Full oral feeding is possible before discharge even in extremely preterm infants.
Full oral feeding
Nutrition
Oral feeding performance
Preterm babies
Weight gain
Journal
Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
10
03
2018
revised:
17
05
2018
accepted:
26
06
2018
pubmed:
29
6
2018
medline:
11
4
2020
entrez:
29
6
2018
Statut:
ppublish
Résumé
This study described the steps needed to achieve full oral feeding before discharge in a group of very and extremely preterm (EPT) infants. We analysed the effects of oral feeding skills on discharge timing and on weight gain during their neonatal intensive care unit (NICU) stay. A prospective cross-sectional observational study of 100 infants who were <32 weeks of gestation (GA) was conducted at the Division of Neonatology, Graz, Austria, from March 2014 to February 2015. Patients were stratified into two groups: those who were <28 weeks at birth and those who were 28 weeks and over. Velocity of oral feeding skills attainment and weight gain were analysed. All infants successfully acquired oral feeding skills during hospitalisation. The median GA at which full oral feeding skills were reached was 37 + 1 weeks in EPT and 34 + 5 weeks in very preterm infants. More immature neonates showed worse feeding performances and lower weight increments during oral feeding steps. Our study confirmed the role of GA in the development of oral feeding skills in the most premature babies. It also raises the question of whether expected daily weight gain should be targeted according to GA.
Identifiants
pubmed: 29953661
doi: 10.1111/apa.14478
pmc: PMC6585780
doi:
Types de publication
Comparative Study
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
239-244Informations de copyright
©2018 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.
Références
Adv Neonatal Care. 2013 Aug;13(4):230-7
pubmed: 23912014
CMAJ. 1995 Jun 1;152(11):1765-85
pubmed: 7773894
Acta Paediatr. 2013 Dec;102(12):e539-45
pubmed: 23952198
Cochrane Database Syst Rev. 2016 Aug 23;(8):CD005586
pubmed: 27552522
Early Hum Dev. 2016 Dec;103:123-128
pubmed: 27591506
J Pediatr Gastroenterol Nutr. 2010 Jan;50(1):85-91
pubmed: 19881390
Arch Dis Child Fetal Neonatal Ed. 2016 Jan;101(1):F50-5
pubmed: 26201534
Pediatrics. 2017 Mar;139(3):
pubmed: 28246339
J Neonatal Perinatal Med. 2018;11(1):11-19
pubmed: 29689751
Acta Paediatr. 2003 Jun;92(6):721-7
pubmed: 12856985
J Perinatol. 2007 Sep;27(9):572-8
pubmed: 17625573
Clin Perinatol. 2011 Dec;38(4):731-43
pubmed: 22107901
Pediatrics. 2015 Jul;136(1):e84-92
pubmed: 26101360
Nurs Res. 2007 Sep-Oct;56(5):307-11
pubmed: 17846551
Pediatrics. 2001 Dec;108(6):1339-48
pubmed: 11731657
Arch Dis Child Fetal Neonatal Ed. 2004 Sep;89(5):F428-30
pubmed: 15321963
Pediatrics. 2002 Sep;110(3):517-22
pubmed: 12205253
Early Hum Dev. 2012 Jun;88(6):345-50
pubmed: 21962771
Pediatrics. 1977 Oct;60(4):519-30
pubmed: 333369
Pediatrics. 2008 Nov;122(5):1119-26
pubmed: 18977994
MCN Am J Matern Child Nurs. 2015 Mar-Apr;40(2):96-104; E9-10
pubmed: 25494013
Cochrane Database Syst Rev. 2016 Sep 20;9:CD009720
pubmed: 27644167
World Rev Nutr Diet. 2013;106:149-55
pubmed: 23428694
Am J Occup Ther. 1990 Dec;44(12):1070-8
pubmed: 2126165
Acta Paediatr. 2008 Jan;97(1):61-7
pubmed: 18052999
Am J Dis Child. 1993 Aug;147(8):858-62
pubmed: 7688931
Cochrane Database Syst Rev. 2016 Oct 04;10:CD001071
pubmed: 27699765