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A feeding protocol for healthy preterm infants that shortens time to oral feeding.
McCain, G C; Gartside, P S; Greenberg, J M; Lott, J W.
Afiliação
  • McCain GC; Division of Patient Services, Children's Hospital Medical Center, Cincinnati, Ohio 45229-3039, USA.
J Pediatr ; 139(3): 374-9, 2001 Sep.
Article em En | MEDLINE | ID: mdl-11562616
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.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Recém-Nascido Prematuro / Nutrição Enteral / Alimentos Infantis / Leite Humano Tipo de estudo: Clinical_trials / Guideline Limite: Female / Humans / Male / Newborn Idioma: En Revista: J Pediatr Ano de publicação: 2001 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Recém-Nascido Prematuro / Nutrição Enteral / Alimentos Infantis / Leite Humano Tipo de estudo: Clinical_trials / Guideline Limite: Female / Humans / Male / Newborn Idioma: En Revista: J Pediatr Ano de publicação: 2001 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos