Food transition in premature newborn children: interfering factors

Abstract

Purpose: to check the variables which interfere in the transition from the alternative way of feeding to the beginning of proper oral mode. Methods: 30 preterm newborns from a Neonatal Intensive Care Unit (NICU) participated, with initial weight of 1,500 grams, interned between May and July 2018. The study of the medical records of babies was performed in relation to comorbidities such as length of stay, weight, gestational age, use of mechanical ventilation, as well as quantitative and correlational analysis of the data. Results: among the participants, 27 newborns began being fed in an orogastric manner and three, in a nasogastric way, and in some cases, artificial nipples were used. The average of gestational age coincided with the possibility of the proper via oral feeding. The longest time of transition was exactly with the newborns who had had clinical complications. Conclusion: the clinical complication interfered in the time and prevalence of the alternative way of feeding during the process of food transition which, associated with the use of artificial nipples, may have interfered in the early weaning and in the failure of exclusive breastfeeding.

Feeding pattern in preterm neonates admitted in neonatology unit: a descriptive cross-sectional study

“…In the same context, Kwok TC et al [8] observed that a higher gestational age was associated with a lesser transition time. Similar to our study, Amoris and Nascimento [11] observed that various factors like use of mechanical ventilation, continuous positive airway pressure, and increased hospitalization duration had a longer transition time from one mode of feed to the next. We observed that the median duration between day of admission and starting of direct mothers breast feed was 10 days in our study.…”

“…Since the mean gestational age is nearly 32 weeks, so a mean duration after 2 weeks of this gestational age could have enabled the babies to feed on full mothers breast milk. However, compared to this study, Kwok TC et al and Pickler RH et al observed a higher duration of hospital stay (26 days and 21 days) and Amoris EVN et al had a lower duration of hospital stay [8,11,21] . The shorter duration of hospital stay in the study done by Amoris and Nascimento [11] might be the inclusion of babies above 1.5 kg in their study.…”

“…observed a higher duration of hospital stay (26 days and 21 days) and Amoris EVN et al . had a lower duration of hospital stay 8,11,21 . The shorter duration of hospital stay in the study done by Amoris and Nascimento 11 might be the inclusion of babies above 1.5 kg in their study.…”

“…The reason for this early initiation of mothers breast feed could be lesser comorbidities and higher mean gestational age of neonates in their study, as compared to ours. Likewise, Amoris and Nascimento [11] observed a shorter time (4 days) for achievement of full feed. This might be due to inclusion of older babies in their study as compared to our study.…”

Evidências sobre o processo de enfermagem relacionado ao aleitamento materno em unidades neonatais: revisão integrativa

“…(30) Na unidade neonatal, destaca-se ainda a correlação do quadro clínico do recém-nascido e o uso de dispositivos com o aleitamento materno e amamentação, por exemplo o uso de dispositivos ventilatórios como a intubação orotraqueal e o uso de CPAP (Continuous Positive Airway Pressure) em que há a necessidade do uso de uma via alternativa para alimentação. (32) Nestes casos, observa-se maior prevalência do uso da alimentação enteral por meio de sondas, expondo o recém-nascido ao risco de aspiração do conteúdo para o sistema respiratório. (33) Quanto a etapa do planejamento do PE, estudo abordou o resultado esperado "Estabelecimento da amamentação", apresentando aprimoramento de conceitos para aplicação na prática clínica e em pesquisas.…”