Caracterização da transição alimentar para via oral em recém-nascidos prematuros

Costa, Jaianne Lourdes Furtado; Neves, Ana Paula Sabino de Medeiros; Camargo, Juliana Dantas de Araújo Santos; Yamamoto, Raquel Coube de Carvalho

doi:10.1590/2317-1782/20212021136

CoDAS

2022

DOI: 10.1590/2317-1782/20212021136

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Caracterização da transição alimentar para via oral em recém-nascidos prematuros

Jaianne Lourdes Furtado Costa

Ana Paula Sabino de Medeiros Neves²,

Juliana Dantas de Araújo Santos Camargo³

et al.

Abstract: RESUMO Objetivo Caracterizar a transição alimentar da via alternativa para via oral, investigar as técnicas para favorecer a alimentação e a prevalência de aleitamento materno na alta hospitalar de recém-nascidos prematuros. Método Estudo observacional, longitudinal e prospectivo desenvolvido numa maternidade. Amostra foi composta por 52 recém-nascidos prematuros e estratificada entre os grupos de prematuridade tardio, moderado e muito pré-termo. Consideraram-se as variáveis: gênero, idade gestacional e peso… Show more

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Cited by 2 publications

References 13 publications

(23 reference statements)

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Effects of human milk odor stimulation on feeding in premature infants: a systematic review and meta-analysis

Qin,

Liu,

Yang

et al. 2024

Sci Rep

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Previous studies suggested odor stimulation may influence feeding of premature neonates. Therefore, this systematic review and meta-analysis of randomized controlled trials was conducted to assess the effect of human milk odor stimulation on feeding of premature infants. All randomized controlled trials related to human milk odor stimulation on feeding in premature infants published in PubMed, Cochrane, Library, Medline, Embase, Web of science databases and Chinese biomedical literature databases, China National Knowledge Infrastructure, China Science and Technology Journal Database (VIP) and Wanfang Chinese databases were searched, and The Cochrane Handbook 5.1.0 was used to evaluate the quality and authenticity of the literature. Relevant information of the included studies was extracted and summarized, and the evaluation indexes were analyzed using ReviewManager5.3. The retrieval time was from the establishment of the database to July 28, 2022.12 articles were assessed for eligibility, and six randomized controlled studies were eventually included in the meta-analysis (PRISMA). A total of 6 randomized controlled studies with 763 patients were finally included in the study, and the quality evaluation of literatures were all grade B. Human milk odor stimulation reduced the transition time to oral feeding in premature infants [SMD = − 0.48, 95% CI (− 0.69, − 0.27), Z = 4.54, P < 0.00001] and shortened the duration of parenteral nutrition [MD = − 1.01, 95% CI (− 1.70, − 0.32), Z = 2.88, P = 0.004]. However, it did not change the length of hospitalization for premature infants [MD = − 0.03, 95% CI (− 0.41, 0.35), Z = 0.17, P = 0.86]. The implementation of human milk odor stimulation can reduce the transition time to oral feeding and the duration of parenteral nutrition in premature infants, but further studies are needed to determine whether it can reduce the length of hospital stay in premature infants. More high-quality, large-sample studies are needed to investigate the effect of human milk odor stimulation on the feeding process and other outcomes in premature infants.

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Effects of human milk odor stimulation on feeding in premature infants: a systematic review and meta-analysis

Qin,

Liu,

Yang

et al. 2024

Sci Rep

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Experiences of Indonesian nurses in improving preterm oral feeding readiness in special care units: A qualitative descriptive study

Astuti,

Rohsiswatmo,

Wanda

et al. 2023

Belitung Nurs J

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Background: Many preterm infants face feeding difficulties during the transition from enteral to oral feeding due to organ immaturity, resulting in aspiration, airway instability, and oral feeding intolerance. These challenges can increase morbidity and mortality among preterm infants. Nurses play a vital role in providing interventions to minimize negative impacts and enhance the safety of preterm oral feeding. Objective: This study aimed to explore the experiences of Indonesian nurses in improving preterm oral feeding readiness. Methods: A qualitative descriptive study was conducted involving ten nurses working in intensive care units as participants through purposive sampling. Data were collected through semi-structured, in-depth interviews conducted from January to March 2023. Thematic analysis was applied for data analysis. Results: Four key themes developed in this study: 1) comprehensive and holistic nursing assessment, 2) challenging and complex nursing issues, 3) the need for nutritional management skills, and 4) the necessity of collaborative support. Conclusion: Nurses play a pivotal role in enhancing oral feeding readiness among premature infants. Their responsibilities include assessing oral feeding readiness, addressing nursing challenges, and implementing multidisciplinary stimulation involving parents. This study provides a foundational framework for developing interventions to improve preterm oral feeding readiness.

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Caracterização da transição alimentar para via oral em recém-nascidos prematuros

Cited by 2 publications

References 13 publications

Effects of human milk odor stimulation on feeding in premature infants: a systematic review and meta-analysis

Effects of human milk odor stimulation on feeding in premature infants: a systematic review and meta-analysis

Experiences of Indonesian nurses in improving preterm oral feeding readiness in special care units: A qualitative descriptive study

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