scholarly journals Effect of tactile kinesthetic stimulation on preterm infants’ weight and length of hospital stay in Khartoum, Sudan

2015 ◽  
Vol 36 (2) ◽  
pp. 196-199 ◽  
Author(s):  
Ragaa Ahmed ◽  
Gaafer Suliman ◽  
Walyeldin Elfakey ◽  
Karimeldin Salih ◽  
Ehab El-Amin ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Preterm Infants ◽  
Length Of Hospital Stay

Effect of Oral Motor Intervention on Oral Feeding in Preterm Infants: A Systematic Review and Meta-Analysis

2021 ◽  
pp. 1-11
Author(s):  
Danna Chen ◽  
Zhen Yang ◽  
Chujie Chen ◽  
Pu Wang
Keyword(s):  
Weight Gain ◽  
Hospital Stay ◽  
Preterm Infants ◽  
Meta Analysis ◽  
Length Of Hospital Stay ◽  
Oral Feeding ◽  
Transition Time ◽  
Cochrane Library ◽  
Oral Motor ◽  
Feeding Efficiency

Objective This review article aimed to explore the effect of oral motor intervention on oral feeding in preterm infants through a meta-analysis. Method Eligible studies were retrieved from four databases (PubMed, Embase, Cochrane Library, and Web of Science) up to July 2020 and screened based on established selection criteria. Thereafter, relevant data were extracted and heterogeneity tests were conducted to select appropriate effect models according to the chi-square test and I 2 statistics. Assessment of risk of bias was performed among the included studies. Finally, a meta-analysis was carried out to evaluate the effect of oral motor intervention in preterm infants according to four clinical indicators: transition time for oral feeding, length of hospital stay, feeding efficiency, and weight gain. Results Eighteen randomized controlled trials with 848 participants were selected to evaluate the effect of oral motor intervention on preterm infants. The meta-analysis results revealed that oral motor intervention could effectively reduce the transition time to full oral feeds and the length of hospital stay as well as increase feeding efficiency and weight gain. Conclusions Oral motor intervention was an effective way to improve oral feeding in preterm infants. It is worthy to be used widely in hospitals to improve the clinical outcomes of preterm infants and reduce the economic burdens of families and society. Future studies should seek to identify detailed intervention processes and intervention durations for clinical application.

scholarly journals Comparative Effect of Massage Therapy versus Kangaroo Mother Care on Body Weight and Length of Hospital Stay in Low Birth Weight Preterm Infants

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Priya Singh Rangey ◽  
Megha Sheth
Keyword(s):  
Body Weight ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Hospital Stay ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Massage Therapy ◽  
Length Of Hospital Stay ◽  
Kangaroo Mother Care ◽  
Comparison Of Effectiveness

Background. Massage therapy (MT) and kangaroo mother care (KMC) are both effective in increasing the weight and reducing length of hospital stay in low birth weight preterm infants but they have not been compared.Aim. Comparison of effectiveness of MT and KMC on body weight and length of hospital stay in low birth weight preterm (LBWPT) infants.Method. 30 LBWPT infants using convenience sampling from Neonatal Intensive Care Unit, V.S. hospital, were randomly divided into 2 equal groups. Group 1 received MT and Group 2 received KMC for 15 minutes, thrice daily for 5 days. Medically stable babies with gestational age < 37 weeks and birth weight < 2500 g were included. Those on ventilators and with congenital, orthopedic, or genetic abnormality were excluded. Outcome measures, body weight and length of hospital stay, were taken before intervention day 1 and after intervention day 5. Level of significance was 5%.Result. Data was analyzed using SPSS16. Both MT and KMC were found to be effective in improving body weight (P= 0.001,P= 0.001). Both were found to be equally effective for improving body weight (P= 0.328) and reducing length of hospital stay (P= 0.868).Conclusion. MT and KMC were found to be equally effective in improving body weight and reducing length of hospital stay.Limitation. Long term follow-up was not taken.

scholarly journals Effects of Lactobacillus reuteri DSM 17938 in preterm infants: a double-blinded randomized controlled study

2019 ◽  
Vol 45 (1) ◽  
Author(s):  
Xuewei Cui ◽  
Yongyan Shi ◽  
Siyang Gao ◽  
Xindong Xue ◽  
Jianhua Fu
Keyword(s):  
Adverse Effects ◽  
Hospital Stay ◽  
Preterm Infants ◽  
Lactobacillus Reuteri ◽  
Intervention Group ◽  
Length Of Hospital Stay ◽  
Daily Weight Gain ◽  
Control Group ◽  
Early Feeding ◽  
Feeding Tolerance

Abstract Background Preterm infants have immature gastrointestinal tracts and poor immunity. In this study, the effects of Lactobacillus reuteri DSM 17938 first on early feeding tolerance, growth, and second on infection prevention in preterm infants were evaluated. Methods One hundred fourteen formula-fed preterm infants with a gestational age between 30 weeks and 37 weeks, and a birth weight between 1500 and 2000 g were enrolled; 57 in the intervention and 57 in the control group:the intervention group was given a dose of 1 × 108 colony-forming units (5 drops) of L. reuteri DSM 17938 once daily, beginning with the first feeding until discharge. The control group did not receive probiotics. Early feeding tolerance (as time to full enterla feeding and number of reflux), growth, incidences of sepsis, localized infection, NEC, and adverse effects were recorded for both groups. Results The number of Daily reflux episodes (times/d) was lower (2.18 ± 0.83 vs. 3.77 ± 0.66, P < 0.01) and time to full enteral feedings (120 mL/kg/d) (9.95 ± 2.46 d vs. 13.80 ± 3.47 d, P < 0.05) was shorter in the intervention group. Average daily weight gain (14.55 ± 3.07 g/d vs. 10.12 ± 2.80 g/d), head circumference increas e(0.0760 ± 0.0157 cm/d vs. 0.0681 ± 0.0108 cm/d), and body length increase (0.1878 ± 0.0151 cm/d vs. 0.1756 ± 0.0166 cm/d) of the intervention group were higher (P < 0.01). There were no significant differences in the incidences of sepsis (4.44% vs. 8.33%), localized infection (6.67% vs. 8.33%), or NEC (2.22% vs. 10.42%) between the 2 groups (P > 0.05). The number of daily defecations (times/d) in the intervention group was higher (3.08 ± 0.33 vs. 2.29 ± 0.20, P < 0.01) and the length of hospital stay was shorter than that in the control group (20.60 ± 5.36 d vs. 23.75 ± 8.57 d, P < 0.05). No adverse effects were noted among the infants receiving L. reuteri. Conclusion L. reuteri may be an useful tool in improving early feeding tolerance in preterm infants, promoting growth, increasing the frequency of defecation, and shortening the length of hospital stay. Trial registration ChiCTR, ChiCTR1900025590. Registered 1 February 2019- Retrospectively registered, http://www.chictr.org.cn/listbycreater.aspx.

How Rewarding Can a Pacifier Be? A Systematic Review of Nonnutritive Sucking in Preterm Infants

2000 ◽  
Vol 19 (8) ◽  
pp. 41-48 ◽  
Author(s):  
Janet Pinelli ◽  
Amanda Symington
Keyword(s):  
Systematic Review ◽  
Hospital Stay ◽  
Preterm Infants ◽  
Length Of Hospital Stay ◽  
Cochrane Collaboration ◽  
Outcome Variable ◽  
Intestinal Transit Time ◽  
Orogastric Tube ◽  
Nonnutritive Sucking ◽  
Quasi Experimental

Purpose: To determine whether nonnutritive sucking (NNS) in preterm infants influences selected outcome variables.Design: A systematic review, based on the Cochrane Collaboration format, of trials utilizing experimental or quasi-experimental designs in which NNS (by pacifier) was compared to no provision of NNS; related to naso/orogastric tube feedings, bottle feedings, or not assoicated with feeding.Sample: All infants born at <37 weeks gestation. This review consisted of 19 studies; 13 were randomized controlled trials. Sample sizes ranged from 10 to 59 infants and totaled 518 infants.Main Outcome Variable: Weight gain, energy intake, heart rate, oxygen saturation, length of hospital stay, intestinal transit time, and postconceptional age at full oral feedings.Results: NNS significantly decreased the length of hospital stay in preterm infants. The review did not reveal a consistent benefit of NNS with respect to other major clinical variables. No negative outcomes were reported in any of the studies.

scholarly journals Preterm newborn readiness for oral feeding: systematic review and meta-analysis

CoDAS ◽  
2015 ◽  
Vol 27 (1) ◽  
pp. 101-107 ◽  
Author(s):  
Ana Henriques Lima ◽  
Marcela Guimarães Côrtes ◽  
Maria Cândida Ferrarez Bouzada ◽  
Amélia Augusta de Lima Friche
Keyword(s):  
Hospital Stay ◽  
Preterm Infants ◽  
Rating Scales ◽  
Meta Analysis ◽  
Length Of Hospital Stay ◽  
Research Strategy ◽  
Oral Feeding ◽  
Transition Time ◽  
Sensory Motor ◽  
Stimulation Of

PURPOSE: To identify and systematize the main studies on the transition from enteral to oral feeding in preterm infants. RESEARCH STRATEGY: Articles that describe the transition from oral to enteral feeding in preterm infants were located in MEDLINE, LILACS, and SciELO databases. SELECTION CRITERIA: Original studies, with available abstract, published in the last 10 years were included. DATA ANALYSIS: Analysis of the methodology and the main results of the studies, and meta-analysis of the effects of sensory-motor-oral stimulation at the time of transition to full oral feeding and duration of hospitalization were conducted. RESULTS: Twenty-nine national and international publications were considered. Most studies were clinical trials (44.8%) and did not use rating scales to start the transition process (82.7%). In the meta-analysis, positive effect of stimulation of the sensory-motor-oral system was observed with respect to the transition time to oral diet (p=0.0000), but not in relation to the length of hospital stay (p=0.09). However, heterogeneity between studies was found both in the analysis of the transition time to full oral feeding (I2=93.98) and in the length of hospital stay (I2=82.30). CONCLUSION: The transition to oral feeding is an important moment, and various physical and clinical characteristics of preterm infants have been used to describe this process. Despite the impossibility of generalizing the results due to the heterogeneity of the studies, we have noted the importance of strategies for stimulation of sensory-motor-oral system to decrease the period of transition to full oral feeding system.

scholarly journals Efficacy of oral erythromycin to enhance feeding tolerance in preterm infants

2017 ◽  
Vol 57 (3) ◽  
pp. 154
Author(s):  
Made Sukmawati ◽  
Rinawati Rohsiswatmo ◽  
Rulina Suradi ◽  
Pramita Gayatri
Keyword(s):  
Placebo Group ◽  
Hospital Stay ◽  
Preterm Infants ◽  
Enteral Feeding ◽  
Controlled Trial ◽  
Length Of Hospital Stay ◽  
Feeding Intolerance ◽  
Body Weights ◽  
Full Enteral Feeding ◽  
Feeding Tolerance

Background Feeding intolerance is a common condition that affects preterm infants. Erythromycin is a prokinetic agent used to treat feeding intolerance, but its efficacy remains inconclusive.Objective To evaluate the effectiveness of oral erythromycin to enhance feeding tolerance in preterm infants.Methods This prospective, randomized controlled trial in preterm infants was conducted at Sanglah Hospital, Denpasar, Bali, from June 2015 to January 2016. Eligible infants were randomized to receive either 12.5 mg/kg/dose oral erythromycin or a placebo, every 8 hours. The primary outcome was the time to establish full enteral feeding. The secondary outcomes were body weight at full enteral feeding and length of hospital stay.Results Of 62 initial subjects, 3 infants dropped out of the study. Thirty infants were given erythromycin and 29 infants were given placebo. The baseline characteristics of the two groups were similar, with mean of gestational ages of 31.4 (SD 1.7) weeks in the erythromycin group and 32.4 (SD 2.2) weeks in the placebo group. The median times to reach full enteral feeding did not significantly differ between the two groups, with 10 (SD 5.3) days in the erythromycin group vs. 8 (SD 6.5) days in the placebo group (P=0.345). Also, median body weights at full enteral feeding and lengths of hospital stay were not significantly different between the two groups.Conclusion Erythromycin of 12.5 mg/kg/dose every 8 hours as prophylactic treatment does not significantly enhance feeding tolerance in preterm infants. Median body weights at full enteral feeding and length of hospital stay are not significantly different between the erythromycin and placebo groups.

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