Transitioning Premature Infants from Gavage to Breast

Nye, Carla

doi:10.1891/0730-0832.27.1.7

Cited by 26 publications

(17 citation statements)

References 43 publications

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“…Preterm infants are routinely tube-fed until they are physiologically ready for coordination of sucking, swallowing, and breathing, which often occurs at 33–36 weeks of postmenstrual age (44, 45). Therefore, any type of feed must be applied through the same feeding device as long as it is placed in a given neonate.…”

Section: Discussionmentioning

confidence: 99%

Bacterial Diversity of the Gastric Content of Preterm Infants during Their First Month of Life at the Hospital

et al. 2017

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Studies focused on the stomach microbiota are relatively scarce, and most of them are focused on the adult population. The aim of this work is to describe the bacterial communities inhabiting the gastric content (GC) of preterm neonates. For that purpose, GC samples were collected weekly from a total of 13 preterm neonates during their first month of life within their hospital stay. Samples were analyzed by using both culture-dependent and -independent techniques. The former allowed the isolation of bacteria belonging mainly to the genera Enterococcus, Staphylococcus, Streptococcus, Serratia, Klebsiella, and Escherichia. The cultured dominant species in the GC samples during all the hospitalization period were Enterococcus faecalis and Staphylococcus epidermidis. Multilocus sequence typing (MLST) analysis revealed the presence of high-risk clonal complexes associated with the hospital environment, which may colonize enteral feeding tubes. Similarly, the 16S rRNA sequencing showed that Streptococcus, Staphylococcus, Lactobacillus, Enterococcus, Corynebacterium, and Propionibacterium were the dominant genera present at 75% of the gastric samples. However, the genera Serratia, Klebsiella, and Streptococcus were the most abundant. Own mother’s milk (OMM) and donor milk (DM) were collected after their pass through the external feeding tubes to assess their bacterial content. OMM and DM had a similar bacterial pattern to GC. Based on these data, the GC of preterm neonates is dominated by Proteobacteria and Firmicutes and harbors high-risk bacterial clones, which may colonize enteral feeding tubes, and therefore the feeds that pass through them.

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Section: Discussionmentioning

confidence: 99%

Bacterial Diversity of the Gastric Content of Preterm Infants during Their First Month of Life at the Hospital

et al. 2017

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“…Other factors that were statistically associated with the type of feeding were the obstetric variables: prematurity, low birth weight and complications in the newborn associated with the provision of two types of simultaneous breastfeeding. Although several studies have demonstrated that this is a possible association (15)(16)(17)(18)(19) , it draws attention to the fact that there are many babies at term with adequate weight and without complications at birth that also had mixed breastfeeding. This information suggests that the type of breastfeeding is not only associated to the biological conditions of the baby, but also to several factors such as the difficulty in the formation of maternal experience, maternal feelings, social support offered to the mother (4)(5)(6)(7)(8)9) , among others.…”

Section: Discussionmentioning

confidence: 99%

Análise da associação entre tipos de aleitamento, presença de risco ao desenvolvimento infantil, variáveis obstétricas e socioeconômicas

Crestani

Souza

Beltrami

et al. 2012

J. Soc. Bras. Fonoaudiol.

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“…Breastfeeding a very preterm infant also reinforces the mother's caregiving role in the neonatal intensive care unit (NICU) and can promote bonding (Flacking, Ewald, Nyqvist, & Starrin, 2006;Ikonen, Paavilainen, & Kaunonen, 2015). However, breastfeeding a very preterm infant is challenging, requiring the mother to pump milk regularly until her child has acquired the capacity to suckle at the breast and posing multiple logistic challenges during the long neonatal hospitalization (Callen & Pinelli, 2005;Nye, 2008). Consequently, breastfeeding rates for very preterm infants are lower than for full-term infants (Akerstrom, Asplund, & Norman, 2007;Flacking, Nyqvist, & Ewald, 2007;Merewood, Brooks, Bauchner, MacAuley, & Mehta, 2006).…”

Section: Introductionmentioning

confidence: 99%

Low breastfeeding continuation to 6 months for very preterm infants: A European multiregional cohort study

Bonnet

Blondel

Piedvache

et al. 2018

Maternal & Child Nutrition

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Breastfeeding confers multiple benefits for the health and development of very preterm infants, but there is scarce information on the duration of breastfeeding after discharge from the neonatal intensive care unit (NICU). We used data from the Effective Perinatal Intensive Care in Europe population-based cohort of births below 32 weeks of gestation in 11 European countries in 2011-2012 to investigate breastfeeding continuation until 6 months. Clinical and sociodemographic characteristics were collected from obstetric and neonatal medical records as well as parental questionnaires at 2 years of corrected age. Among 3,217 ever-breastfed infants, 34% were breastfeeding at 6 months of age (range across countries from 25% to 56%); younger and less educated mothers were more likely to stop before 6 months (adjusted relative risk [aRR] <25 years: 0.68, 95% CI [0.53, 0.88], vs. 25-34 years; lower secondary: 0.58, 95% CI [0.45, 0.76] vs. postgraduate education). Multiple birth, bronchopulmonary dysplasia (BPD), and several neonatal transfers reduced the probability of continuation but not low gestational age, fetal growth restriction, congenital anomalies, or severe neonatal morbidities. Among infants breastfeeding at discharge, mixed versus exclusive breast milk feeding at discharge was associated with stopping before 6 months: aRR = 0.60, 95% CI [0.48, 0.74]. Low breastfeeding continuation rates in this high-risk population call for more support to breastfeeding mothers during and after the neonatal hospitalization, especially for families with low socio-economic status, multiples, and infants with BPD. Promotion of exclusive breastfeeding in the NICU may constitute a lever for improving breastfeeding continuation after discharge.

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Transitioning Premature Infants from Gavage to Breast

Cited by 26 publications

References 43 publications

Bacterial Diversity of the Gastric Content of Preterm Infants during Their First Month of Life at the Hospital

Bacterial Diversity of the Gastric Content of Preterm Infants during Their First Month of Life at the Hospital

Análise da associação entre tipos de aleitamento, presença de risco ao desenvolvimento infantil, variáveis obstétricas e socioeconômicas

Low breastfeeding continuation to 6 months for very preterm infants: A European multiregional cohort study

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