Cup versus bottle feeding for hospitalized late preterm infants in Egypt: A quasi-experimental study

Abouelfettoh, Amel; Dowling, Donna; Dabash, Soheir A.; Elguindy, Shadia R; Seoud, Iman

doi:10.1186/1746-4358-3-27

Cited by 35 publications

(40 citation statements)

References 28 publications

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“…Nevertheless, our results support the recommendation of cup feeding when the newborn needs an alternative feeding method, as it provides the infant with an opportunity for developing the muscles involved in suction [9,32]. The positive impact of cup feeding has also been reported in studies where there is a higher prevalence of breastfeeding after hospital discharge in infants who used the cup for supplementation in neonatal units [17,32,34]. …”

Section: Discussionsupporting

confidence: 80%

Electromyographic analysis of masseter muscle in newborns during suction in breast, bottle or cup feeding

França

Sousa

Aragão

et al. 2014

BMC Pregnancy Childbirth

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BackgroundWhen breastfeeding is difficult or impossible during the neonatal period, an analysis of muscle activity can help determine the best method for substituting it to promote the child’s development. The aim of this study was to analyze the electrical activity of the masseter muscle using surface electromyography during suction in term newborns by comparing breastfeeding, bottle and cup feeding.MethodsAn observational, cross-sectional analytical study was carried out on healthy, clinically stable term infants, assigned to receive either breast, or bottle or cup feeding. Setting was a Baby Friendly accredited hospital. Muscle activity was analyzed when each infant showed interest in sucking using surface electromyography. Root mean square averages (RMS) recorded in microvolts were transformed into percentages (normalization) of the reference value. The three groups were compared by ANOVA; the “stepwise” method of the multiple linear regression analysis tested the model which best defined the activity of the masseter muscle in the sample at a significance level of 5%.ResultsParticipants were 81 full term newborns (27 per group), from 2 to 28 days of life. RMS values were lower for bottle (mean 44.2%, SD 14.1) than breast feeding (mean 58.3%, SD 12.7) (P = 0.003, ANOVA); cup feeding (52.5%, SD 18.2%) was not significantly different (P > 0.05). For every gram of weight increase, RMS increased by 0.010 units.ConclusionsMasseter activity was significantly higher in breastfed newborns than in bottle-fed newborns, who presented the lowest RMS values. Levels of masseter activity during cup-feeding were between those of breast and bottle feeding, and did not significantly differ from either group. This study in healthy full term neonates endorses cup rather than bottle feeding as a temporary substitute for breastfeeding.

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Section: Discussionsupporting

confidence: 80%

Electromyographic analysis of masseter muscle in newborns during suction in breast, bottle or cup feeding

França

Sousa

Aragão

et al. 2014

BMC Pregnancy Childbirth

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“…Most studies did not describe the cup or bottle used. (20, 24, 26, 28, 30, 35–39) The scope of research was broad and fell into five domains: 1) Physiologic stability and safety; 2) Intake, duration, spillage and weight gain/loss; 3) Breastfeeding outcomes; 4) Duration of hospitalization; and 5) Feeder compliance and acceptability. We also ordered studies by topic (see Online Resource 1).…”

Section: Resultsmentioning

confidence: 99%

“…We identified eleven reports on breastfeeding outcomes; seven of these were RCTs(24, 33, 36, 38, 39, 41, 44) and four were observational studies. (3, 30, 35, 45) The most commonly reported breastfeeding outcomes were any or exclusive/full breastfeeding. Exclusive breastfeeding was similarly defined by most studies as receiving all food from the breast.…”

Section: Resultsmentioning

confidence: 99%

Feeding Neonates by Cup: A Systematic Review of the Literature

McKinney

Glass

Coffey

et al. 2016

Matern Child Health J

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Objective WHO and UNICEF recommend cup feeding for neonates unable to breastfeed in low-resource settings. In developed countries, cup feeding in lieu of bottle feeding in the neonatal period is hypothesized to improve breastfeeding outcomes for those initially unable to breastfeed. Our aim was to synthesize the entire body of evidence on cup feeding. Methods We searched domestic and international databases for original research. Our search criteria required original data on cup feeding in neonates published in English between January 1990 and December 2014. Results We identified 28 original research papers. Ten were randomized clinical trials, 7 non-randomized intervention studies, and 11 observational studies; 11 were conducted in developing country. Outcomes evaluated included physiologic stability, safety, intake, duration, spillage, weight gain, any and exclusive breastfeeding, length of hospital stay, compliance, and acceptability. Cup feeding appears to be safe though intake may be less and spillage greater relative to bottle or tube feeding. Overall, slightly higher proportions of cup fed versus bottle fed infants report any breastfeeding; a greater proportion of cup fed infants reported exclusive breastfeeding at discharge and beyond. Cup feeding increases breastfeeding in subgroups (e.g. those who intend to breastfeed or women who had a Caesarean section). Compliance and acceptability is problematic in certain settings. Conclusions Further research on long-term breastfeeding outcomes and in low-resource settings would be helpful. Research data on high risk infants (e.g. those with cleft palates) would be informative. Innovative cup feeding approaches to minimize spillage, optimize compliance, and increase breastfeeding feeding are needed.

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“…Control group infants received only bottle feedings during hospitalization and the experimental group received only cup feedings during hospitalization. At six weeks of life the cup fed infants had significantly more mature breastfeeding behaviors than bottle fed infants and had a significantly higher proportion of breast feedings one week after discharge (Abouelfettoh, et al, 2008).…”

Section: Routes Of Feeding (Gastric Tube Verses Cup Verses At the Brementioning

confidence: 99%

“…Possible beneficial effects of cup feeding were lower incidence of desaturation episodes and a higher prevalence of breastfeeding at 3 months of age (Rocha, et al, 2002). In another study Abouelfettoh (Abouelfettoh et al, 2008) evaluated the use of cup feeding as an exclusive method of feeding preterm infants during hospitalization and its impact on breastfeeding outcomes after discharge. Sixty preterm infants averaging 35weeks gestation and birth weight of < 2150 grams participated in the study.…”

Section: Routes Of Feeding (Gastric Tube Verses Cup Verses At the Brementioning

confidence: 99%

Feeding and Fluids in the Premature and Sick Newborn in the Low-Middle Income Countries

Slusher¹,

Vaucher²,

Zamora³

et al. 2012

Contemporary Pediatrics

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Cup versus bottle feeding for hospitalized late preterm infants in Egypt: A quasi-experimental study

Cited by 35 publications

References 28 publications

Electromyographic analysis of masseter muscle in newborns during suction in breast, bottle or cup feeding

Electromyographic analysis of masseter muscle in newborns during suction in breast, bottle or cup feeding

Feeding Neonates by Cup: A Systematic Review of the Literature

Feeding and Fluids in the Premature and Sick Newborn in the Low-Middle Income Countries

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