Bottle Feeding, Premature
Conditions
Keywords
Premature Infant, Bottle Feeding, Side-lying Position, Oral Feeding
Brief summary
Methods and techniques to improve the quality and safety of oral feeding in preterm infants are still a significant challenge in modern neonatology. One of the areas that can help improve feeding is choosing the optimal feeding position for premature babies.
Detailed description
PURPOSE: The aim of the study is to compare the advantages of side-lying positioning on the right (SLP-R) and left side (SLP-L) of infant's body, during bottle-feeding of preterm infants. METHOD: The study will include eight neonates (n=8) born ≤34 weeks of gestational age. Four bottle-feeding sessions will be tested in each of the newborns: two in the SLP-R and two in the SLP-L. The position for the first study will be randomly assign, then positioning will be change after each feeding session. In one day, only two consecutive feeding sessions will be tested which will be included to the study in order to minimize fatigability as a disrupting factor. The levels of saturation (SpO2) and heart rate (HR) will be measured as the parameters indicative of the newborn's physiological stability. The factors determining the qualitative aspect of feeding include the total time of declines of SpO2 ≤85%, level of the newborn's alertness according to the Neonatal Behavioral Assessment Scale (NBAS), and the occurrence of choking episodes. The proportion of milk consumed (volume of milk eaten relative to the expected volume) and the duration of the feeding and feeding session were also will be record. Maximum time of feeding session will be 40 minutes. Also the posseting during/after feeding and regurgitations will be record in each tested positions.
Interventions
OTHERExperimental SLP-R
SLP-R will be given to the infant during bottle-feeding.
OTHERExperimental SLP-L
SLP-L will be given to the infant during bottle-feeding.
Sponsors
Polish Mother Memorial Hospital Research Institute
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
32 Weeks to 38 Weeks
Healthy volunteers
Yes
Inclusion criteria
* circulatory and respiratory stability; * readiness for oral feeding according to each child's Speech-Language Pathologist assessment; * prematurely born infants who will be in the process of transfer from enteral nutrition to full oral feeding and will be fed orally at least 4 times within twenty-four hours; * researcher must be a right handed person (right hand is the dominant hand); * each infant will be fed with one kind of bottle and nipple; * parents will give a informed consent to participate their infant in the study.
Exclusion criteria
* disorders which could significantly affect the feeding course, such as cleft lip and/or palate, facial paralysis and/or congenital defects of the facial skeleton; * the presence of detected congenital abnormalities and metabolic diseases; * newborns after abdomen chirurgical treatment; * low Apgar score (less than 5 points at the 5th and 10th minute of the measurement); * administered analgesics, anticonvulsants and sedatives \<72 hours from extubation prior the trial; * parenterally fed infants; * infants with administered intravenous infusion with glucose; * parents refusal to participate in the study or when bottle-feeding will not be the parental preference.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physiological stability | Measured 2 minutes before feeding session, in 3rd and 10th minutes of feeding, at the moment of finish of the feeding and in 10th minute after feeding (5 points of measurement) | Oxygen saturation (SpO2) changes measured by using a pulse oximeter data |
| Qualitative aspect of bottle-feeding | Up to 40 minutes - measured during feeding session (maximum time of feeding session is 40 minutes) | Total time of declines of SpO2 ≤85% measured by using a pulse oximeter data |
Countries
Poland
Outcome results
None listed