Very Preterm Infant Nutrition: Parenteral vs Enteral
Miami Neonatology 2023—47th Annual International Conference

This education is about:

• New guidelines on best practices for parenteral nutrition for preterm infants
• The relationship between adequate vs inadequate amino acids and mineral and electrolyte balance
• How immune health and development is supported by human milk
• Clinical challenges around diagnosing feeding intolerance
• Evidence-based methods for establishing milk supply

Why it matters:

Preterm infants lack important nutrients they would have received in utero, in particular, those that are primarily accreted during the third trimester. Neonatal nutrition expert Dr. Sarah Taylor shares a summary of updated guidelines on parenteral nutrition in the NICU, including special considerations when dosing amino acids. She also reviews evidence-based methods for supporting human milk expression and establishing milk supply. Dr. Taylor addresses the ideal time to start enteral feedings, the importance of having feeding protocols, and the challenges around diagnosing feeding intolerance.

• Profile

  Sarah N. Taylor, MD, MSCR

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  Sarah N. Taylor, MD, MSCR, is a professor and director of clinical research in the Division of Neonatology in the Department of Pediatrics at Yale School of Medicine, and a professor in the Department of Chronic Disease Epidemiology at Yale School of Public Health in New Haven, Connecticut. Dr. Taylor received her medical degree and completed a pediatric residency and a fellowship in neonatal medicine at the University of Miami School of Medicine. She earned a master of science degree in clinical research at the Medical University of South Carolina.  

  As director of clinical research at Yale School of Medicine, Dr. Taylor leads a team specializing in health outcomes related to maternal and infant nutrition. Funded by grants from the National Institutes of Health (NIH), their research focuses on infant nutrition and gastrointestinal health with an emphasis on human milk. Studies include disparities in lactation, the biology of milk production, and the role of human milk intake in preterm infant growth and development.

  Dr. Taylor is recognized as an advocate for maternal and infant nutrition at the international, national, and local levels. Since her appointment at Yale School of Medicine she has significantly expanded the number of clinical studies. She has also established collaborative clinical and translational research relationships with prestigious academic institutions throughout the United States, as well as increasing international collaboration.

  Dr. Taylor’s initiatives have included establishing the NIH-funded Yale Neonatal NOuRISH (Yale Neonatal Nutrition Outcomes Research In Sustaining mother and infant Health) project to investigate how fetal and neonatal nutritional and metabolic exposures impact outcomes. Earlier in her career, Dr. Taylor spearheaded the South Carolina Neonatal-Perinatal Medicine Collaborative’s initiative to provide donor human milk as an available supplement to mother’s milk for all hospitalized, very low-birth-weight infants in the state. 

  Dr. Taylor is a member of the executive board of the Human Milk Banking Association of North America and a member of the International Society for Research in Human Milk and Lactation. She is the author of numerous peer-reviewed books, chapters and reviews and is a frequently invited speaker at both national and international professional events.

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  Sarah N. Taylor, MD, MSCR

  Professor of Pediatrics
  Chief of Neonatal Perinatal Medicine
  Director of Neonatal Clinical Research
  Yale University School of Medicine
  New Haven, Connecticut