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Archives de pédiatrie
Volume 24, n° 5S
pages 540-544 (mai 2017)
Doi : 10.1016/S0929-693X(17)24008-1
Recommandations pour les apports en fer pendant les six premiers mois de vie
Iron requirements during the first 6 months of life
 

A. Lapillonne, M.D., Ph.D. 1, 2, , O. Becquet, M.D. 1
1 Service de pédiatrie et réanimation néonatales, hôpital universitaire Necker-Enfants malades, 149 boulevard Sèvres, 75014 Paris, France 
2 Université Paris-Descartes, Paris, France 

*Auteur correspondant.
Résumé

En raison de la redistribution postnatale du fer, les besoins du nouveau-né à terme eutrophique issus d’une grossesse normale sont virtuellement nuls pendant les 6 premiers mois de vie. À l’inverse plusieurs facteurs tels que la durée de gestation, le sexe de l’enfant, le statut en fer de la mère et les conditions qui altèrent les échanges entre la mère et son fœtus, influencent le stock martial à la naissance. En raison de réserves faibles et d’une croissance accélérée, les enfants nés avec un faible poids de naissance doivent recevoir une supplémentation d’autant plus précoce et importante que le poids est bas. Cet apport prophylactique peut être donné sous forme d’un supplément médicamenteux, d’une formule pour prématuré enrichie, ou de lait maternel enrichi. Enfin, en raison des bénéfices sur la morbidité néonatale et sur le statut en fer, le clampage retardé du cordon en cas de naissance prématuré est recommandé.

The full text of this article is available in PDF format.
Abstract

Because of the postnatal redistribution of the iron store, the term infant born after an uneventful pregnancy virtually needs no iron during its first 6 months of life. On the other hand, several factors, such as duration of gestation, gender, mother’s iron status, alteration of the iron placental transfer, significantly influence the iron store at birth. Because of their reduced body store at birth and their higher demand during catch-up growth, low birth weight infants should receive an iron supplement, which should be started earlier and given at a higher dose in the more premature infants. This preventive strategy can be given as enteral supplement, preterm formula, or enriched breast milk. Finally, because of its benefits on neonatal morbidity and iron status, delayed umbilical cord clamping is recommended for preterm infants.

The full text of this article is available in PDF format.


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