In Europe they do use higher volumes of fluids than we do in the USA.   In 
the USA we tend to restrict fluids in the 1st week or two for VLBW infants 
to  minimize the occurrence of a PDA and CLD (which the research supports).   
Once the infants are "feeders and growers" we increase the fluids.  The  
current standard (per VON and CPQCC) is to push volumes up to tolerance, but  
most NICUs still consider 150 mL/kg/day as full feeds, and don't go above  
that.
 
Nancy
Nancy E. Wight MD, IBCLC, FABM,  FAAP
Neonatologist
Sharp Mary Birch Hospital for Women and Rady Children's  Hospital San Diego
Medical Director, Sharp HealthCare Lactation  Services
San Diego, CA 
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