Journal of mother and childPub Date : 2024-10-07eCollection Date: 2024-02-01DOI: 10.34763/jmotherandchild.20242801.d-24-00035
Amna Zaheer, Areeba Ahsan, Anum Akbar
{"title":"Does the Short-Lived First Human Milk Bank of Pakistan Hold Any Promise for the Future?","authors":"Amna Zaheer, Areeba Ahsan, Anum Akbar","doi":"10.34763/jmotherandchild.20242801.d-24-00035","DOIUrl":"10.34763/jmotherandchild.20242801.d-24-00035","url":null,"abstract":"","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"80-82"},"PeriodicalIF":0.0,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11457912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of Maternal Risk Factors for Neonatal Hypernatremic Dehydration: A Systematic Review.","authors":"Zakerihamidi Maryam, Rakhshanizadeh Forough, Moradi Ali, Ramezani Asal, Boskabadi Hassan","doi":"10.34763/jmotherandchild.20232701.d-24-00007","DOIUrl":"10.34763/jmotherandchild.20232701.d-24-00007","url":null,"abstract":"<p><strong>Background: </strong>Neonatal hypernatremic dehydration (NHD) is a severe condition associated with neonatal morbidity and mortality.</p><p><strong>Purpose: </strong>The present study evaluated maternal risk factors, including duration of maternal hospitalisation, primiparity, caesarean section, and pregnancy complications, as well as social factors, such as depression, fatigue, and inadequate support for NHD.</p><p><strong>Data sources: </strong>PubMed, Cochrane Library, International Scientific Indexing, Scopus, and Google Scholar were the databases searched until 2023.</p><p><strong>Study selection: </strong>Articles written in English or Persian focusing on the relationship between maternal risk factors and NHD among neonates and providing sufficient information on NHD were included in this study. On the other hand, articles whose abstracts were only available were excluded.</p><p><strong>Data extraction: </strong>The extracted data were presented in Excel software with the following titles: authors' names, year, type of study, study location, and maternal risk factors. The methodological quality of the articles was determined using the quality assurance tool for the diagnostic accuracy score (QUADAS).</p><p><strong>Results: </strong>Of the 58 searched articles, 16 were investigated, which included five prospective, seven cross-sectional, and four retrospective articles. Maternal risk factors for NHD included labour and delivery complications, childbirth complications, factors causing insufficient breast milk intake (including breast milk insufficiency, nipple problems, wrong breastfeeding techniques, breast disorders, types of feeding, and breastfeeding training/counselling in pregnancy), as well as delivery and the postpartum period.</p><p><strong>Implications for practice and research: </strong>Maternal problems in pregnancy and delivery, breast disorders, breastfeeding status, maternal knowledge, and lactation skills are the most common maternal risk factors for NHD. Timely (antenatal) identification and proper management of maternal risk factors help reduce the incidence and severity of NHD complications.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"70-79"},"PeriodicalIF":0.0,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11305854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of mother and childPub Date : 2024-07-23eCollection Date: 2024-02-01DOI: 10.34763/jmotherandchild.20242801.d-24-00013
Meropi Moutzouri, Antigoni Sarantaki, George Koulierakis, Kleanthi Gourounti
{"title":"Coping Strategies Associated with Emotional Adjustment during the Dyadic Experience of Infertility and Its Treatment: A Systematic Review.","authors":"Meropi Moutzouri, Antigoni Sarantaki, George Koulierakis, Kleanthi Gourounti","doi":"10.34763/jmotherandchild.20242801.d-24-00013","DOIUrl":"10.34763/jmotherandchild.20242801.d-24-00013","url":null,"abstract":"<p><strong>Background: </strong>The aim of this systematic review was to reveal which of the coping strategies used by one partner are protective of and which pose a risk to the other partner's psychological adjustment during the treatment of infertility.</p><p><strong>Material and methods: </strong>A systematic search of four electronic databases (PubMed, APA PsycINFO, SCOPUS, ScienceDirect), as well as the references of the retrieved articles, was performed between May and September 2023 for studies published from 1990 until 2023, using appropriate MeSH terms and associated text words. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Using an a priori developed pilot data extraction form, authors performed an independent extraction of articles. Information on participants, coping mechanisms, and psychological adjustment was extracted from each study. Relevant articles were critically appraised, and a narrative synthesis was conducted based on the different designs and outcome measures among the included studies.</p><p><strong>Results: </strong>A total of 194 articles were retrieved, and 187 were excluded for not meeting the inclusion criteria. After duplicates had been removed, five studies were included in the review. The results revealed that the psychological adaptation of infertile couples at an interpersonal level may be correlated with both the type of coping and the stage of the stressor (infertility treatment or in vitro fertilisation - IVF).</p><p><strong>Conclusion: </strong>This systematic review suggests that health professionals could design and apply interventions based on modifying the coping mechanisms of infertile spouses to increase levels of well-being and decrease levels of distress.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"61-69"},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11265839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of mother and childPub Date : 2024-06-26eCollection Date: 2024-02-01DOI: 10.34763/jmotherandchild.20242801.d-24-00001
Kimberley T Jackson, Panagiota Tryphonopolous, Julia Y Yates, Katie J Shillington, Tara Mantler
{"title":"\"Do it for Your Kid\": Resilience and Mothering in the Context of Intimate Partner Violence in Rural Ontario.","authors":"Kimberley T Jackson, Panagiota Tryphonopolous, Julia Y Yates, Katie J Shillington, Tara Mantler","doi":"10.34763/jmotherandchild.20242801.d-24-00001","DOIUrl":"10.34763/jmotherandchild.20242801.d-24-00001","url":null,"abstract":"<p><p>Intimate partner violence (IPV) includes multiple forms of harm inflicted on an intimate partner. Experiences of IPV impact mental and physical health, social relationships, and parenting and resilience may play an important role in how women overcome these detrimental effects. There is little research on how resilience relates to mothers' experience of IPV. We explored the role of resilience in the context of mothers who have experienced IPV in rural settings via semi-structured interviews with six women and 12 service providers. The relationship between resilience and motherhood was a common theme across all narratives. From this theme emerged three subthemes: 1) breaking the cycle of abuse; 2) giving children the \"best life\"; and 3) to stay or to leave: deciding \"for the kids\". Findings underscore the importance of supporting rural women who experience violence in cultivating their resilience and consideration of policy changes which support trauma- and violence-informed care.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"51-60"},"PeriodicalIF":0.0,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11200162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of mother and childPub Date : 2024-06-26eCollection Date: 2024-02-01DOI: 10.34763/jmotherandchild.20242801.d-24-00020
Łukasz Wieprzowski, Zbigniew Surowiec, Ewa Sawicka, Andrzej Brudnicki
{"title":"Surgical Treatment of Lip Pits in Van der Woude Syndrome: A Preliminary Retrospective Study of 24 Patients.","authors":"Łukasz Wieprzowski, Zbigniew Surowiec, Ewa Sawicka, Andrzej Brudnicki","doi":"10.34763/jmotherandchild.20242801.d-24-00020","DOIUrl":"10.34763/jmotherandchild.20242801.d-24-00020","url":null,"abstract":"<p><strong>Background: </strong>Van der Woude syndrome (VWS) is a rare congenital malformation characterized by lower lip pits among patients with a lip and/or palate cleft. It is transmitted by an autosomal dominant inheritance with variable expressivity.</p><p><strong>Methods: </strong>The study group consisted of 24 consecutive patients (13 males and 11 females) with VWS operated on at a single center between 2009 and 2022. They suffered from: bilateral cleft lip and palate - 6 patients; unilateral cleft lip and palate - 9 patients; cleft lip - 1 patient; and isolated cleft palate - 8 patients.</p><p><strong>Results: </strong>In 16 (66%) cases pits of lower lip occurred on both side of midline, while in 8 (34%) the pits were detected unilaterally. The primary cleft repairs were performed according to one-stage principle at the mean age of 8.6 months (SD 1.4, range 6-12). In all patients lower lip pits repairs were performed after the primary cleft repairs as a separate procedure at the mean age of 37 months (SD 11.3 range 14-85). The mean number of all primary repairs of the syndrome-both cleft defect and lower lip pits repairs-was 2.46. Nine patients (37.5%) required additional secondary corrections of the lower lip due to the poor aesthetic post-operative outcome.</p><p><strong>Conclusions: </strong>The frequent need for secondary corrections of residual lower lip deformities indicates the considerable difficulties in obtaining a satisfactory outcome of the repairs to lip pits caused by VWS. The average number of the primary surgical interventions in evaluated material remained low.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"45-50"},"PeriodicalIF":0.0,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11200161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analysis of a Pharmacy Developed, Outpatient Lactation Consultant Initiated Domperidone Programme.","authors":"Katherine Chinnery, Stephanie Wai Khuan Teoh, Tamara Lebedevs, Myra Kildunne, Nabeelah Mukadam","doi":"10.34763/jmotherandchild.20242801.d-23-00093","DOIUrl":"10.34763/jmotherandchild.20242801.d-23-00093","url":null,"abstract":"<p><strong>Background: </strong>Domperidone is a commonly prescribed galactagogue used off-label for lactation insufficiency. Prescriber unfamiliarity or safety concerns can lead to therapeutic delay and potential early breastfeeding discontinuation. To facilitate access, the study site pharmacy department developed a Structured Administration and Supply Arrangement (SASA) for International Board-Certified Lactation Consultants (IBCLC) to screen and initiate domperidone using a checklist.</p><p><strong>Material: </strong>To validate a domperidone screening tool via analysis of its use and compliance, together with a staff satisfaction survey.</p><p><strong>Methods: </strong>Records were extracted from the REDCap® database for women with documented domperidone supply between 06/05/2022 and 27/01/2023 and reviewed with medical records. A staff survey was distributed assessing compliance and attitudes towards the SASA.</p><p><strong>Results: </strong>Records of supply revealed that 34% (17/50) of patients were referred to a physician, revealing a discrepancy between database documentation and checklists, as no referrals were documented. Overall staff satisfaction with the SASA was rated 4.6 out of 5. 77.7% (7/9) felt confident counselling and supplying domperidone with the SASA in place. 88.9% (8/9) felt confident using the checklist to identify the appropriateness of therapy and referral to a physician.</p><p><strong>Conclusions: </strong>The system in place allows the IBCLCs to initiate and supply domperidone in a timely manner to breastfeeding mothers with lactation insufficiency. The support tools, including domperidone SASA, REDCap® documentation database and the checklist domperidone as a Galactagogue Checklist, can be greatly appreciated by the LCs. Continued discussion with IBCLCs to refine and improve the SASA and associated education package will result in more consistent compliance.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"23-32"},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11027032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of Biochemical Bone Turnover Markers in Polish Healthy Children and Adolescents.","authors":"Joanna Gajewska, Magdalena Chełchowska, Grażyna Rowicka, Witold Klemarczyk, Ewa Głąb-Jabłońska, Jadwiga Ambroszkiewicz","doi":"10.34763/jmotherandchild.20242801.d-23-00105","DOIUrl":"10.34763/jmotherandchild.20242801.d-23-00105","url":null,"abstract":"<p><strong>Background: </strong>Assessing bone turnover in paediatric populations is crucial for understanding the physiological changes occurring during skeletal development and identifying potential abnormalities. The objective of this study was to assess osteocalcin (OC), bone alkaline phosphatase (BALP), and C-terminal telopeptide of type I collagen (CTX-I) levels reflecting bone formation and resorption for age and sex in Polish healthy children and adolescents.</p><p><strong>Materials and methods: </strong>A total of 355 healthy normal-weight children and adolescents (46.5% girls) aged 1-18 years old were recruited. Total body less head (TBLH) and spine L1-L4 were used in children to assess bone mineral density (BMD) by dual-energy X-ray absorptiometry (DXA). Bone marker concentrations were determined by immunoenzymatic methods.</p><p><strong>Results: </strong>Bone marker levels in girls and boys started with higher values in the first year of life and subsequently decreased until reaching a nadir during the prepubertal period. The pubertal peak values of bone markers were reached at 11-13 years old in boys and at 9-11 years old in girls. After puberty, the adolescents showed a gradual decline in bone marker concentrations to the values observed in adults. We found positive correlations between OC level and TBLH-BMD (r = 0.329, p = 0.002), TBLH-BMD Z-score (r = 0.245, p = 0.023), and L1-L4 BMD (r = 0.280, p = 0.009) in the prepubertal group.</p><p><strong>Conclusions: </strong>We showed serum levels of bone turnover markers-BALP, OC, and CTX-I-in relation to age and sex in healthy Polish children and adolescents. The age intervals of these markers for girls and boys aged 1-18 years old may be clinically useful in the assessment of bone metabolism in individuals with skeletal disorders.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"14-22"},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11027035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of mother and childPub Date : 2024-04-19eCollection Date: 2024-02-01DOI: 10.34763/jmotherandchild.20242801.d-24-00010
Sergio Agudelo-Pérez, Gloria Troncoso, Alejandra Roa, Ana Gabriela Ariza, Georgina Doumat, Natalia M Reinoso, Daniel Botero-Rosas
{"title":"Cerebral rScO2 Measured by Near-Infrared Spectroscopy (NIRS) During Therapeutic Hypothermia in Neonates with Hypoxic-Ischemic Encephalopathy: A Systematic Review.","authors":"Sergio Agudelo-Pérez, Gloria Troncoso, Alejandra Roa, Ana Gabriela Ariza, Georgina Doumat, Natalia M Reinoso, Daniel Botero-Rosas","doi":"10.34763/jmotherandchild.20242801.d-24-00010","DOIUrl":"10.34763/jmotherandchild.20242801.d-24-00010","url":null,"abstract":"<p><strong>Introduction: </strong>Perinatal asphyxia, a leading cause of neonatal mortality and neurological sequelae, necessitates early detection of pathophysiological neurologic changes during hypoxic-ischaemic encephalopathy (HIE). This study aimed to review published data on rScO2 monitoring during hypothermia treatment in neonates with perinatal asphyxia to predict short- and long-term neurological injury.</p><p><strong>Methods: </strong>A systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Study identification was performed through a search between November and December 2021 in the electronic databases PubMed, Embase, Lilacs, Scopus, Web of Science, and Cochrane Central Register of Controlled Trials (CENTRAL). The main outcome was short-term (Changes in brain magnetic resonating imaging) and long-term (In neurodevelopment) neurological injury. The study protocol was registered in PROSPERO (International Prospective Register of Systematic Reviews) with CRD42023395438.</p><p><strong>Results: </strong>380 articles were collected from databases in the initial search. Finally, 15 articles were selected for extraction and analysis of the information. An increase in rScO2 measured by NIRS (Near-infrared spectroscopy) at different moments of treatment predicts neurological injury. However, there exists a wide variability in the methods and outcomes of the studies.</p><p><strong>Conclusion: </strong>High rScO2 values were found to predict negative outcomes, with substantial discord among studies. NIRS is proposed as a real-time bedside tool for predicting brain injury in neonates with moderate to severe HIE.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"33-44"},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11027033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of mother and childPub Date : 2024-03-05eCollection Date: 2024-02-01DOI: 10.34763/jmotherandchild.20242801.d-23-00115
Aleksandra Warchoł, Przemko Kwinta
{"title":"Nutrition of Newborns with Hypoxic-Ischaemic Encephalopathy during Therapeutic Hypothermia - A Survey of Practice in Polish Neonatal Care Units.","authors":"Aleksandra Warchoł, Przemko Kwinta","doi":"10.34763/jmotherandchild.20242801.d-23-00115","DOIUrl":"10.34763/jmotherandchild.20242801.d-23-00115","url":null,"abstract":"<p><strong>Background: </strong>The nutritional practice for newborns with hypoxic-ischaemic encephalopathy during therapeutic hypothermia differs among Polish neonatal care units, as no guidelines are provided. We assessed the prevailing procedures.</p><p><strong>Material and methods: </strong>Data was collected through an anonymous, web-based questionnaire. We surveyed aspects of the current nutritional practices and the reasoning behind the choice of the feeding strategy.</p><p><strong>Results: </strong>Thirty-one responses were obtained (31/33, 94%). Based on participants' estimations, 342 newborns are diagnosed with hypoxic-ischaemic encephalopathy and qualified for therapeutic hypothermia annually. Among them, almost ⅓ is fed exclusively parenterally, while 71% both ways-parenterally and enterally. In the vast majority of units, the introduction of enteral nutrition takes place during the first 48 hours of therapeutic hypothermia, and breast milk is primarily provided, although with substantial first feeding volume differentiation (an average of 2,9 ml/kg (0,3 - 10ml/kg)). Adverse events, such as necrotising enterocolitis, sepsis, and glycemia level disturbances that derive from the initiation of enteral nutrition, are difficult to estimate as no official statistics are provided.</p><p><strong>Conclusions: </strong>The majority of newborns after hypoxic-ischaemic encephalopathy treated with therapeutic hypothermia are fed both parenterally and enterally during the procedure, predominantly with expressed or donor breast milk. However, due to the lack of nutritional guidelines, significant variability of nutritional strategies concerning initiation time, type and volume of enteral feeds given is noted. Therefore, further studies are required to clarify feeding recommendations.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"8-13"},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10911959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of mother and childPub Date : 2024-02-27eCollection Date: 2024-02-01DOI: 10.34763/jmotherandchild.20242801.d-23-00060
Rita P Verma, Deepank Sahni, Joshua Fogel
{"title":"Bolus Feeding Via Gastric Versus Oral Routes in Very Preterm Neonates.","authors":"Rita P Verma, Deepank Sahni, Joshua Fogel","doi":"10.34763/jmotherandchild.20242801.d-23-00060","DOIUrl":"10.34763/jmotherandchild.20242801.d-23-00060","url":null,"abstract":"<p><strong>Background: </strong>We intend to investigate the association of bolus orogastric tube (BOG) and nipple bottle (N) feedings with postnatal growth in very premature neonates (VPN: gestational age between 28 and 33 weeks).</p><p><strong>Material and methods: </strong>The days of life (DOL) to achieve full combined oral and gastric enteral nutrition (FEN) and attain body weight (BW) of 2200 g (Wt22) and the length of hospitalization (LOH) were retrospectively associated with clinical and BOG and N feeding-related variables via multivariate regression analyses. Correlations were performed to ascertain the strength of associations.</p><p><strong>Results: </strong>In a cohort of 127 VPN, FEN demonstrated negative associations with gestational age (GA) and LOH and Wt22 with birth weight (BW). FEN showed positive associations with nil by mouth and intravenous fluid-nutrition days and with DOL to start and achieve full nipple feeding. LOH was associated with days on antibiotics and DOL to start and achieve full nipple feeding. Wt22 was associated with DOL to achieve full nipple feeding. The start day of BOG feeding had no independent associations and weak, highly significant positive correlations with Wt22, LOH, and FEN.</p><p><strong>Conclusion: </strong>Bolus orogastric tube feeding has no independent implications for postnatal growth, duration of hospitalization, or chronological age to attain full enteral nutrition in VPN unless combined with nipple feeding to provide enteral nutrition. Oral bottle feeding accelerates postnatal catch-up growth and full enteral nutrition acquisition while reducing hospitalization duration. Initiating nipple feeding at 32 weeks of postmenstrual age may be safe in stable VPN. Antibiotic therapy increases hospitalization duration.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"28 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10898621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}