Vol. 5, Issue 12 (2019)
Assessment of growth pattern of newborn administered with medium chain triglyceride and coconut oil
Author(s): Dr. Shyam Bahadur Prasad, Dr. Arvind Kumar
Abstract: The ability of very low birth weight infants to absorb fat is poor due to immaturity of liver and decreased bile salt synthesis. Medium chain triglycerides passively diffuse from the gastrointestinal tract to the portal system without requirement for modification like long chain fatty acids. Medium chain triglycerides can thus improve fat absorption in very low birth weight infant. Medium chain triglycerides have also shown to increase weight gain and to enhance calcium absorption and nitrogen retention but limited studies are available to prove it. As coconut oil is rich in medium chain triglycerides, it can serve as a good substitute for MCT in a resource limited developing country like India. So far, very few studies have been done to find out the efficacy of medium chain triglycerides and coconut oil. Hence the present study was planned for assessment of Growth Pattern of Newborn Administered with Medium Chain Triglyceride and Coconut Oil. The present study was planned in Department of Paediatrics, Government Medical College, Bettiah, West Champaran, Bihar. Total 60 cases of the neonates were enrolled in the present study. These were divided in three study groups. The Group I consist of 20 cases administered with the daily massage of Coconut oil. The Group II consist of 20 cases of the neonates administered with the message with the MCT oil. The Group II neonates were givenMCT oil Massage with Oral intake. Massage therapy consists of tactileand kinesthetic stimulation given by mothers who weretrained for standardized steps of massage that was given for15 minutes two times a day in the NICU and similarlymother was explained quantity and duration of feeds givento the baby and also trained for making the feeds by theexpert nurses. In case of MCT oil oral intake it was mixed infeeds of the neonates. The data generated from the present study concludes that MCT oil massage therapy with MCT oil intake is significantly better than Only MCT oil massage in terms of weight gain. With only MCT oil massage having significant advantage over coconut oil. So MCT oil therapy can be a cost-effective method for gaining weight in low birth weight babies low income countries.