Evaluation of Syringe Feeding Compared to Bottle Feeding for the Transition from Gavage Feeding to Oral Feeding in Preterm Infants
Journal Title: The Journal of Pediatric Research - Year 2019, Vol 6, Issue 2
Abstract
Aim: Syringe feeding is a good alternative to a nursing supplementer when breastfeeding is not possible. Materials and Methods: This study was conducted at a level 2 neonatal intensive care unit in the Zekai Tahir Burak Maternity Teaching Hospital in a comparative and descriptive clinical study pattern. The study was carried out with 47 preterm infants in a syringe-fed group (SG) and 56 preterm infants in a bottle-fed group (BG). Primary outcomes were time of transition from gavage feeding to full oral feeding time of transition from tube to breastfeeding, and hospitalization time. Secondary outcomes were body weight at discharge (g), daily body weight gain (g/days) and gastro-intestinal intolerance symptoms during the transition period. Results: Mean gestational ages were 29.82±2.03 vs 28.18±1.56 weeks (p=0.24) and mean birth weights were 1,150.31±232.29 vs 1,016.87±186.64 g (p=0.72) in the SG and BG groups, respectively. One hundred and three infants receiving gavage feeding with gestational ages ranging from 26 to 32 weeks were evaluated for full oral feeding start time. Syringe-fed preterm infants had a mean of 40.45±19.50 days and bottle-fed infants had a mean of 53.81±16.97 days (p>0.05). The time to transition to breastfeeding (42.54±21.21 days) and time to discharge (54.48±26.92 days) in the SG was significantly shorter compared to the BG (50.45±15.95, 67.21±22.07, respectively) (p<0.05). Conclusion: We found that preterm infants for whom feeding with a syringe was used as a reinforcement in addition to orogastric feeding switched to full breastfeeding in a shorter time compared to infants who were fed by bottle. From these results, we recommend syringe feeding as a transitional method prior to breastfeeding for preterm infants during hospitalization.
Authors and Affiliations
Birgül Say, Mehmet Büyüktiryaki, Nilüfer Okur, Gülsüm Kadıoğlu Şimşek, Fuat Emre Canpolat, Nurdan Uraş, Şerife Suna Oğuz
Can Temporomandibular Joint Disorders Be Diagnosed Beforehand by Assessment of Postural Irregularities?
Aim: In many studies, the relationship between postural status and temporomandibular disorders (TMD) have been investigated, however there is no consensus on this regard. The aim of this study was to investigate the rela...
Single Versus Multiple Doses of Surfactant Treatment in Preterm Infants
Aim: Exogenous surfactant may be needed not only for Respiratory Distress syndrome (RDS) treatment; but also, in the management of other pulmonary diseases of infants. In this study, we aimed to investigate the impact of...
Perceptions and Factors Affecting Patient Safety Culture of Employees in Pediatric Services
Aim: In this study, some factors affecting the patient safety culture and perceptions of health care workers working in pediatric clinics were examined. Materials and Methods: This descriptive type of research was condu...
Iron and Ferritin Levels of Children and Adolescents with Attention Deficit Hyperactivity Disorder and Attention Deficit Hyperactivity Disorder-Not Otherwise Specified
Aim: The study aimed to compare the levels of iron and ferritin in children with Attention Deficit Hyperactivity Disorder (ADHD) and Attention-Deficit Hyperactivity Disorder-Not Otherwise Specified (ADHD-NOS) and to asse...
Does Celiac Disease Effect Electrocardiographic Markers of Arrhythmic Events in Children?
Aim: Cardiac abnormalities associated with celiac disease (CD) have been reported. However, changes in electrocardiographic (ECG) parameters in children with CD have not been previously evaluated in the literature. In th...