Comparison of Effect of Prone and Right Lateral Positions on Gastric Residual Volume in Preterm Newborns

Background: Nutritional problems in premature newborns are of great importance for their development. In this regard, the neonatal positioning during and after feeding can have a significant effect on their nutritional tolerance. Therefore, the present study was conducted to compare the effect of tw...

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Main Authors: Mahbobeh Sajadi, Mehran Akbari, Saeed Alinejad, Sharareh Khosravi
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2019-06-01
Series:Iranian Journal of Neonatology
Subjects:
Online Access:http://ijn.mums.ac.ir/article_13093_56c35c22aadde65991bd6dc3aefeb747.pdf
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author Mahbobeh Sajadi
Mehran Akbari
Saeed Alinejad
Sharareh Khosravi
author_facet Mahbobeh Sajadi
Mehran Akbari
Saeed Alinejad
Sharareh Khosravi
author_sort Mahbobeh Sajadi
collection DOAJ
description Background: Nutritional problems in premature newborns are of great importance for their development. In this regard, the neonatal positioning during and after feeding can have a significant effect on their nutritional tolerance. Therefore, the present study was conducted to compare the effect of two positions (i.e., prone and right lateral) on gastric residual volume in preterm newborns after gavage feeding. Methods: This crossover clinical trial was performed on 52 eligible premature newborns who were selected using purposive sampling. They were randomly assigned into two groups, namely A and B. After gavage feeding, the newborns in group A were placed in the prone position and their gastric residual volume was measured 3 times. Subsequently, after gavage feeding, they were put in the right lateral position and subjected to the same measurement. On the other hand, the newborns in group B were first put in the right lateral and then a prone position. The other procedures and measurements were performed the same as those in group A. The data were analyzed using repeated measure ANOVA. Results: The results indicated a significant difference regarding the mean value of gastric residual volume (P=0.001). Moreover, the mean gastric residual volume in the prone position (2.152±0.299) was significantly (P=0.001) lower than that in the lateral position (2.618±0.403). Conclusion: According to the results, The prone position can reduce the mean gastric residual. Therefore, it can be recommended as a suitable position after gavage feeding in premature newborns.
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spelling doaj.art-8d34e4c74d094a7882519d535437a6f42022-12-21T22:06:06ZengMashhad University of Medical SciencesIranian Journal of Neonatology2251-75102322-21582019-06-01102556010.22038/ijn.2019.34332.150113093Comparison of Effect of Prone and Right Lateral Positions on Gastric Residual Volume in Preterm NewbornsMahbobeh Sajadi0Mehran Akbari1Saeed Alinejad2Sharareh Khosravi3Department of Nursing, School of Nursing and Midwifery, Arak University of Medical Sciences, Arak, IranDepartment of Nursing, School of Nursing and Midwifery, Arak University of Medical Sciences, Arak, IranDepartment of Pediatrics, School of Medicine, Arak University of Medical Sciences, Arak, IranDepartment of Nursing, School of Nursing and Midwifery, Arak University of Medical Sciences, Arak, IranBackground: Nutritional problems in premature newborns are of great importance for their development. In this regard, the neonatal positioning during and after feeding can have a significant effect on their nutritional tolerance. Therefore, the present study was conducted to compare the effect of two positions (i.e., prone and right lateral) on gastric residual volume in preterm newborns after gavage feeding. Methods: This crossover clinical trial was performed on 52 eligible premature newborns who were selected using purposive sampling. They were randomly assigned into two groups, namely A and B. After gavage feeding, the newborns in group A were placed in the prone position and their gastric residual volume was measured 3 times. Subsequently, after gavage feeding, they were put in the right lateral position and subjected to the same measurement. On the other hand, the newborns in group B were first put in the right lateral and then a prone position. The other procedures and measurements were performed the same as those in group A. The data were analyzed using repeated measure ANOVA. Results: The results indicated a significant difference regarding the mean value of gastric residual volume (P=0.001). Moreover, the mean gastric residual volume in the prone position (2.152±0.299) was significantly (P=0.001) lower than that in the lateral position (2.618±0.403). Conclusion: According to the results, The prone position can reduce the mean gastric residual. Therefore, it can be recommended as a suitable position after gavage feeding in premature newborns.http://ijn.mums.ac.ir/article_13093_56c35c22aadde65991bd6dc3aefeb747.pdfGastricNewbornPrematureProne positionResidual volumeRight lateral position
spellingShingle Mahbobeh Sajadi
Mehran Akbari
Saeed Alinejad
Sharareh Khosravi
Comparison of Effect of Prone and Right Lateral Positions on Gastric Residual Volume in Preterm Newborns
Iranian Journal of Neonatology
Gastric
Newborn
Premature
Prone position
Residual volume
Right lateral position
title Comparison of Effect of Prone and Right Lateral Positions on Gastric Residual Volume in Preterm Newborns
title_full Comparison of Effect of Prone and Right Lateral Positions on Gastric Residual Volume in Preterm Newborns
title_fullStr Comparison of Effect of Prone and Right Lateral Positions on Gastric Residual Volume in Preterm Newborns
title_full_unstemmed Comparison of Effect of Prone and Right Lateral Positions on Gastric Residual Volume in Preterm Newborns
title_short Comparison of Effect of Prone and Right Lateral Positions on Gastric Residual Volume in Preterm Newborns
title_sort comparison of effect of prone and right lateral positions on gastric residual volume in preterm newborns
topic Gastric
Newborn
Premature
Prone position
Residual volume
Right lateral position
url http://ijn.mums.ac.ir/article_13093_56c35c22aadde65991bd6dc3aefeb747.pdf
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