Effects of Body Position and Time after Feeding on Gastric Residuals in LBW Infants

Hwang, Sun Kyung; Ju, Hyun Ok; Kim, Young Soon; Lee, Hwa Za; Kim, Young Hae

doi:10.4040/jkan.2003.33.4.488

Cited by 9 publications

(13 citation statements)

References 21 publications

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“…Proper enteral nutrition in premature infants decreases mortality rate and spread of infection, improves weight gain, and also shortens hospitalization term [3]. On the other hand, poor nutrition bearing prolongs hospitalization [4].…”

Section: Introductionmentioning

confidence: 99%

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The effects of position on gastric residual volume of premature infants in NICU

et al. 2019

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BackgroundNutrition cares are of the main measures to save premature infants. In this regard, proper positioning is one of the key measures that is done by nurses; still there is a paucity of studies in this field and the results of these few studies are an area of ongoing debates. In light of this, the present paper is an attempt to determine the effects of different positioning on gastric residual volume in premature infants in NICU.MethodsA clinical trial cross-over study was carried out on premature infants in NICU. The subjects, who had inclusion criteria, were selected through convenience sampling based on inclusion criteria and randomly allocated into three groups. Gastric residual volume before and one hours after feeding was measured and recorded for three positions including right-lateral, left-lateral, and prone. The data was analyzed via SPSS-21 using descriptive statistics such as mean, standard deviation, and frequency; and inferential statistics such as Chi Squared, Kruskal Wallis test, and Friedman test.ResultsTotally, 135 infants in three groups were studied and the results showed that minimum and maximum gastric residual volumes were in prone (6.49 ± 8.25 ML) and supine (12.59 ± 11.9 ML) positions, respectively. However, Kruskal Wallis test did not show a significant relationship between the three positions under study and the mean gastric residual volume.ConclusionProne position was featured with the lowest gastric residual volume and highest possibility of absorbing nutrient. Still, given the fact that no significant difference was found in the three groups, further and deeper studies are needed.Trial registrationThe project is approved by Iranian Registry of Clinical Trial with no. IRCT. 201404134736 N6.

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Section: Introductionmentioning

confidence: 99%

“…Gastric emptying depends on a variety of factors such as type of milk (milk power or mother’s milk), volume of milk, and physical condition [5]. Positioning the infant in the proper position is one of the nurses’ main tasks [3], and doing it perfectly needs more reliable evidences and clues [6].…”

Section: Introductionmentioning

confidence: 99%

The effects of position on gastric residual volume of premature infants in NICU

et al. 2019

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“…Various studies have been carried out on the effect of positioning of the infant on the residual volume in preterm infants, but the results vary from one study to another. There are different studies indicating that the prone position or the supine position or left lateral position reduces gastric residual volume (Chen, Tzeng, Gau, Kuo, & Chen, 2013;Cohen, Mandel, Mimouni, Solovkin, & Dollberg, 2004;Hwang, Ju, Kim, Lee, & Kim, 2003;Jebreili, Syeedrasooli, Headarzadeh, & Morteza, 2011;Sangers et al, 2013;Yu, 1995). For preterm infants, the best lying position is the prone position.…”

Section: Introductionmentioning

confidence: 99%

Effects of the prone position and kangaroo care on gastric residual volume, vital signs and comfort in preterm infants

Özdel

Sarı

2019

Japan Journal Nursing Sci

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Aim: Prone and kangaroo care positioning of preterm infants during intragastric tube feeding were compared with regard to post prandial gastric residual volume, vital signs and infant comfort. Methods: The study sample included 30 28-36-birth-week old preterm infants who were hospitalized at the neonatal intensive care unit. Infants were fed in two positions: prone and kangaroo care. All the infants were placed in the prone position after feeding. Vital signs and comfort scores were recorded 30 min after feeding, and the gastric residual volume was measured 3 h after feeding. Results: After 3 h of feeding, the heart rate was lower in the kangaroo care position than in the prone position. After 30 min and 3 h of feeding, the mean comfort scores and the mean distress scores were lower in the kangaroo care position than in the prone position. It was also determined that there was no significant difference between the kangaroo care position and prone position regarding their effects on the residual volume measured 3 h after feeding. Conclusions: The infants fed in the kangaroo care position have a lower heart rate, better comfort levels and less distress after feeding. These positive effects ensure that preterm infants experience less stress and consume less energy. What is currently known? It has been determined that kangaroo care reduces the pain response and heart rate of the newborn, increases the duration of sleep, reduces the length of stay in the hospital, facilitates breastfeeding, reduces the risk of hypothermia, decreases the mother's anxiety level by initiating the relationship between the mother and infant, and improves the infant's growth and development. What does this article add? While there were no differences between prone and kangaroo positions during feeding with regard to gastric residual volumes, we found that the heart rate, comfort scores and distress scores were lower in the kangaroo care position than in the prone position.

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“…1 Gastric residual is assessed as an important objective parameter to start, continue, © 2021 American Society for Parenteral and Enteral Nutrition delay, or stop feeding in preterm infants. [2][3][4] The increase in gastric residual volume may be related to the immaturity of the digestive tract of infants, or it may be an early symptom of feeding intolerance or necrotizing enterocolitis (NEC). 5,6 In addition, external factors, such as physiological characteristics of the preterm infants (such as slow gastric emptying and intestinal motility and low production of gastrointestinal hormones and enzymes), type of enteral feeding given (formula or breast milk), and the infant's position during and after the feeding, affect the gastric residual volume.…”

Section: Introductionmentioning

confidence: 99%

“…However, it was found in the same study that there was no statistically significant difference between the three positions in terms of gastric residual volume. 4 Although there are various studies [1][2][3][4]7,[13][14][15] in the literature investigating the effect of positions on gastric residual volume in preterm infants, there is still no common view.…”

Section: Introductionmentioning

confidence: 99%

Effect of different positions on gastric residuals in preterm infants initiating full enteral feeding

et al. 2021

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Background This study was conducted to determine the effect of feeding in different positions on the gastric residual volume after feeding in preterm infants who initiated full enteral feeding. Methods This quasi‐experimental study was conducted with the hypothesis that testing the right lateral position leads to less gastric residual than left lateral position and the prone position leads to less gastric residual than the supine position. The data were collected in four stages from 35 preterm infants. Initially, the infants were positioned in supine position and were fed. After feeding, the infant rested in the supine position for 3 h. The stomach content was aspirated, and the volume of gastric residual was measured at the 60th, 120th, and 180th min after feeding. These steps are repeated in order of in the right lateral, left lateral, and prone position. Total gastric residual volume and type of enteral feeding were evaluated. Results There was no significant difference among the positions in terms of the volume of gastric residuals in the measurements made at 60th (P = 9.552), 120th (P = .505), and 180th min (P = .430). When the amount of decrease in the gastric residual volumes was a significant difference between all measurement times in right lateral and prone positions (P < .001). Conclusion Although no significant difference was determined between the positions, the smallest residual volumes were determined in the right lateral and prone positions. The amount of decrease in residual volume was significant in right lateral and prone positions.

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Effects of Body Position and Time after Feeding on Gastric Residuals in LBW Infants

Cited by 9 publications

References 21 publications

The effects of position on gastric residual volume of premature infants in NICU

The effects of position on gastric residual volume of premature infants in NICU

Effects of the prone position and kangaroo care on gastric residual volume, vital signs and comfort in preterm infants

Effect of different positions on gastric residuals in preterm infants initiating full enteral feeding

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