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J Pediatr. 2001 Sep;139(3):374-9.

A feeding protocol for healthy preterm infants that shortens time to oral feeding.

Author information

1
Division of Patient Services, Children's Hospital Medical Center, Cincinnati, Ohio 45229-3039, USA.

Abstract

OBJECTIVE:

To test the hypothesis that healthy preterm infants randomly assigned to a semi-demand feeding protocol would require fewer days to attain oral feeding and have a satisfactory weight gain compared with control infants receiving standard care.

STUDY DESIGN:

In 2 neonatal intensive care nurseries, 81 infants 32 to < or = 34 weeks' postconceptional age were randomly assigned to the control (n = 41) or experimental (n = 40) protocol for transition from gavage to oral feedings. The control protocol followed the standard practice of gradually increasing scheduled oral feedings, whereas the experimental protocol used a semi-demand feeding method contingent on infant behavior. Analysis of variance techniques were used to compare the study groups for number of days to attain oral feeding and weight gain.

RESULTS:

The semi-demand method shortened the time for infants to achieve oral feeding by 5 days (P < .001). There were no differences in weight gain between the study groups, and both groups had satisfactory weight gain.

CONCLUSION:

The semi-demand method for the transition from gavage to oral feeding in healthy, preterm infants 32 to < or = 34 weeks postconceptional age promotes faster attainment of oral feeding and does not compromise their weight gain.

PMID:
11562616
DOI:
10.1067/mpd.2001.117077
[Indexed for MEDLINE]

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