Evaluation of Feeding Efficiency and Spillage in Preterm Infants during Bottle and Cup Feeding: A Randomized Controlled Trial

Abstract

Background: Establishing breastfeeding in very low birth weight (VLBW) infants remains a challenge in neonatal care. Bottle feeding is the most common supplement to breastfeeding in nurseries, followed by cup feeding. Spillage, however, can interfere with the accuracy of the volumes reported as consumed via cup feeding.

Nurses' Perceptions About the Feeding of Preterm Newborns

“…There is no consensus in the scientific literature both in terms of its influence on the development of sucking 27 , and in terms of muscle activity with the cup compared to breastfeeding [28][29] . In terms of milk waste, there are no significant differences when compared to the bottle 22 , but there is greater milk waste and stress signs during the use of the cup when compared to finger-feeding 18 . This can be explained by the fact that nurses do not feel comfortable using it, which was confirmed throughout this investigation.…”

“…However, in a study by Lucena et. al 22 . the volume of milk ingested by the NB with the bottle was observed to be superior to that of cups, and further studies are needed to confirm this evidence.…”