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Breastfeeding forbabies with Necrotizing

EnterocolitisB.Wirastari Marnoto

Symphonic 2015

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Necrotizing Enterocolitis

necrotizing enterocolitis (NEC), is anaquired condition of diuse necroticinjury to the mucosal and submucosallayers of the gut

the necrosis could e!tend to themuscular bowel wall,with "otential for"erforation

hydrogen gas "oc#ets are found in the

intramural layers of the gut it in$ol$es mostly the terminal ileum

and "ro!imal colon

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Clinical signs andsym"toms

clinical signs range from mild feedingintolerance to catastro"hic disease withgut "erforation, "eritonitis and c%$colla"se

sym"toms might be insidious& subtle,such as gastric residues, abdominaldistention, bloody stools, or a suddendeterioration

'ge of onset

a""ro! * days in "rems + * w#gestation

a""ro! - days in neonates . / w#sgestation

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Bell0s clinical staging( 1234)

5tage 6 sus"ect NECclinical signs and sym"toms ,nondiagn"stic radiogra"h

5tage 66 de7nite NEC Clinical signs and sym"toms 8neumatosis intestinalis5tage 666 ad$anced NEC critically ill

"neumatosis or "neumo"eritoneumon radiogra"h

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6ncidence

the incidence $aries but stated mostoften as "er 1*** li$e births

"reterm infants account for 3*9 to 2*9 at : w#s gestation there is a shar"

decline N6C;< =5' (**1), the o$erall

incidence of "ro$en NEC was 39 in>?B@ (/** to 1-** g) and 1-9 for

infants -*1 to :**g countries with low incidence of

"rematures (Aa"an, 5weden) ha$e lower"re$alence

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NEC in fullterm infants

NEC is rare in fullterm infants 6n a -%year "eriod, Chandler found

only of : NEC cases were full%terms, also diagnosed with C;