Protein (g)

Parenteral 89 (372) 92 (385) 101 (422) 108 (451) 109 (456)

Enteral 105 (440) 108 (451) 119 (500) 127 (530) 128 (535)

Protein/energy (g/100kcal or 418 kJ)

Adapted from Ziegler EE, Thureen PJ, and Carlson SJ (2002) Aggressive nutrition of the very low birthweight infant. Clinical Perinatology 29(2): 225-244.

For those infants who were fed preterm formula, conversion to a nutrient-enriched post discharge formula is recommended. These formulas contain additional protein, vitamins, and minerals compared to term formulas. Studies have shown that infants fed these formulas for the first 9-12 months of life have improved gains in weight, length, and head circumference.

If growth is inadequate with either feeding regimen then alteration in caloric density may be needed. Arrangements should be made for the nutritional status of these infants to be monitored after discharge.

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