scholarly journals Can delivery room management impact the length of hospital stay in premature infants?

2006 ◽  
Vol 26 (10) ◽  
pp. 593-596 ◽  
Author(s):  
H Aly ◽  
A N Massaro ◽  
A A E El-Mohandes
Keyword(s):  
Hospital Stay ◽  
Premature Infants ◽  
Length Of Hospital Stay ◽  
Delivery Room ◽  
Delivery Room Management

The effect of non-nutritive sucking combined with oral motor stimulation and oral support on feeding performance in premature infants: A single-blind randomized–clinical trial

2021 ◽  
Vol 14 (3) ◽  
pp. 379-387
Author(s):  
Alireza Alidad ◽  
Maryam Tarameshlu ◽  
Leila Ghelichi ◽  
Hamid Haghani
Keyword(s):  
Hospital Stay ◽  
Premature Infants ◽  
Length Of Hospital Stay ◽  
Oral Feeding ◽  
Feeding Problems ◽  
Feeding Performance ◽  
Oral Motor ◽  
Nutritive Sucking ◽  
Combined Intervention ◽  
Single Blind

PURPOSE: Feeding problems are common in premature infants (PIs) and may lead to negative consequences such as malnutrition, dehydration, excessive weight loss, as well as developmental and psychological deficits. Moreover, they are associated with increased length of hospital stay/cost. There is not enough evidence on how feeding problems should be treated in PIs. The goal of this study was to investigate the effects of non-nutritive sucking combined with oral motor stimulation and oral support on feeding performance in PIs. METHODS: A single-blind randomized clinical trial was performed on 44 PIs with feeding problems. Patients were randomly categorized into two groups: (1) combined intervention (CI) and (2) non-nutritive sucking (NNS). The CI group received NNS, oral motor stimulation and oral support simultaneously. Infants in both groups received 14 treatment sessions for 14 consecutive days. The Preterm Oral Feeding Readiness Assessment Scale (POFRAS) was used as the primary outcome measure. Weight, volume of milk intake, time to achieve full oral feeding, and length of hospital stay were secondary outcome measures. All measures were assessed before treatment, after the 7th session, after the 14th session, and after 7 days after the end of treatment. RESULTS: Both groups improved in all outcome measures across time (P < 0.001). The improvements in the POFRAS, volume of milk intake, and time to achieve full oral feeding were significantly greater in the CI group than the NNS group (P < 0.001). The improvements attained in weight and length of hospital stay were not significantly different between the CI and NNS groups (P > 0.05). Large effect sizes were found for POFRAS score in both CI (d = 3.98) and NNS (d = 2.19) groups. CONCLUSION: The current study showed that the combined intervention including NNS, oral motor stimulation, and oral support significantly improved the feeding performance in PIs.

THE BREAST MILK BANK AS A COMMUNITY PROJECT

PEDIATRICS ◽  
1955 ◽  
Vol 16 (2) ◽  
pp. 264-269
Author(s):  
E. Robbins Kimball ◽  
Elizabeth Jones ◽  
Myrtle E. Lewis ◽  
Ethel R. Kolb
Keyword(s):  
Breast Milk ◽  
Hospital Stay ◽  
Breast Feeding ◽  
Premature Infants ◽  
Length Of Hospital Stay ◽  
Community Project ◽  
Milk Bank

1. The management of breast feeding is outlined. 2. The organization of our breast milk bank as operated by Evanston Hospital and Junior League volunteers is described. 3. The establishment of a breast milk bank has enabled us to increase the number of premature infants fed breast milk threefold. Their weights and length of hospital stay are presented.

scholarly journals Analysis on the Application Effect of Abdominal Acupoint Massage on Feeding Intolerance in Premature Infants

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Li Zhu ◽  
Yueqiu Gong
Keyword(s):  
Nutritional Status ◽  
Hospital Stay ◽  
Body Mass ◽  
Premature Infants ◽  
Response Rate ◽  
Length Of Hospital Stay ◽  
Control Group ◽  
Feeding Intolerance ◽  
Development State ◽  
Experimental Group

Objective. Breast milk is the best food for newly born infants because it is more digestible and can relieve infants’ gastrointestinal burdens. The purpose of this study was to investigate the application effect of abdominal acupoint massage on feeding intolerance in premature infants. Methods. A total of 50 premature infants with feeding intolerance admitted to our hospital from January 2018 to October 2019 were selected and randomly divided into the control group (n = 25) and the experimental group (n = 25). Among them, the premature infants in the control group received routine therapy, while based on the treatment in the control group, the premature infants in the experimental group were treated with abdominal acupoint massage. After that, the incidence of feeding intolerance, MNA nutritional status score, body mass, development state, length of hospital stay, and response rate were all compared between the two groups to analyze the application effect of abdominal acupoint massage on feeding intolerance in premature infants. Results. The incidence of feeding intolerance of the premature infants in the experimental group was significantly lower than that in the control group, with statistically significant differences ( P < 0.05 ); the MNA nutritional status scores of the premature infants in the experimental group were significantly higher than those in the control group, with statistically significant differences ( P < 0.05 ); the body mass and development state of the premature infants in the experimental group were significantly better than those in the control group, with statistically significant differences ( P < 0.05 ); the length of hospital stay of the premature infants in the experimental group was significantly shorter than that in the control group, with statistically significant differences ( P < 0.05 ); the response rate in the experimental group was significantly higher than that in the control group, with statistically significant differences ( P < 0.05 ). Conclusions. Abdominal acupoint massage therapy can significantly reduce the incidence of feeding intolerance, shorten the length of hospital stay, and improve nutritional status, development state, and response rate in premature infants, with obvious therapeutic effect, which is worthy of application and promotion in clinical practice.

scholarly journals Outcome of kangaroo mother care in terms of hospital stay among preterm infants in a tertiary health care center Bhuj, Kutch: a cross-sectional study

2021 ◽  
Vol 8 (2) ◽  
pp. 285
Author(s):  
Jaivik Sureshbhai Patel ◽  
Gopi Alabhai Solanki
Keyword(s):  
Birth Weight ◽  
Hospital Stay ◽  
Premature Infants ◽  
Hospital Admissions ◽  
Average Length ◽  
Length Of Hospital Stay ◽  
Time Frame ◽  
Kangaroo Mother Care ◽  
Health Care Center ◽  
Significant Difference

Background: Neonates born before 37 completed weeks of pregnancy are called premature infants. The birth of premature infants is associated with several problems, such as frequent hospital admissions, infections, apnea and others. Evidence suggests that kangaroo mother care is effective and safe alternative to conventional neonatal care, especially in under-resourced settings and may reduce morbidity and mortality in low birth weight infants as well as increase breastfeeding.Methods: Present observational study conducted in the department of pediatrics, Gujarat Adani Institute of Medical Sciences, Bhuj, Kutch, Gujarat for the Duration of 1 year. Source of data are all live new born of gestational age of less than 37 weeks and birth weight below 2500 gm delivered at GAIMS, Bhuj. Primary outcome measures were: rate of infection time frame 1-2 weeks (during hospital stay), frequency of presume sepsis and need for antibiotics, length of stay (time frame 1-2 weeks) and total days in hospital during recruitment period.Results: An average length of hospital stay was 15.31±12.01 days among neonates in our study group. Among those with infection duration of stay was 21.03±15.627 days and among those without infection were 12.09±10.402 days. There was significant difference in length of hospital stay among those with infection and without infection.Conclusions: Kangaroo mother care improves physiological indices in normal levels, thus it might positively influence the premature infant’s physical health. The present study has important implications in the care of preterm and LBW infants in the developing countries, where expensive facilities for conventional care may not be available at all places.

Pilonidal Sinus: How to Choose Between Excision and Open Granulation Versus Excision and Primary Closure?

Swiss Surgery ◽  
2002 ◽  
Vol 8 (6) ◽  
pp. 255-258 ◽  
Author(s):  
Perruchoud ◽  
Vuilleumier ◽  
Givel
Keyword(s):  
Hospital Stay ◽  
Pilonidal Sinus ◽  
Primary Closure ◽  
Average Length ◽  
Length Of Hospital Stay ◽  
Healing Time ◽  
Incision And Drainage ◽  
The Mean ◽  
Primary Healing

Aims: The purpose of this study was to evaluate excision and open granulation versus excision and primary closure as treatments for pilonidal sinus. Subjects and methods: We evaluated a group of 141 patients operated on for a pilonidal sinus between 1991 and 1995. Ninety patients were treated by excision and open granulation, 34 patients by excision and primary closure and 17 patients by incision and drainage, as a unique treatment of an infected pilonidal sinus. Results: The first group, receiving treatment of excision and open granulation, experienced the following outcomes: average length of hospital stay, four days; average healing time; 72 days; average number of post-operative ambulatory visits, 40; average off-work delay, 38 days; and average follow-up time, 43 months. There were five recurrences (6%) in this group during the follow-up period. For the second group treated by excision and primary closure, the corresponding outcome measurements were as follows: average length of hospital stay, four days; average healing time, 23 days; primary healing failure rate, 9%; average number of post-operative ambulatory visits, 6; average off-work delay, 21 days. The average follow-up time was 34 months, and two recurrences (6%) were observed during the follow-up period. In the third group, seventeen patients benefited from an incision and drainage as unique treatment. The mean follow-up was 37 months. Five recurrences (29%) were noticed, requiring a new operation in all the cases. Discussion and conclusion: This series of 141 patients is too limited to permit final conclusions to be drawn concerning significant advantages of one form of treatment compared to the other. Nevertheless, primary closure offers the advantages of quicker healing time, fewer post-operative visits and shorter time off work. When a primary closure can be carried out, it should be routinely considered for socio-economical and comfort reasons.

Indications and practice of enteral nutrition

2014 ◽  
Vol 155 (51) ◽  
pp. 2028-2033 ◽  
Author(s):  
Judit Hallay ◽  
Dániel Nagy ◽  
Béla Fülesdi
Keyword(s):  
Risk Factors ◽  
Treatment Outcome ◽  
Enteral Nutrition ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Nutrition Therapy ◽  
Present Review ◽  
Hospitalised Patients ◽  
Impact On Treatment ◽  
Efficacy Of Treatment

Malnutrition in hospitalised patients has a significant and disadvantageous impact on treatment outcome. If possible, enteral nutrition with an energy/protein-balanced nutrient should be preferred depending on the patient’s condition, type of illness and risk factors. The aim of the nutrition therapy is to increase the efficacy of treatment and shorten the length of hospital stay in order to ensure rapid rehabilitation. In the present review the authors summarize the most important clinical and practical aspects of enteral nutrition therapy. Orv. Hetil., 2014, 155(51), 2028–2033.

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