Evaluation of Pulse Rate, Oxygen Saturation, and Respiratory Effort after Different Types of Feeding Methods in Preterm Newborns.

IF 1.3 Q3 PEDIATRICS

International Journal of Pediatrics Pub Date : 2022-06-14 eCollection Date: 2022-01-01 DOI:10.1155/2022/9962358

Dipen Vasudev Patel, Dharti Shah, Kunjal A Kantharia, Mayur K Shinde, Jaishree Ganjiwale, Kushal Shah, Somashekhar Marutirao Nimbalkar

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引用次数: 0

Abstract

Background: During the initial days of hospitalization, preterm newborns are given combinations of breastfeeding, spoon/paladai feeding, and/or gavage feeding. Each method of feeding may have a different effect on vital parameters.

Objective: To study changes in vital parameters in relation to different feeding methods and postmenstrual age (PMA) in preterm newborns. Study Design. This prospective observational study was carried out at a tertiary care neonatal unit. Participants. Physiologically stable preterm newborns with PMA less than 37 weeks on full enteral feeds were included in the study. Intervention. None. Outcomes. Respiratory rate (RR), pulse rate (PR), oxygen saturation (SPO2), nasal flaring, and lower chest indrawing were monitored before and up to 3 h after the breastfeeding/spoon (paladai) feeding/gavage feeding or their combinations. These vital parameters were assessed in relation to the feeding methods and PMA groups using ANOVA.

Results: A total of 383 records were analyzed from 110 newborns. No infant developed chest indrawing or nasal flaring after any feeding method. During the 3 h period of monitoring, vital parameters changed significantly except in the gavage feeding group. The mean PR did not change, but the mean RR and SPO2 changed significantly at different PMA.

Conclusion: Vital parameters changed after different types of feeding methods and at different PMA. A further multicentric prospective study is needed to understand the effect of different feeding methods and PMA on vital parameters.

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不同喂养方式对早产儿脉搏率、血氧饱和度和呼吸力的影响。

背景:在住院的最初几天，早产新生儿被给予母乳喂养、勺子喂养和/或灌胃喂养的组合。每种喂养方法可能对重要参数产生不同的影响。目的:探讨不同喂养方式和经后年龄对早产儿生命参数的影响。研究设计。这项前瞻性观察研究是在三级护理新生儿单位进行的。参与者。生理稳定且PMA小于37周且全肠内喂养的早产儿被纳入研究。干预。一个也没有。结果。监测呼吸频率(RR)、脉搏率(PR)、血氧饱和度(SPO2)、鼻肿胀和下胸缩在母乳喂养/匙饲/灌饲或其组合前和后3小时内的情况。使用方差分析评估这些重要参数与饲喂方式和PMA组的关系。结果:对110例新生儿383例病历进行分析。采用任何喂养方法后，均无婴儿胸部内缩或鼻部突出。监测3 h期间，除灌饲组外，其他各组生命参数变化明显。平均PR没有变化，但平均RR和SPO2在不同PMA下变化显著。结论:不同喂养方式和不同PMA时，生命参数发生变化。需要进一步的多中心前瞻性研究来了解不同喂养方式和PMA对重要参数的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Pediatrics PEDIATRICS-

CiteScore

3.90

自引率

0.00%

发文量

审稿时长

4 weeks

期刊介绍： International Journal of Pediatrics is a peer-reviewed, open access journal that publishes original researcharticles, review articles, and clinical studies in all areas of pediatric research. The journal accepts submissions presented as an original article, short communication, case report, review article, systematic review, or letter to the editor.