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Master Thesis

Comparaison de la prise en charge nutritionnelle des prématurés de moins de 28 semaines d'aménorrhée entre deux centres de Néonatologie de niveau III, Grenoble et Québec

Abstract : The nutritional management of preterm infants plays a key role in their growth and development. The goal is to achieve growth approximating that of the normal fetus of the same gestational age. Objectives: To compare the nutritional management of preterm infants less than 28 weeks in two hospital services Neonatology and assess their growth at 36 weeks post-conceptional age. Methods: A retrospective study evaluating the growth and nutritional management of 40 preterm less than 28 weeks gestation hospitalized in the Neonatology CHU Grenoble and in the CHU Quebec. Results: The groups were comparable in terms of mean age, sex and morphometric data at birth. The duration of intubation was significantly longer for Quebec without significant difference in the rate of bronchopulmonary dysplasia, and sepsis secondary rate more important for Quebec. There was no difference regarding the rate of stunting extrauterine at 36 weeks post-conceptional age (80% vs 65% for Grenoble Quebec, p = 0.48), weight means located on the 6th percentile and 10th percentile Grenoble for Quebec. The duration of parenteral nutrition did not differ between the two groups (34 days vs. 36 days, p = 0.75). Enteral nutrition was started at an earlier stage to Grenoble. Conclusion: The nutritional management does not appear despite optimal intakes close to recommended levels. Additional analyzes are needed to investigate the fate of these children in the longer term.
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Master Thesis
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Submitted on : Thursday, October 25, 2012 - 11:35:56 AM
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Chloé Epiard. Comparaison de la prise en charge nutritionnelle des prématurés de moins de 28 semaines d'aménorrhée entre deux centres de Néonatologie de niveau III, Grenoble et Québec. Médecine humaine et pathologie. 2012. ⟨dumas-00745302⟩

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