Comparison of the finger-feeding versus cup feeding methods in the transition from gastric to oral feeding in preterm infants
Objectives: To assess the finger-feeding technique when compared with the cup feeding method during the early stage of preterm infant feeding transition regarding milk loss, milk ingestion period, and complications. Methods: Experimental, randomized, prospective study including 53 preterm infants wi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2017-11-01
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| Series: | Jornal de Pediatria |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0021755717306332 |
| _version_ | 1811302994170347520 |
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| author | Cláudia M.D. Moreira Regina P.G.V. Cavalcante-Silva Cristina I. Fujinaga Francine Marson |
| author_facet | Cláudia M.D. Moreira Regina P.G.V. Cavalcante-Silva Cristina I. Fujinaga Francine Marson |
| author_sort | Cláudia M.D. Moreira |
| collection | DOAJ |
| description | Objectives: To assess the finger-feeding technique when compared with the cup feeding method during the early stage of preterm infant feeding transition regarding milk loss, milk ingestion period, and complications. Methods: Experimental, randomized, prospective study including 53 preterm infants with gestation age < 37 weeks, clinically stable, and with a score of >28 points in the Oral Feeding Readiness Assessment Scale. The preterm babies were randomized to be included in the control group, which underwent the feeding transition using a cup or in the experimental group, which used the finger-feeding technique. The analysis of data was performed using Student's t-test to evaluate differences between mean values of the appointed variables, and Fischer's test for categorical variables; the asymmetric variables were assessed by the Kruskal–Wallis ANOVA test. Results: When compared with the control group, the experimental group showed lower milk loss, longer milk ingestion time, and a lower frequency of complications during feeding. The significance level was set at 5%, with a confidence interval of 90%. Conclusion: The finger-feeding technique was shown to be a better feeding transition method regarding efficacy when compared with cup feeding method, due to lower milk loss and fewer complication episodes. Resumo: Objetivo: Avaliar a técnica sonda-dedo em comparação ao copo no início da transição alimentar do prematuro quanto à perda de leite ofertado, tempo de ingestão e complicações. Métodos: Estudo experimental, randomizado, não cego, prospectivo com 53 prematuros de idade gestacional <37 semanas, clinicamente estáveis e com escore >28 pontos na Avaliação da Prontidão para início da alimentação por via oral. Os prematuros foram randomizados para o Grupo Controle que realizou a transição alimentar com o copo e para o Grupo Experimental que utilizou a técnica sonda-dedo. Na análise dos dados, foram aplicados o teste t de Student para avaliar a diferença de médias e o teste exato de Fisher para as variáveis categóricas, enquanto para as variáveis assimétricas foi aplicado a Anova de Kruskal-Wallis. Resultados: O grupo experimental apresentou em relação ao grupo controle, diferença significativa quanto a menor perda de leite, maior tempo de dieta e menor frequência de complicações. O nível de significância foi de 5% e poder de teste mínimo de 90%. Conclusão: A técnica sonda-dedo mostrou-se um método alternativo de transição alimentar superior em sua eficiência quanto a menor perda de leite e menor incidência de complicações. Keywords: Preterm, Sucking behavior, Feeding methods, Palavras-chave: Prematuro, Aleitamento materno, Métodos de alimentação |
| first_indexed | 2024-04-13T07:39:18Z |
| format | Article |
| id | doaj.art-81b8b77419444104b827a40b16e3d18c |
| institution | Directory Open Access Journal |
| issn | 0021-7557 |
| language | English |
| last_indexed | 2024-04-13T07:39:18Z |
| publishDate | 2017-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Jornal de Pediatria |
| spelling | doaj.art-81b8b77419444104b827a40b16e3d18c2022-12-22T02:55:58ZengElsevierJornal de Pediatria0021-75572017-11-01936585591Comparison of the finger-feeding versus cup feeding methods in the transition from gastric to oral feeding in preterm infantsCláudia M.D. Moreira0Regina P.G.V. Cavalcante-Silva1Cristina I. Fujinaga2Francine Marson3Universidade Federal do Paraná (UFPR), Curitiba, PR, BrazilUniversidade Federal do Paraná (UFPR), Departamento de Pediatria, Curitiba, PR, BrazilUniversidade Estadual do Centro-Oeste do Paraná (UNICENTRO), Departamento de Fonoaudiologia, Irati, PR, BrazilUniversidade Federal do Paraná (UFPR), Curitiba, PR, Brazil; Corresponding author.Objectives: To assess the finger-feeding technique when compared with the cup feeding method during the early stage of preterm infant feeding transition regarding milk loss, milk ingestion period, and complications. Methods: Experimental, randomized, prospective study including 53 preterm infants with gestation age < 37 weeks, clinically stable, and with a score of >28 points in the Oral Feeding Readiness Assessment Scale. The preterm babies were randomized to be included in the control group, which underwent the feeding transition using a cup or in the experimental group, which used the finger-feeding technique. The analysis of data was performed using Student's t-test to evaluate differences between mean values of the appointed variables, and Fischer's test for categorical variables; the asymmetric variables were assessed by the Kruskal–Wallis ANOVA test. Results: When compared with the control group, the experimental group showed lower milk loss, longer milk ingestion time, and a lower frequency of complications during feeding. The significance level was set at 5%, with a confidence interval of 90%. Conclusion: The finger-feeding technique was shown to be a better feeding transition method regarding efficacy when compared with cup feeding method, due to lower milk loss and fewer complication episodes. Resumo: Objetivo: Avaliar a técnica sonda-dedo em comparação ao copo no início da transição alimentar do prematuro quanto à perda de leite ofertado, tempo de ingestão e complicações. Métodos: Estudo experimental, randomizado, não cego, prospectivo com 53 prematuros de idade gestacional <37 semanas, clinicamente estáveis e com escore >28 pontos na Avaliação da Prontidão para início da alimentação por via oral. Os prematuros foram randomizados para o Grupo Controle que realizou a transição alimentar com o copo e para o Grupo Experimental que utilizou a técnica sonda-dedo. Na análise dos dados, foram aplicados o teste t de Student para avaliar a diferença de médias e o teste exato de Fisher para as variáveis categóricas, enquanto para as variáveis assimétricas foi aplicado a Anova de Kruskal-Wallis. Resultados: O grupo experimental apresentou em relação ao grupo controle, diferença significativa quanto a menor perda de leite, maior tempo de dieta e menor frequência de complicações. O nível de significância foi de 5% e poder de teste mínimo de 90%. Conclusão: A técnica sonda-dedo mostrou-se um método alternativo de transição alimentar superior em sua eficiência quanto a menor perda de leite e menor incidência de complicações. Keywords: Preterm, Sucking behavior, Feeding methods, Palavras-chave: Prematuro, Aleitamento materno, Métodos de alimentaçãohttp://www.sciencedirect.com/science/article/pii/S0021755717306332 |
| spellingShingle | Cláudia M.D. Moreira Regina P.G.V. Cavalcante-Silva Cristina I. Fujinaga Francine Marson Comparison of the finger-feeding versus cup feeding methods in the transition from gastric to oral feeding in preterm infants Jornal de Pediatria |
| title | Comparison of the finger-feeding versus cup feeding methods in the transition from gastric to oral feeding in preterm infants |
| title_full | Comparison of the finger-feeding versus cup feeding methods in the transition from gastric to oral feeding in preterm infants |
| title_fullStr | Comparison of the finger-feeding versus cup feeding methods in the transition from gastric to oral feeding in preterm infants |
| title_full_unstemmed | Comparison of the finger-feeding versus cup feeding methods in the transition from gastric to oral feeding in preterm infants |
| title_short | Comparison of the finger-feeding versus cup feeding methods in the transition from gastric to oral feeding in preterm infants |
| title_sort | comparison of the finger feeding versus cup feeding methods in the transition from gastric to oral feeding in preterm infants |
| url | http://www.sciencedirect.com/science/article/pii/S0021755717306332 |
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