Welcome to Focus Module "Nutritional Care of Preterm Infants"

Here you find an overview of the module on "Nutritional Care of Preterm Infants", its structure and units, learning aims and information on how to get your CME credits.


Preterm birth, birth that occurs <37 completed weeks' gestation, is a major global public health problem. With an incidence that ranges from 5-18% across the world, preterm birth is a major cause of death in children under the age of 5.

Improved neonatal care for preterm infants has led to an impressive reduction in perinatal preterm infant mortality. Over the last few decades, measures such as maternal antenatal glucocorticoids administration, use of surfactant, and improvement in ventilation strategies have increased survival rates particularly in infants with very low birth weight (VLBW, <1500g) and extremely low birth weight (ELBW, <1000g).

Currently there is higher focus on the improvement of long- term outcomes, health and quality of life of infants born prematurely. Evidence has shown that proper nutritional management is a critical tool to achieve these goals.  Intrauterine growth is extremely rapid and involves remarkable tissue differentiation. Adequate nutrition has been shown to be critical to prevent growth failure, optimize long-term growth and to improve long-term outcomes. The challenge of the neonatal intensive care unit (NICU) team is to provide enough nutrients to match such growth and development in quantity and also quality.

In this Module, the current knowledge and recommendations on nutrient requirements are thoroughly addressed. In addition, the importance of appropriate nutrition and the clinical practice of nutritional care in preterm infants are described and discussed based on the current recommendations from an expert panel that included leaders in the field from five continents. The module also includes an overview of preterm birth demographics, causes and consequences.

Video 1: "Importance of Nutrition for Preterm Infants"
Expert Statement by Prof. em. Reginald Tsang, Cincinnati Children's Hospital Medical Center

Structure, Content and Learning Aims of this Module

The module "Nutritional Care of Preterm Infants" contains three separate units which can be worked through in your preferred order. For each unit, you will have the opportunity to request CME credits upon successful completion of a multiple choice test at the end.

Please click on the unit headlines to see the full overview

Please click here to see an overview of the whole module.

How to best follow this module 

For your own coordination and scheduling: To go through this entire module which contains three units, you will need about 540 minutes (around 180 minutes for each unit). Downloading further literature or using our integrated links will take additional time.

Every unit consists of a self-assessment test at the beginning, different lessons and a CME test at the end. Unit 3 also has an interactive case study (Lesson 7) where the learner will be asked to give her/his opinion in the medical conduct of a patient. During the course of the module, the learner will benefit from a number of learning tools, including self-assessment tests, graphics, expert videos, a discussion forum and an online case-based training.

To make better use of the teaching material and consequently a better learning experience overall, we suggest that the learner first should go through the units, follow by the case-based training and only after that she or he should attempt the CME tests.

CME Certificate of Completion

Please Note: Starting September 1, 2020, all CME Certificates of Completion will be available for purchase for 5,00 € (excl. VAT) per 1 European CME credit to health care professionals in all EU countries only. The ENeA Global platform and modules will remain available to all non-EU health care professionals, but no CME Certificate of Completion will be available for purchase or download.

The CME test will only be available once all elements in each unit are marked complete. To receive your CME Certificate of Completion, you have to successfully pass the CME multiple-choice test and complete the payment process.

European CME Accreditation:

This module has been accredited by the UEMS with 9 credits.

German Accreditation:

This module has been accredited by the German Medical Association with 12 credits.

How to get started

Click the button below to start with Unit 1

Unit 1

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