Pulmonary Function Following Feeding in Low-Birth-Weight Infants

Krauss, Alfred N.; Brown, Jeffrey L.; Waldman, Stephanie; Gottlieb, Geoffrey S.; Auld, Peter A. M.

doi:10.1001/archpedi.1978.02120270037008

Cited by 14 publications

(6 citation statements)

References 11 publications

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“…11 Hypoxemia during bottle-feeding has been documented since the 1970s. 13 This occurs in both full-term and preterm infants. 14 Research suggests that the alteration in blood oxygen is a result of decreased ventilation.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Breast-and Bottle-Feeding on Oxygen Saturation and Body Temperature in Preterm Infants

et al. 2000

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From July 1997 to June 1998, 25 preterm infants (birth weight < 1800 g) were included in a prospective study to compare the clinical effects of breast- and bottle-feeding. Oxygen saturation, heart rate, respiratory rate, and body temperature were recorded every minute for 20 minutes during feeding periods. Eighty pairs of breast- and bottle-feeding sessions were observed at the chronological age of 9.3 +/- 4.3 (range = 2.1-25.3) weeks. Oxygen saturation and body temperature of the preterm infants were significantly higher when they were directly breastfed. There were 2 episodes of apnea (breath pause more than 20 seconds) and 20 episodes of oxygen desaturation (PaO2 < 90%) during bottle-feeding and none during breastfeeding. We conclude that breastfeeding is a more physiological feeding method for the preterm infant and bottle-feeding may be more stressful.

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Section: Discussionmentioning

confidence: 99%

The Effect of Breast-and Bottle-Feeding on Oxygen Saturation and Body Temperature in Preterm Infants

et al. 2000

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“…The 10% reduction in the mean CBFV 5 to 16 minutes after feeding is probably not meaningful for preterm infants as long as the arterial oxygen saturation does not fall. However, several authors observed that the arterial oxygen pressure may fall noticeably in preterm infants 5 to 15 minutes after feeding4 14 15 — that is, at the time of minimum CBFV. Thus oxygen supply to the brain may fall substantially in some preterm infants after tube feeding.…”

Section: Discussionmentioning

confidence: 99%

Effects of bolus tube feeding on cerebral blood flow velocity in neonates

Nelle

Hoecker

Linderkamp

1997

Archives of Disease in Childhood - Fetal and Neonatal Edition

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Aim-To study continuously cerebral blood flow velocity in the middle cerebral artery before, during, and after tube feeding in neonates. Method-Cerebral blood flow velocity was measured in 14 neonates using a Doppler ultrasound device. Blood pressure, respiration, and oxygen saturation were monitored. Results-Mean blood flow velocity decreased from 37 cm/s before feeding to 33 cm/s (P<0.001) 5 to 11 minutes after feeding. Prefeeding values were reached after 17 minutes. Arterial blood pressure, respiration patterns, and oxygen saturation did not change significantly during the study period. Conclusion-Tube feeding in preterm infants may decrease cerebral perfusion, despite unchanged blood pressure and unchanged oxygen saturation. (Arch Dis Child 1997;76:F54-F56)

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“…It has been reported that the lung mechanics or blood gases of sick infants are influenced not only by body positioning, but also by feeding. In previous reports, decreases in arterial oxygen tension (PaO 2 ), [1][2][3] in functional residual capacity, 4 and in dynamic compliance 5 or an increase in minute ventilation have been demonstrated after feeding. In this decade, the number of immature infants with severe chronic lung disease (CLD) are increasing and those infants may be still supported by the ventilator when the amount of feed exceeds 100 mL/kg per day.…”

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confidence: 93%