Yenidoğan Bebeğin Beslenmesinde Temel Prensipler
Sağlıklı term bebeklerde olduğu gibi preterm ve hasta term bebeklerde de en ideal
besin anne sütüdür. Mümkün olan en kısa sürede anne sütü verilmesi amaçlanmalıdır.
Yenidoğan yoğun bakım ünitelerinde beslenme desteğinin uygun şekilde sağlanabilmesi
hem kısa hem de uzun dönemde morbidite ve mortalite üzerine önemli
etkilere sahiptir. Birçok çalışmada erken enteral veya oral beslenmenin kısa ve uzun
dönem gelişmedeki önemi vurgulanmıştır. Ancak tüm çabalara karşın intrauterin dönemdeki
büyümeye erişecek büyüme hızını yakalamak her zaman mümkün olmamaktadır
.Yenidoğan bebekler için en uygun beslenme şekli kendi annesi tarafından
emzirilmesi iken bunu sağılmış anne sütünün yapay bir yöntemle verilmesi (kaşık,
kap veya biberon), donör anne sütü ve formula kullanımı izlemektedir. Preterm bebeklerde
bazen anne sütü yetersiz kalmakta mineralizasyon ve yeterli büyüme için
güçlendirme yapılması gerekmektedir.
___
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