Cup or Bottle for Preterm Infants: Effects on Oxygen Saturation, Weight Gain, and Breastfeeding

Rocha, Neide Maria Neivas da; Martinez, Francisco Eulógio; Jorge, Salim Moysés

doi:10.1177/089033440201800204

Cited by 80 publications

(109 citation statements)

References 24 publications

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“…Trata-se de estratégia difundida mundialmente e também recomendada pela Organização Mundial da Saúde e pela Iniciativa Hospital Amigo da Criança, na última década. O copo é considerado, como método artificial de proporcionar uma alimentação segura ao prematuro, até que esteja forte e maduro o suficiente para o aleitamento materno exclusivo (3,16) . Por outro lado, questiona-se o uso Houve uma correlação negativa entre a idade gestacional ao nascimento e a duração da transição da alimentação láctea, mostrando que os bebês mais imaturos fazem a transição em maior tempo (p=-0,172).…”

Section: Tabela 1 -Idade Corrigida Dos Prematuros Assistidos Nounclassified

Transição alimentar por via oral em prematuros de um Hospital Amigo da Criança

et al. 2010

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RESUMOObjetivo: Caracterizar a transição da alimentação gástrica por via oral quanto à maturidade e peso do prematuro, vias e técnicas de administração e duração da transição até a alimentação oral exclusiva. Métodos: Estudo retrospectivo com dados levantados em prontuários de 116 prematuros assistidos nas unidades de cuidados intensivos e intermediários neonatais de um hospital universitário do município de Ribeirão Preto -SP. Resultados: A idade gestacional corrigida média foi de 36 semanas ao início da alimentação oral e de 37 semanas quando a alimentação ocorreu total por via oral. O peso médio foi de 1.743 gramas ao início da alimentação oral e peso médio de 1.934 gramas quando a alimentação ocorreu total por via oral. Durante o período de transição foram utilizadas uma ou mais técnicas de administração do leite. O uso da gavagem em conjunto com outras técnicas (89,5%) predominou em especial, complementada pelo seio materno e copo (56,9%) e a duração da transição alimentar variou de menos de 1 a 47 dias. Conclusão: A maturidade e o peso ao nascer, além das condições clínicas decorrentes dessas variáveis, podem interferir no processo de transição da alimentação láctea do prematuro. Considerando as vantagens da amamentação materna, sua prática deve ser iniciada o mais precocemente possível neste segmento populacional de risco. Descritores: Alimentação; Métodos de alimentação; Prematuro; Enfermagem neonatal ABSTRACT Objective: To characterize the transition from oral gastric feeding related to: maturity and weight of premature babies, methods and techniques of administration and, duration of the transition to only oral feeding. Methods: This is a retrospective study of data gathered in records of 116 infants attended in intensive care units and neonatal intermediate in a university hospital in Ribeirao Preto-SP. Results: The mean-corrected of gestational age was 36 weeks at the start of oral feeding and 37 weeks when the supply came entirely by the oral route. The average weight was 1,743 grams at the start of oral feeding and 1,934 grams when the food came entirely by the oral route. During the transition period were used one or more means of milk administration. The use of forced feeding in conjunction with other techniques (89.5%) predominated, this was complemented by breast feeding and milk bottle (56.9%); the duration of feeding transition ranged from less than 1 day to 47 days. Conclusion: The maturity and birth weight, in addition to the clinical conditions from these variables, can interfere in the process of milk feeding transition in preterm babies. Considering the advantages of breastfeeding, the practice should be initiated as early as possible in this risk population segment. Keywords: Feeding; Feeding methods; Infant, premature; Neonatal nursing RESUMEN Objetivo: Caracterizar la transición de la alimentación gástrica por vía oral en lo que se refiere a: madurez y peso del prematuro, vías y técnicas de administración y, duración de la transición hasta la alimentación oral exclusiva. Métodos: Es u...

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Section: Tabela 1 -Idade Corrigida Dos Prematuros Assistidos Nounclassified

Transição alimentar por via oral em prematuros de um Hospital Amigo da Criança

et al. 2010

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“…No crises of apnea or bronchoaspiration were described, and weight gain was similar to that of bottle-fed infants. 104 Although PTNB were physiologically stable during cup feeding, the efficiency of this method in developing the tongue and jaw movements necessary for breastfeeding has been argued. One should also recall that the risk of actual milk intake might be lower than required, due to losses caused by spilling.…”

Section: Special Considerations For Human Milk Feeding Of Preterm Infmentioning

confidence: 99%

Aleitamento materno em prematuros: manejo clínico hospitalar

Nascimento¹,

Issler²

2004

J. Pediatr. (Rio J.)

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Suggested citation: do Nascimento MB, Issler H. Breastfeeding in premature infants: in-hospital clinical management. J Pediatr (Rio J). 2004;80(5 Suppl):S163-S172. AbstractObjective: To describe the importance of breastfeeding and its promotion in the in-hospital clinical management of premature newborns. Source of data:The authors made an extensive literature review on the topic, including technical books, theses, publications of national and international organizations, and search on MEDLINE database (1990 to 2003), using the following key words and boolean operators: breastfeeding AND low birth weight and breastfeeding AND preterm infant . Some significant references cited in the reviewed publications were used as well.Summary of the findings: After this review we conclude that many aspects make the breast milk particularly suitable to the premature newborn feeding. Despite being highly desirable, little success in breastfeeding preterm infants is generally observed, particularly in special care neonatal units, although there are evidences suggesting that a highly supportive hospital environment can make it possible to breastfeed these infants.Conclusions: Although breastfeeding premature infants represents a challenge, it is feasible if appropriate help and support are provided. Mothers of premature infants need information and support to make informed decisions about their infants feeding.J Pediatr (Rio J). 2004;80(5 Suppl):S163-S172: Breastfeeding, human milk, newborn, preterm infant, neonatal care. Breastfeeding in premature infants:in-hospital clinical management Maria Beatriz R. do Nascimento, 1 Hugo Issler 2 0021-7557/04/80-05-Suppl/S163 Jornal de Pediatria Copyright © 2004 by Sociedade Brasileira de PediatriaBreastfeeding is the safest and most natural form of infant feeding, and it should be exclusive up to the sixth month. After that, complementary feeding should be implemented, but breastfeeding can be maintained up to the second year of life or longer. 1 Human milk provides a unique combination of proteins, lipids, carbohydrates, minerals, vitamins, enzymes and living cells, in addition to offering nutritional, immunological, psychological and economic benefits. 2-7 These qualities have great importance when it comes to preterm newborns (PTNB), due to their greater vulnerability. 8 The appropriate clinical management of lactation has been described to facilitate the successful breastfeeding of full-term newborns. 9 The medical literature also provides evidence that mothers of PTNB infants should have access to breastfeeding support, in order to maintain a sufficient milk production; however, practical aspects regarding the promotion of human milk feeding still have not been settled into the routine care of preterm infants in most neonatal

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“…In infants with pulmonary disorders, pulse oximetry during breastfeeding may minimize episodes of hypoxia. 70 Cup feeding, regarded as a safe alternative for the feeding of preterm and low birthweight infants, has been described by some authors and recommended for ill and low birthweight babies by the World Health Organization, among other guidelines of the Baby Friendly Hospital Initiative. 71 In our setting, cup feeding has not shown advantages over bottle-feeding as far as an increase in breastfeeding rates is concerned.…”

Section: Lipid Requirements Of Preterm Infantsmentioning

confidence: 99%

“…71 In our setting, cup feeding has not shown advantages over bottle-feeding as far as an increase in breastfeeding rates is concerned. 70 After years of discussion, the literature is almost unanimous in stating that breastmilk is the ideal type of milk for preterm babies. 72 A doubt that persisted for a long time was whether the advantages of human milk described for full-term infants are also valid for preterm infants.…”

Section: Lipid Requirements Of Preterm Infantsmentioning

confidence: 99%

Dilemas nutricionais no pré-termo extremo e repercussões na infância, adolescência e vida adulta

Camelo¹,

Martinez²

2005

J. Pediatr. (Rio J.)

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Suggested citation: Camelo Jr. JS, Martinez FE. Nutritional dilemmas in extremely low birth weight infants and their effects on childhood, adolescence and adulthood. J Pediatr (Rio J). 2005;81(1 Suppl):S33-S42. AbstractObjective: To review the recent medical literature on nutrition of extremely low birth weight infants, focusing on nutritional dilemmas and their effects on childhood, adolescence and adulthood.Sources of data: An extensive review of the related literature was performed using MEDLINE, the Cochrane Database of Systematic Reviews and the Best Evidence database. Summary of the findings:There is a growing body of evidence that early nutritional practices may affect shortterm growth and development outcome. In addition, these practices may play a role in determining adult health and disease. There is still much to be learned about safe and efficacious nutrient administration in preterm infants; about techniques to assess the effect of different nutritional strategies; and about the long-term effects of these regimens on development outcome, growth and disease.Conclusion: Despite recent progress in neonatal nutrition, there is a lack of basic and clinical research to better define the nutritional requirements of preterm infants and the best way to meet these requirements, avoiding longterm undesirable consequences.J Pediatr (Rio J). 2005;81(1 Suppl):S33-S42: Nutrition, human milk, prematurity, parenteral nutrition, enteral nutrition, nutritional programming.

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Cup or Bottle for Preterm Infants: Effects on Oxygen Saturation, Weight Gain, and Breastfeeding

Cited by 80 publications

References 24 publications

Transição alimentar por via oral em prematuros de um Hospital Amigo da Criança

Transição alimentar por via oral em prematuros de um Hospital Amigo da Criança

Aleitamento materno em prematuros: manejo clínico hospitalar

Dilemas nutricionais no pré-termo extremo e repercussões na infância, adolescência e vida adulta

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