Figure 1.
Nutrition of newborns with hypoxic-ischaemic encephalopathy during therapeutic hypothermia.
Legend:
Orange: Parenteral Nutrition
Violet: Parenteral and Enteral Nutrition
Figure 2.
The distribution of first enteral feeding volumes (*if the body weight of a full-term newborn is assumed to be 3 kg).
Figure 3.
Stated reasons for withholding enteral nutrition during therapeutic hypothermia.
Legend:
A: Unstable hemodynamic condition of the patient
B: Increased risk of NEC (Necrotising Enterocolitis)
C: No recommendation for enteral feeding during therapeutic hypothermia
D: Lack of safety data for enteral feeding during therapeutic hypothermia
E: Use of intravenous sedation, mechanical ventilation
F: Weak or absent intestinal peristalsis
G: Some staff members have significant concerns regarding enteral feeding during hypothermia and are difficult to convince
H: We provide trophic feeding during hypothermia if tolerated
I: Increased risk of sepsis
Figure 4.
Stated reasons for introducing enteral nutrition during therapeutic hypothermia.
Legend:
A: Reducing the risk of sepsis
B: Shortening the stay in the Neonatal Intensive Care Unit (NICU)
C: Reducing the risk of NEC (Necrotising Enterocolitis)
D: Increasing the percentage of breastfed newborns
E: Increasing infant survival
F: Gastrointestinal tract stimulation, prevention of mucosal atrophy
G: Because there are no contraindications
H: Gastrointestinal tract colonisation