rely on donor human milk (DHM). In Japan, Human Milk Bank (HMB) launched in May, 2017. We continue to have some problems with access to DHM and HMB. Dr. Wada will talk about the questionnaire survey for Japanese neonatologists and registry findings for VPIs who used DHM in Japan. Dr. Nakano will talk about nutrition during early postnatal life and future risks of non-communicable diseases in VPI.
The second half will be focused on the same topics as above from other countries.
Dr. Hair (Texas Children's Hospital) has published the benefits of Exclusive Human Milk-based Diet, such that she would share her results relating to JASMINE.
Dr. Chua ( KK Women's and Children's Hospital) launched the first HMB in Singapore in 2017. Therefore, we can share the issues in HMB regarding establishment, accessibility, cost, and so on. Dr. Patole (University of Western Australia will talk about the benefits of the standardization of enteral nutrition for VPIs.

Learning Objectives:

Upon completion, participants will be able to explain how important the standardization of enteral nutrition is important for preterm infants.
Upon completion, participants will be able to take a better care of preterm infants from the latest nutrition strategy.
Upon completion, participants will be able to explain how exclusive human milk-based nutrition improves the outcomes of preterm infants.

Presentations:

8:00 AM – 8:10 AM ET

The Effects of Early Enteral Nutrition and an Exclusive Human MIlk Diet on Very Preterm Infants
Speaker: Katsumi Mizuno – Showa University School of Medicine, Department of Pediatrics
8:10 AM – 8:25 AM ET

Benefits of the standardization of enteral nutrition for VPIs
Speaker: Sanjay Patole, MD, DCH, FRACP, MSc, DrPH (he/him/his) – KEM Hospital for Women
8:25 AM – 8:40 AM ET

Evidence based practices to reduce necrotizing enterocolitis enterocolitis
Speaker: Chua Mei-Chien, MD (she/her/hers) – Duke-NUS Medical School and KK Women's and Children's Hospital
8:40 AM – 9:05 AM ET

Improving Outcomes of VLBW Infants by Optimizing the Use of Human Milk
Speaker: Amy B. Hair, MD (she/her/hers) – Baylor College of Medicine
9:05 AM – 9:15 AM ET

Enteral Feeding of Preterm Infants and the Human Milk Bank in Japan
Speaker: Yuka S. Wada, MD, PhD – National Center for Child Health and Development
9:15 AM – 9:30 AM ET

Nutritional strategy during NICU stay and later outcome of very preterm infants
Speaker: Yuya Nakano, MD, PhD (he/him/his) – Department of Pediatrics, Showa University School of Medicine