Feeding Desaturation and Effects of Orocutaneous Stimulation in Extremely Low Birth Weight Infants.
10.5385/jksn.2010.17.2.193
- Author:
Hae Won CHOI
1
;
Hye Won PARK
;
Hee Young KIM
;
Gina LIM
;
So Eun KOO
;
Byong Sop LEE
;
Ai Rhan KIM
;
Ki Soo KIM
;
Soo Young PI
Author Information
1. Division of Neonatology, Department of Pediatrics, University of Ulsan College of Medicine, Children's Hospital, Asan Medical Center, Korea. arkim@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Premature;
Orocutaneous stimulation;
Feeding desaturation
- MeSH:
Achievement;
Bottle Feeding;
Bronchopulmonary Dysplasia;
Enteral Nutrition;
Gastroesophageal Reflux;
Gestational Age;
Humans;
Infant;
Infant, Low Birth Weight;
Infant, Newborn;
Infant, Premature;
Length of Stay;
Parturition;
Retrospective Studies
- From:Journal of the Korean Society of Neonatology
2010;17(2):193-200
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Feeding desaturation is a common problem among preterm infants which can result in prolonged hospital stays, long-term feeding difficulties and growth delay. The purpose of this study was to identify the characteristics of premature infants with feeding desaturation and to examine the effect of orocutaneous stimulation on oral feeding. METHODS: During the first phase of this study, 125 extremely low birth weight infants were reviewed retrospectively. Characteristics between infants with feeding desaturation (n=34) and those without feeding desaturation (n=91) were examined. During the second phase, 29 infants recruited from March, 2009 to May, 2010 were subjected to orocutaneous stimulation. The results of orocutaneous stimulation were compared to a control group (n=81). RESULTS: The first phase of the study revealed that extremely low birth weight infants with feeding desaturation were significantly lower in gestational ages at birth, and had lower 5 minute apgar scores, more gastroesophageal refluxes and bronchopulmonary dysplasia. Infants without feeding desaturation reached full enteral feeding significantly earlier and showed shorter duration of hospital stay. At the second phase, infants in the intervention group showed shorter days to achieve initiation of bottle feeding, shorter days in achievement of full bottle feeding, last episodes of feeding desaturation and length of hospital stay compared to the control group of similar characteristics. CONCLUSION: Orocutaneous stimulation among extremely low birth weight infants results in earlier achievement of full bottle feedings without episodes of feeding desaturation hence shortens the length of hospital stay.
