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Feeding Behavior and Performance of Preterm Neonates on Paladai Feeding.
MedLine Citation:
PMID:  23294423     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
AIM: To evaluate the feeding behavior and performance of preterm neonates receiving feeds by paladai (a small beaked receptacle) METHODS: We enrolled stable neonates - 10 each in 28 to 30 weeks [group I] and 31 to 32 weeks' gestation [group II], and offered them paladai feeds. We recorded the feeding sessions on alternate days until they were on full enteral feeds. The outcome variables were (1) feeding behavior, as assessed by changes in states of wakefulness, oromotor functions, and coordination between breathing and swallowing, and (2) feeding performance, as assessed by proficiency and efficiency. RESULTS: A total of 47 and 27 sessions were studied in groups I and II respectively. The median postconceptional age (PCA) at start of paladai feeding was 30 (range: 29 to 32) and 32 (31 to 32) weeks in the two groups. The infants accepted paladai feedings in all behavioral states. Incoordination between feeding and breathing was observed in about 25% of the sessions in both the groups. We observed a rapid improvement in feeding performance with experience - the median proficiency improved from 5.5 to 10.1 mL/min and 6.2 to 11.5 mL/min in groups I and II respectively. The proficiency of group I infants at a median PCA of 30.9 weeks was higher than that of group II infants at median PCA 31.7 weeks. CONCLUSION: Stable preterm neonates can be fed with paladai from 30 weeks PCA. The oropharyngeal ability is possibly influenced more by the postnatal experience than by maturity at birth. ©2013 The Author(s)/Acta Paediatrica © 2013 Foundation Acta Paediatrica.
Authors:
Shamsher Singh Dalal; Satish Mishra; Ramesh Agarwal; Ashok K Deorari; Vinod K Paul; M Jeeva Sankar
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-8
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
©2013 The Author(s)/Acta Paediatrica ©2013 Foundation Acta Paediatrica.
Affiliation:
Division of Neonatology, Department of Pediatrics, WHO Collaborating Centre for Newborn Care and Research, All India Institute of Medical Sciences, New Delhi.
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