[Total caloric nutrition of underweight newborn infants]

Abstract

Owing to the reduced energy reserves of the premature infant, we consider adherance to Finkelstein's concept for underweight infants insufficient, particularly as these infants need increased energy to offset early adjustment difficulties. We achieved the necessary balance of energy by using a combined method of forced build-up of food intake complemented by parenteral nourishment. As parenteral substances we used 12.5% glucoseelectrolyte solvent and an amino-acid solvent of 6%. Fat infusions have only been taken when disturbed oral intake of nourishment made it necessary. With this method of full joule diet infused through the peripheral veins, we were able to lower the mortality rate on the premature infant ward considerably, without increased risk to the child.