Assessment of swallowing in preterm newborns fed by bottle and cup

Abstract

Purpose: To compare the swallowing performance of premature infants using a cup and a bottle during the first offer of food by mouth. Methods: This study was carried out with preterm newborns who presented low weight at birth and no neurological illnesses, genetic syndromes or congenital malformations. The newborns were assessed by videofluoroscopy while using a cup and a bottle, when they reached a post-conceptual age of ≥34 weeks, weight ≥ 1,500 g and showed signs of readiness for oral feeding. All children were fed exclusively by gavage during the period prior to the study. Results: This study included 20 preterm newborns, with average birth weight of 1,356 g and gestational age of 31.3 weeks. The majority of the bottle-fed newborns (68%) presented strong and rhythmic suction and 63% showed good sucking/swallowing/breathing coordination. The same percentage of newborns fed by cup (68%) could not perform the sipping movement and only 32% could suck a minimal amount of liquid contrast. There were no signs of laryngeal penetration and tracheal aspiration in both procedures. Conclusion: At the first oral feeding, preterm newborns showed better swallowing performance with a bottle in comparison to using a cup.

Feeding Neonates by Cup: A Systematic Review of the Literature

“…Five studies employed a cross-over design where the infant acted as her own control. (21, 25–28) Four studies evaluated provider and/or caregiver preferences. (29–32) All RCTs except for one (33) were conducted in high-resource countries.…”

“…Most studies did not describe the cup or bottle used. (20, 24, 26, 28, 30, 35–39) The scope of research was broad and fell into five domains: 1) Physiologic stability and safety; 2) Intake, duration, spillage and weight gain/loss; 3) Breastfeeding outcomes; 4) Duration of hospitalization; and 5) Feeder compliance and acceptability. We also ordered studies by topic (see Online Resource 1).…”

“…Some did not employ a comparison group(16, 42, 45) and many had small sample sizes. (10, 16, 26–28, 38, 42) Because most studies did not describe the cup or bottle used, it was impossible to evaluate the impact of cup design on outcomes. Shape, material, and ergonomics of feeding tools may influence intake, spillage, and feeding efficiency.…”

Identifying Aspiration Among Infants in Neonatal Intensive Care Units Through Occupational Therapy Feeding Evaluations

“…Several tools are used to diagnose aspiration, including auscultation (Frakking et al, 2013;Vice et al, 1995), radiography (Tutor & Gosa, 2012), fiberoptic endoscopic evaluation of swallow (Ulualp et al, 2013), automated impedance manometry (Rommel et al, 2014), ultrasound (Arvedson, 2008), the Blue Dye Test (Altkorn et al, 2008;John & Swischuk, 1992), and VFSS or modified barium swallow (Kim et al, 2014;López et al, 2014;Noll et al, 2011;Silva-Munhoz et al 2015).…”

Percepção dos Agentes Comunitários de Saúde quanto aos agravos fonoaudiológicos

“…CHW may represent an important tool for promoting health, preventing diseases and Noncommunicable Diseases (NCD), since they are already inserted in multidisciplinary teams. Then, health education should be encouraged through practice and training workshops, establishing meaningful actions in health (4)(5)(6)(7)(8) . According to the World Health Organization (WHO) (9) , the main NCD are cardiovascular diseases (cerebrovascular and ischemic ones), neoplasias, chronic respiratory diseases and diabetes mellitus.…”