A Comparison of Slow Infusion Intermittent Feeding versus Gravity Feeding in Preterm Infants: A Randomized Controlled Trial
Background: The transition to full enteral feeding is important for ensuring adequate growth in preterm infants. Aims: The aim of this study was to investigate the effects of two different intermittent feeding methods on the transition to full enteral feeding in preterm infants. Study design: A pros...
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| Format: | Article |
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MDPI AG
2023-08-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/10/8/1389 |
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| author | Funda Yavanoglu Atay Ozlem Bozkurt Suzan Sahin Duygu Bidev Fatma Nur Sari Nurdan Uras |
| author_facet | Funda Yavanoglu Atay Ozlem Bozkurt Suzan Sahin Duygu Bidev Fatma Nur Sari Nurdan Uras |
| author_sort | Funda Yavanoglu Atay |
| collection | DOAJ |
| description | Background: The transition to full enteral feeding is important for ensuring adequate growth in preterm infants. Aims: The aim of this study was to investigate the effects of two different intermittent feeding methods on the transition to full enteral feeding in preterm infants. Study design: A prospective, randomized controlled study was conducted in a neonatology and perinatology center. Subjects: Preterm infants with a gestational age between 24 + 0/7 and 31 + 6/7 were included in this study. They were divided into two groups: the SIF (slow infusion feeding) group and the IBF (intermittent bolus feeding) group. In the SIF group, feed volumes were administered over one hour using an infusion pump through an orogastric tube, with feeding occurring every three hours. The IBF group received enteral feeding using a gravity-based technique with a syringe through an orogastric tube, completed within 10 to 30 min. Outcome measures: The primary outcome was the achievement of full enteral feeding and the occurrence of feeding intolerance. Results: A total of 103 infants were enrolled in the study (50 in SIF and 53 in IBF). The time to achieve full enteral feeding did not differ significantly between the two groups (<i>p</i> = 0.20). The SIF group had significantly fewer occurrences in which gastric residual volume exceeded 50% (<i>p</i> = 0.01). Moreover, the SIF group had a significantly shorter duration of non-per-oral (NPO) status than the IBF group (<i>p</i> = 0.03). Conclusions: It is our contention that the use of the SIF method as an alternative feeding method is appropriate for infants with feeding intolerance and those at high risk of feeding intolerance. |
| first_indexed | 2024-03-11T00:02:50Z |
| format | Article |
| id | doaj.art-de581659dc494d2ba176661e089ea718 |
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| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-11T00:02:50Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-de581659dc494d2ba176661e089ea7182023-11-19T00:40:50ZengMDPI AGChildren2227-90672023-08-01108138910.3390/children10081389A Comparison of Slow Infusion Intermittent Feeding versus Gravity Feeding in Preterm Infants: A Randomized Controlled TrialFunda Yavanoglu Atay0Ozlem Bozkurt1Suzan Sahin2Duygu Bidev3Fatma Nur Sari4Nurdan Uras5Department of Pediatrics, Division of Neonatology, Umraniye Training and Research Hospital, 34764 Istanbul, TürkiyeDepartment of Pediatrics, Division of Neonatology, Faculty of Medicine, Kocaeli University, 41380 Izmit, TürkiyeDepartment of Pediatrics, Division of Neonatology, Buca Seyfi Demirsoy Training and Research Hospital, Izmir Democracy University, 35140 Izmir, TürkiyeNeonatal Care Intensive Unit, Koru Sincan Hospital, 06934 Ankara, TürkiyeDepartment of Pediatrics, Division of Neonatology, Ankara City Hospital, 06800 Ankara, TürkiyeDepartment of Pediatrics, Division of Neonatology, Faculty of Medicine, Istinye University, 34517 Istanbul, TürkiyeBackground: The transition to full enteral feeding is important for ensuring adequate growth in preterm infants. Aims: The aim of this study was to investigate the effects of two different intermittent feeding methods on the transition to full enteral feeding in preterm infants. Study design: A prospective, randomized controlled study was conducted in a neonatology and perinatology center. Subjects: Preterm infants with a gestational age between 24 + 0/7 and 31 + 6/7 were included in this study. They were divided into two groups: the SIF (slow infusion feeding) group and the IBF (intermittent bolus feeding) group. In the SIF group, feed volumes were administered over one hour using an infusion pump through an orogastric tube, with feeding occurring every three hours. The IBF group received enteral feeding using a gravity-based technique with a syringe through an orogastric tube, completed within 10 to 30 min. Outcome measures: The primary outcome was the achievement of full enteral feeding and the occurrence of feeding intolerance. Results: A total of 103 infants were enrolled in the study (50 in SIF and 53 in IBF). The time to achieve full enteral feeding did not differ significantly between the two groups (<i>p</i> = 0.20). The SIF group had significantly fewer occurrences in which gastric residual volume exceeded 50% (<i>p</i> = 0.01). Moreover, the SIF group had a significantly shorter duration of non-per-oral (NPO) status than the IBF group (<i>p</i> = 0.03). Conclusions: It is our contention that the use of the SIF method as an alternative feeding method is appropriate for infants with feeding intolerance and those at high risk of feeding intolerance.https://www.mdpi.com/2227-9067/10/8/1389feeding intolerancefeeding methodsfull enteral feedingpreterm |
| spellingShingle | Funda Yavanoglu Atay Ozlem Bozkurt Suzan Sahin Duygu Bidev Fatma Nur Sari Nurdan Uras A Comparison of Slow Infusion Intermittent Feeding versus Gravity Feeding in Preterm Infants: A Randomized Controlled Trial Children feeding intolerance feeding methods full enteral feeding preterm |
| title | A Comparison of Slow Infusion Intermittent Feeding versus Gravity Feeding in Preterm Infants: A Randomized Controlled Trial |
| title_full | A Comparison of Slow Infusion Intermittent Feeding versus Gravity Feeding in Preterm Infants: A Randomized Controlled Trial |
| title_fullStr | A Comparison of Slow Infusion Intermittent Feeding versus Gravity Feeding in Preterm Infants: A Randomized Controlled Trial |
| title_full_unstemmed | A Comparison of Slow Infusion Intermittent Feeding versus Gravity Feeding in Preterm Infants: A Randomized Controlled Trial |
| title_short | A Comparison of Slow Infusion Intermittent Feeding versus Gravity Feeding in Preterm Infants: A Randomized Controlled Trial |
| title_sort | comparison of slow infusion intermittent feeding versus gravity feeding in preterm infants a randomized controlled trial |
| topic | feeding intolerance feeding methods full enteral feeding preterm |
| url | https://www.mdpi.com/2227-9067/10/8/1389 |
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