PMID: 9174231Apr 1, 1997Paper

Effects of bottle feeding and two different methods of gavage feeding on oxygenation and breathing patterns in preterm infants

Acta Paediatrica
Christian F PoetsBettina Bohnhorst

Abstract

To determine the effect of bottle feeding, as compared to two methods of gavage feeding, on apnoea, bradycardia and oxygen desaturation frequency. Thirty preterm infants breathing room air; gestational age 28.6 +/- 2.1 weeks at birth and 34 +/- 1.4 weeks at study (mean +/- SD). Nine-hour recordings of pulse oximeter saturation (SpO2), pulse waveforms, electrocardiogram, breathing movements and nasal airflow. Administration of 21 +/- 1.5 ml/kg of milk/feed in 3-h intervals using three different feeding techniques in random order: bottle feeding, bolus gavage feeding, and slow gavage feeding (1 h). Analysis of recordings for apnoeas (> or =4s, bradycardias (heart rate < 2/3 of baseline), and episodic desaturation (SpO2 < or = 80%). There were three times more desaturations with bottle feeding than with bolus gavage feeding (p < 0.001), but no further reduction with slow gavage feeding. With all three feeding techniques, there were significantly more desaturations in the hour when the feeds were given than during the following 2 h. The deleterious effects of bottle feeding were most evident during the hour of feeding, but desaturation frequency remained significantly higher than with gavage feeding during the following 2 h. There ...Continue Reading

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Citations

Mar 31, 2004·Seminars in Neonatology : SN·Estelle B GaudaDaniel Kwak
Apr 23, 2003·Early Human Development·Suzanne M Thoyre, John Carlson
Jan 14, 2005·The Journal of Perinatal & Neonatal Nursing·Shahirose S PremjiJeanne Scotland
Jun 1, 2013·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Rosemary White-TrautBarbara Medoff-Cooper
Jun 9, 2004·Treatments in Respiratory Medicine·Thomas Erler, Ekkehart Paditz
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Nov 5, 2014·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Hideki MinowaAyako Ohgitani
Jan 13, 2015·Nutrients·Sourabh DuttaChristoph Fusch
Jun 15, 2011·Seminars in Fetal & Neonatal Medicine·Christian F Poets, Pablo E Brockmann
Jul 11, 2012·International Journal of Pediatrics·Alejandro JenikGonzalo Mariani
Sep 3, 2003·Journal of Advanced Nursing·Suzanne M Thoyre, John R Carlson
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Aug 31, 2014·The Journal of Pediatrics·Luigi CorvagliaGiacomo Faldella
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Apr 10, 2018·Korean journal of pediatrics·Dong Rak KwonEun Joo Lee
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Sep 1, 1998·Paediatrics & Child Health·D E Yuen
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Dec 11, 2020·International Journal of Nursing Practice·Sibel Serap Ceylan, Züleyha Keskin

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