Feeding and Eating Disorders
Conditions
Keywords
infant, feeding position, respiratory, ear
Brief summary
Does upright feeding position of 3 month old infants reduce respiratory and ear morbidity during the following year?
Detailed description
The investigators examined the influence of teaching mothers to feed infants with their head in an upright position and evaluated the infant ear and respiratory morbidity during a one-year follow-up. Mothers of 88 infants born during 2011 were instructed by trained nurses at Maternal-Child-Health clinics to feed their infants with their head in upright position (intervention group). The control group consisted of 75 mothers of infants of similar socioeconomic background who fed their infant regularly without any instructions and were followed at another Maternal-Child-Health clinic. Feeding position was evaluated at the beginning and the end of the study, and morbidity data of both groups were evaluated at every 3-month follow-up meeting. The study was part of the PhD thesis of Efrat Danino, Head Nurse of Pediatric Department at Hadassah Medical Organization.
Interventions
BEHAVIORALupright head position
Bottle feeding of infants with their head in upward and not supine head position
Sponsors
Hadassah Medical Organization
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
3 month old infants were recruited from 2 Mother-Child-Health clinics and followed for 12 months. Mothers from intervention group were instructed to feed their babies (88 infants) with their head in upright position. Mothers from control group (75 infants) fed their infant regularly without any instructions . Respiratory and ear morbidity were evaluated during the following 12 month period.
Eligibility
Sex/Gender
ALL
Age
3 Months to 4 Months
Healthy volunteers
Yes
Inclusion criteria
* healthy 3 month old infants, bottle fed at least once a day, parent agreeing to participate
Exclusion criteria
* Prematurity, need of supplemental oxygen, broncho-pulmonary dysplasia, cystic fibrosis, familial dysautonomia, cleft lip or cleft palate, any ear-throat-lung or airway congenital anomaly, congenital heart disease, any other chronic disease of childhood or malignancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Infant morbidity | every 12 weeks visit to Mother Child Health clinic until end of 1 year follow up | respiratory (cough, wheezing, physician diagnosed bronchitis or pneumonia), ear (OM, SOM), prolonged fever, use of antibiotics and inhalations. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Feeding position angle | at beginning and end of study (1 year follow up) | description of feeding position angle |
Countries
Israel
Outcome results
None listed