RETRACTED ARTICLE: The effect of early oral stimulation with breast milk on the feeding behavior of infants after congenital cardiac surgery

Abstract

Objective To investigate the effect of early oral stimulation with breast milk on the feeding behavior of infants after congenital cardiac surgery. Methods Infants with congenital heart disease were randomly divided into the breast milk oral stimulation group (n = 23), physiological saline oral stimulation group (n = 23) and control group (n = 23). Debra Beckman’s oral exercise program was used with breast milk and physiological saline in the breast milk oral stimulation group and the physiological saline oral stimulation group, respectively. The time oral feeding and total oral nutrition were started, the length of intensive care unit (ICU) stay and hospital stay, weight and the complications at discharge were recorded for each group and statistically analyzed. Results The time oral feeding and total oral nutrition were started and the length of ICU stay and hospital stay were significantly less in the breast milk oral stimulation group and physiological saline oral stimulation group than in the control group (P < 0.05). There were no significant differences in other indicators between the breast milk oral stimulation group and the physiological saline oral stimulation group, except for the time total oral nutrition began (P < 0.05). However, there were no significant differences in weight or complications at discharge among the three groups (P > 0.05). Conclusion Early oral stimulation exercises with breast milk can help infant patients quickly recover total oral nutrition and reduce the length of ICU and hospital stay after cardiac surgery.

Assessing the Impact of Nasotracheal Intubation on Postoperative Neonates With Congenital Heart Disease: A Quality Improvement Project at a Single Heart Center

“…In our study, SLP was able to focus on oral stimulation at a median of 1.6 days with a significant difference in oral readiness by POD4. Our data have yet to reach significance, but there is a trend toward early oral feeding independence, which is facilitated with early and frequent oral stimulation (4,5).…”

“…Early, positive, oral stimulation improves oral feeding readiness and decreases time to full oral feeds (3)(4)(5).…”

“…Early, positive, oral stimulation improves oral feeding readiness and decreases time to full oral feeds (3–5). Ours is the first study to evaluate the impact of NTI on oral feeding and SLP treatment strategies.…”

“…Orotracheal intubation (OTI) prevents nonnutritive oral stimulation and postoperative oral feeding initiation, and may affect long-term oral feeding skills. Early positive oral stimulation has been shown to improve oral readiness and decrease time to full oral feeds (3–5). After cardiac surgery, 22–73% of neonates are discharged on tube feedings (6–8) due to impaired oral skills to support healing and growth (9–13).…”