Effects of a valved infant-bottle with ergonomic teat on the coordination of sucking, swallowing, and respiration in late-preterm infants. The Safe Oral Feeding randomized Trial
IntroductionBreastfeeding naturally enables the coordination of sucking, swallowing, and respiration patterns for safe feeding. When breastfeeding is not possible a feeding device that releases milk in response to intra-oral vacuum could potentially offer improved coordination of sucking, swallowing...
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Frontiers Media S.A.
2024-01-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2024.1309923/full |
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| author | Francesco Cresi Francesco Cresi Elena Maggiora Elena Maggiora Martina Capitanio Martina Capitanio Cecilia Bovio Federica Borla Sara Cosimi Sara Cosimi Desirèe Enrietti Desirèe Enrietti Francesca Faggiano Sara Loro Sara Loro Serena Maria Rovei Serena Maria Rovei Federica Runfola Mariangela Scrufari Mariangela Scrufari Michela Vigna Taglianti Federica Vignali Federica Vignali Chiara Peila Chiara Peila Alessandra Coscia Alessandra Coscia |
| author_facet | Francesco Cresi Francesco Cresi Elena Maggiora Elena Maggiora Martina Capitanio Martina Capitanio Cecilia Bovio Federica Borla Sara Cosimi Sara Cosimi Desirèe Enrietti Desirèe Enrietti Francesca Faggiano Sara Loro Sara Loro Serena Maria Rovei Serena Maria Rovei Federica Runfola Mariangela Scrufari Mariangela Scrufari Michela Vigna Taglianti Federica Vignali Federica Vignali Chiara Peila Chiara Peila Alessandra Coscia Alessandra Coscia |
| author_sort | Francesco Cresi |
| collection | DOAJ |
| description | IntroductionBreastfeeding naturally enables the coordination of sucking, swallowing, and respiration patterns for safe feeding. When breastfeeding is not possible a feeding device that releases milk in response to intra-oral vacuum could potentially offer improved coordination of sucking, swallowing, and breathing patterns compared to conventional devices. The aim of the study is to evaluate the effect of a valved infant-bottle with an ergonomic teat compared to a standard infant-bottle.MethodsThis unblinded randomized controlled trial focused on late preterm infants fed by bottle for at least three meals over the day, admitted to the Neonatal Unit of Sant’Anna Hospital (Turin, Italy). Infants were randomized to be fed with a valved infant-bottle with an ergonomic teat (B-EXP arm) or with a standard infant-bottle (B-STD arm). Monitoring included a simultaneous synchronized recording of sucking, swallowing and respiration. The main outcome was the swallowing/breathing ratio.ResultsForty infants (20 B-EXP arm; 20 B-STD arm) with a median gestational age of 35.0 weeks (IQR 35.0–36.0 weeks) completed the study. Four infants were censored for the presence of artifacts in the polygraphic traces. The median swallowing/breathing ratio was 1.11 (1.03–1.23) in the B-EXP arm and 1.75 (1.21–2.06) in the B-STD (p = .003). A lower frequency of swallowing events during the inspiratory phase of breathing was observed in B-EXP arm compared with B-STD arm (p = 0.013).DiscussionThe valved infant-bottle with an ergonomic teat improves the coordination of sucking-swallowing-respiration and limits the risk of inhalation reducing the frequency of swallowing during the inspiratory phase. |
| first_indexed | 2024-03-08T14:49:08Z |
| format | Article |
| id | doaj.art-9b62d8887ad6449f88136dfa40c9296d |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-03-08T14:49:08Z |
| publishDate | 2024-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-9b62d8887ad6449f88136dfa40c9296d2024-01-11T05:08:24ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602024-01-011210.3389/fped.2024.13099231309923Effects of a valved infant-bottle with ergonomic teat on the coordination of sucking, swallowing, and respiration in late-preterm infants. The Safe Oral Feeding randomized TrialFrancesco Cresi0Francesco Cresi1Elena Maggiora2Elena Maggiora3Martina Capitanio4Martina Capitanio5Cecilia Bovio6Federica Borla7Sara Cosimi8Sara Cosimi9Desirèe Enrietti10Desirèe Enrietti11Francesca Faggiano12Sara Loro13Sara Loro14Serena Maria Rovei15Serena Maria Rovei16Federica Runfola17Mariangela Scrufari18Mariangela Scrufari19Michela Vigna Taglianti20Federica Vignali21Federica Vignali22Chiara Peila23Chiara Peila24Alessandra Coscia25Alessandra Coscia26Neonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, ItalyDepartment of Obsterics and Gynecology, Città Della Salute e Della Scienza di Torino, Turin, ItalyNeonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, ItalyDepartment of Obsterics and Gynecology, Città Della Salute e Della Scienza di Torino, Turin, ItalyNeonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, ItalyDepartment of Obsterics and Gynecology, Città Della Salute e Della Scienza di Torino, Turin, ItalyNeonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, ItalyNeonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, ItalyNeonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, ItalyDepartment of Obsterics and Gynecology, Città Della Salute e Della Scienza di Torino, Turin, ItalyNeonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, ItalyDepartment of Obsterics and Gynecology, Città Della Salute e Della Scienza di Torino, Turin, ItalyNeonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, ItalyNeonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, ItalyDepartment of Obsterics and Gynecology, Città Della Salute e Della Scienza di Torino, Turin, ItalyNeonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, ItalyDepartment of Obsterics and Gynecology, Città Della Salute e Della Scienza di Torino, Turin, ItalyNeonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, ItalyNeonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, ItalyDepartment of Obsterics and Gynecology, Città Della Salute e Della Scienza di Torino, Turin, ItalyNeonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, ItalyNeonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, ItalyDepartment of Obsterics and Gynecology, Città Della Salute e Della Scienza di Torino, Turin, ItalyNeonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, ItalyDepartment of Obsterics and Gynecology, Città Della Salute e Della Scienza di Torino, Turin, ItalyNeonatal Intensive Care Unit, Department of Public Health and Pediatrics, University of Turin, Turin, ItalyDepartment of Obsterics and Gynecology, Città Della Salute e Della Scienza di Torino, Turin, ItalyIntroductionBreastfeeding naturally enables the coordination of sucking, swallowing, and respiration patterns for safe feeding. When breastfeeding is not possible a feeding device that releases milk in response to intra-oral vacuum could potentially offer improved coordination of sucking, swallowing, and breathing patterns compared to conventional devices. The aim of the study is to evaluate the effect of a valved infant-bottle with an ergonomic teat compared to a standard infant-bottle.MethodsThis unblinded randomized controlled trial focused on late preterm infants fed by bottle for at least three meals over the day, admitted to the Neonatal Unit of Sant’Anna Hospital (Turin, Italy). Infants were randomized to be fed with a valved infant-bottle with an ergonomic teat (B-EXP arm) or with a standard infant-bottle (B-STD arm). Monitoring included a simultaneous synchronized recording of sucking, swallowing and respiration. The main outcome was the swallowing/breathing ratio.ResultsForty infants (20 B-EXP arm; 20 B-STD arm) with a median gestational age of 35.0 weeks (IQR 35.0–36.0 weeks) completed the study. Four infants were censored for the presence of artifacts in the polygraphic traces. The median swallowing/breathing ratio was 1.11 (1.03–1.23) in the B-EXP arm and 1.75 (1.21–2.06) in the B-STD (p = .003). A lower frequency of swallowing events during the inspiratory phase of breathing was observed in B-EXP arm compared with B-STD arm (p = 0.013).DiscussionThe valved infant-bottle with an ergonomic teat improves the coordination of sucking-swallowing-respiration and limits the risk of inhalation reducing the frequency of swallowing during the inspiratory phase.https://www.frontiersin.org/articles/10.3389/fped.2024.1309923/fulloral feedingbottlecardiorespiratory eventssucking behaviourfeeding behaviourfeeding skills |
| spellingShingle | Francesco Cresi Francesco Cresi Elena Maggiora Elena Maggiora Martina Capitanio Martina Capitanio Cecilia Bovio Federica Borla Sara Cosimi Sara Cosimi Desirèe Enrietti Desirèe Enrietti Francesca Faggiano Sara Loro Sara Loro Serena Maria Rovei Serena Maria Rovei Federica Runfola Mariangela Scrufari Mariangela Scrufari Michela Vigna Taglianti Federica Vignali Federica Vignali Chiara Peila Chiara Peila Alessandra Coscia Alessandra Coscia Effects of a valved infant-bottle with ergonomic teat on the coordination of sucking, swallowing, and respiration in late-preterm infants. The Safe Oral Feeding randomized Trial Frontiers in Pediatrics oral feeding bottle cardiorespiratory events sucking behaviour feeding behaviour feeding skills |
| title | Effects of a valved infant-bottle with ergonomic teat on the coordination of sucking, swallowing, and respiration in late-preterm infants. The Safe Oral Feeding randomized Trial |
| title_full | Effects of a valved infant-bottle with ergonomic teat on the coordination of sucking, swallowing, and respiration in late-preterm infants. The Safe Oral Feeding randomized Trial |
| title_fullStr | Effects of a valved infant-bottle with ergonomic teat on the coordination of sucking, swallowing, and respiration in late-preterm infants. The Safe Oral Feeding randomized Trial |
| title_full_unstemmed | Effects of a valved infant-bottle with ergonomic teat on the coordination of sucking, swallowing, and respiration in late-preterm infants. The Safe Oral Feeding randomized Trial |
| title_short | Effects of a valved infant-bottle with ergonomic teat on the coordination of sucking, swallowing, and respiration in late-preterm infants. The Safe Oral Feeding randomized Trial |
| title_sort | effects of a valved infant bottle with ergonomic teat on the coordination of sucking swallowing and respiration in late preterm infants the safe oral feeding randomized trial |
| topic | oral feeding bottle cardiorespiratory events sucking behaviour feeding behaviour feeding skills |
| url | https://www.frontiersin.org/articles/10.3389/fped.2024.1309923/full |
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