Document Detail

A feeding protocol for healthy preterm infants that shortens time to oral feeding.
MedLine Citation:
PMID:  11562616     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To test the hypothesis that healthy preterm infants randomly assigned to a semi-demand feeding protocol would require fewer days to attain oral feeding and have a satisfactory weight gain compared with control infants receiving standard care. STUDY DESIGN: In 2 neonatal intensive care nurseries, 81 infants 32 to < or = 34 weeks' postconceptional age were randomly assigned to the control (n = 41) or experimental (n = 40) protocol for transition from gavage to oral feedings. The control protocol followed the standard practice of gradually increasing scheduled oral feedings, whereas the experimental protocol used a semi-demand feeding method contingent on infant behavior. Analysis of variance techniques were used to compare the study groups for number of days to attain oral feeding and weight gain. RESULTS: The semi-demand method shortened the time for infants to achieve oral feeding by 5 days (P < .001). There were no differences in weight gain between the study groups, and both groups had satisfactory weight gain. CONCLUSION: The semi-demand method for the transition from gavage to oral feeding in healthy, preterm infants 32 to < or = 34 weeks postconceptional age promotes faster attainment of oral feeding and does not compromise their weight gain.
G C McCain; P S Gartside; J M Greenberg; J W Lott
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of pediatrics     Volume:  139     ISSN:  0022-3476     ISO Abbreviation:  J. Pediatr.     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-09-19     Completed Date:  2001-10-18     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  374-9     Citation Subset:  AIM; IM    
Division of Patient Services, Children's Hospital Medical Center, Cincinnati, Ohio 45229-3039, USA.
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MeSH Terms
Administration, Oral
Analysis of Variance
Enteral Nutrition*
Infant Food*
Infant, Newborn
Infant, Premature*
Intensive Care Units, Neonatal
Milk, Human*
Weight Gain
Grant Support
Comment In:
Evid Based Nurs. 2002 Jul;5(3):74   [PMID:  12123258 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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