Factors associated with gastrointestinal disorders in the first year of late and moderate premature infants

Keywords: Vomiting; Colic; Diarrhea; Infant, Premature, Diseases; Risk Factors.

Abstract

Objective: to analyze the factors associated with the development of gastrointestinal disorders in the first year of life of late and moderate premature infants. Methods: longitudinal study, which followed infants born late and moderate, during the first year of life, via telephone, to develop gastrointestinal disorders, in the maternal perception. Data collected using the Likert scale, in the assessment of acute condition, and analyzed under comparison of frequency and odds ratios (p<5% and 95% Confidence Interval) between variables. Results: the most frequent gastrointestinal injuries in the assessment of the first months of life were colic and vomiting, which reduced the intensity, the closer to the infant’s first year of life, followed by the diarrheal condition that maintained constant intensity throughout the first year. Conclusion: the study has implications for the identification of risk factors, in view of the vulnerability of the premature population, still little described in the literature.

References

World Health Organization. Preterm birth [Internet]. 2015 [cited Jan 12, 2020]. Available from: http://www.who.int/mediacentre/factsheets/fs363/en/

Delnord M, Zeitlin J. Epidemiology of late preterm and early term births – an international perspective. Seminars Fetal Neonatal Med. 2019; 24(1):3-10. doi: https://doi.org/10.1016/j.siny.2018.09.001

Vanin LK, Zatti H, Soncini T, Nunes RD, Siqueira LBS. Maternal and fetal risk factors associated with late preterm infants. Rev Paul Pediatr. 2020; 38:e2018.136. doi: http://dx.doi.org/10.1590/1984-0462/2020/38/2018136

Camilleri M, Park SY, Scarpato E, Staiano A. Exploring hypotheses and rationale for causes of infantile colic. Neurogastroenterol Motil. 2017; 29(2):e12943. doi: https://doi.org/10.1111/nmo.12943

Flake ZA, Linn BS, Hornecker JR. Pratical selection of antiemetics in the ambulatory setting. Am Fam Physician [Internet]. 2015 [cited Jan 19, 2020]; 91(5):293-6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25822385

Baird DC, Harker DJ, Karmes AS. Diagnosis and treatment of gastroesophageal reflux in infants and children. Am Fam Physician [Internet]. 2015 [cited Jan 19, 2020]; 92(8):705-14. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26554410

Solé D, Silva LR, Cocco RR, Ferreira CT, Sarni RO, Oliveira LC, et al. Diagnóstico, tratamento e prevenção. Documento conjunto elaborado pela Sociedade Brasileira de Pediatria e Associação Brasileira de Alergia e Imunologia. Braz J Allergy Immunol [Internet]. 2018 [cited Jan 19, 2020];2(1):39-82. Available from: http://aaai-asbai.org.br/detalhe_artigo.asp?id=865

Tovar JA. Gastroesophageal reflux in newborns and premature infants. Rickham’s Neonatal Surgery. 2018; 577-93. doi:https://doi.org/10.1007/978-1-4471-4721-3_25

Tovar JA. Gastroesophageal reflux in the first year of life. Neonatal Surgery. 2019; 209-23. doi: http://dx.doi.org/10.1007/978-3-319-93534-8_15

Morais MB. Signs and symptoms associated with digestive tract development. J Pediatr. 2016; 92(3Suppl1):46-56. doi: https://doi.org/10.1016/j.jped.2016.02.008

Fekkes M, Theunissen N, Brugman E. Veen EGH, Verrips HM, Koopman T, et al. Development and psychometric evaluation of the TAPQOL: A health-related quality of life instrument for 1–5-year-old children. Qual Life Res. 2000; 9:961-72.doi: https://doi.org/10.1023/A:1008981603178

Kolimarala V, Beattie RM, BatraA. Gastro-oesophageal reflux in infancy. Paediatr Child Health. 2019; 29(9):377-83. doi: https://doi.org/10.1016/j.paed.2019.06.002

Leung AK, Hon KL. Gastroesophageal reflux in children: an updated review. Drugs Context. 2019; 8:212591. doi: http://dx.doi.org/10.7573/dic.212591

Beleza LO, Ribeiro LM, Paula RAP, Guarda LEDA, Vieira GB, Costa KSF. Profile of at-risk newborns attended by nurses in outpatient follow-up clinic: a retrospective cohort study. Rev Latino-Am Enfermagem. 2019; 27: e3113. doi: https://doi.org/10.1590/1518-8345.2301.3113

Pagliaro CL, Bühler KEB, Ibidi SM, Limongi SCO. Dificuldades de transição alimentar em crianças prematuras: revisão crítica de literatura. J Pediatr. 2016; 92(1):7-14. https://doi.org/10.1016/j.jped.2015.05.004

Vasconcelos MJOB, Rissin A, Figueiroa JN, Lira PIC, Batista FM. Factors associated with diarrhea in children under five years old in the state of Pernambuco, according to surveys conducted in 1997 and 2006. Rev Saúde Pública. 2018; 52:48. doi: http://dx.doi.org/10.11606/s1518-8787.2018052016094

Oliveira RKL, Oliveira BSB, Bezerra JC, Silva MJN, Melo FMS, Joventino ES Influence of socio-economic conditions and maternal knowledge in self-effectiveness for prevention of childhood diarrhea. Esc Anna Nery. 2017; 21(4):e20160361. doi:https://doi.org/10.1590/2177-9465-ean-2016-0361

Marcon ACC, Vieira MC, Morais MB. Conhecimentos do pediatra sobre o manejo do lactente que chora excessivamente nos primeiros meses de vida. Rev Paul Pediatr. 2014; 32(2):187-92. doi: http://dx.doi.org/10.1590/0103-0582201432218713

Alexander CP, Zhu J, Paul IM, Kjerulff KH. Fathers make a difference: positive relationships with mother and baby in relation to infant colic. Child Care Health Dev. 2018; 43(5):687-96. doi: http://dx.doi.org/10.1111/cch.12445

Published
2020-05-18
Section
Research Article