Assessment of swallowing in preterm newborns fed by bottle and cup

Purpose: To compare the swallowing performance of premature infants using a cup and a bottle during the first offer of food by mouth. Methods: This study was carried out with preterm newborns who presented low weight at birth and no neurological illnesses, genetic syndromes or congenital malforma...

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Main Authors: Claudia Peyres López, Brasília Maria Chiari, Ana Lúcia Goulart, Ana Maria Furkim, Zelita Caldeira Ferreira Guedes
Format: Article
Language:English
Published: Sociedade Brasileira de Fonoaudiologia
Series:CoDAS
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822014000100081&lng=en&tlng=en
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author Claudia Peyres López
Brasília Maria Chiari
Ana Lúcia Goulart
Ana Maria Furkim
Zelita Caldeira Ferreira Guedes
author_facet Claudia Peyres López
Brasília Maria Chiari
Ana Lúcia Goulart
Ana Maria Furkim
Zelita Caldeira Ferreira Guedes
author_sort Claudia Peyres López
collection DOAJ
description Purpose: To compare the swallowing performance of premature infants using a cup and a bottle during the first offer of food by mouth. Methods: This study was carried out with preterm newborns who presented low weight at birth and no neurological illnesses, genetic syndromes or congenital malformations. The newborns were assessed by videofluoroscopy while using a cup and a bottle, when they reached a post-conceptual age of ≥34 weeks, weight ≥ 1,500 g and showed signs of readiness for oral feeding. All children were fed exclusively by gavage during the period prior to the study. Results: This study included 20 preterm newborns, with average birth weight of 1,356 g and gestational age of 31.3 weeks. The majority of the bottle-fed newborns (68%) presented strong and rhythmic suction and 63% showed good sucking/swallowing/breathing coordination. The same percentage of newborns fed by cup (68%) could not perform the sipping movement and only 32% could suck a minimal amount of liquid contrast. There were no signs of laryngeal penetration and tracheal aspiration in both procedures. Conclusion: At the first oral feeding, preterm newborns showed better swallowing performance with a bottle in comparison to using a cup.
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spelling doaj.art-c0d05d15b54f41819358f6989b318ce22022-12-21T18:15:37ZengSociedade Brasileira de FonoaudiologiaCoDAS2317-1782261818610.1590/s2317-17822014000100012S2317-17822014000100081Assessment of swallowing in preterm newborns fed by bottle and cupClaudia Peyres LópezBrasília Maria ChiariAna Lúcia GoulartAna Maria FurkimZelita Caldeira Ferreira GuedesPurpose: To compare the swallowing performance of premature infants using a cup and a bottle during the first offer of food by mouth. Methods: This study was carried out with preterm newborns who presented low weight at birth and no neurological illnesses, genetic syndromes or congenital malformations. The newborns were assessed by videofluoroscopy while using a cup and a bottle, when they reached a post-conceptual age of ≥34 weeks, weight ≥ 1,500 g and showed signs of readiness for oral feeding. All children were fed exclusively by gavage during the period prior to the study. Results: This study included 20 preterm newborns, with average birth weight of 1,356 g and gestational age of 31.3 weeks. The majority of the bottle-fed newborns (68%) presented strong and rhythmic suction and 63% showed good sucking/swallowing/breathing coordination. The same percentage of newborns fed by cup (68%) could not perform the sipping movement and only 32% could suck a minimal amount of liquid contrast. There were no signs of laryngeal penetration and tracheal aspiration in both procedures. Conclusion: At the first oral feeding, preterm newborns showed better swallowing performance with a bottle in comparison to using a cup.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822014000100081&lng=en&tlng=enArtificial feedingPremature newbornBreastfeedingFeeding methodsDeglutition
spellingShingle Claudia Peyres López
Brasília Maria Chiari
Ana Lúcia Goulart
Ana Maria Furkim
Zelita Caldeira Ferreira Guedes
Assessment of swallowing in preterm newborns fed by bottle and cup
CoDAS
Artificial feeding
Premature newborn
Breastfeeding
Feeding methods
Deglutition
title Assessment of swallowing in preterm newborns fed by bottle and cup
title_full Assessment of swallowing in preterm newborns fed by bottle and cup
title_fullStr Assessment of swallowing in preterm newborns fed by bottle and cup
title_full_unstemmed Assessment of swallowing in preterm newborns fed by bottle and cup
title_short Assessment of swallowing in preterm newborns fed by bottle and cup
title_sort assessment of swallowing in preterm newborns fed by bottle and cup
topic Artificial feeding
Premature newborn
Breastfeeding
Feeding methods
Deglutition
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822014000100081&lng=en&tlng=en
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