早产低体重儿使用 Paladai 杯和 Nifty 杯喂养的比较:一项开放标签随机对照试验。

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Breastfeeding Medicine Pub Date : 2024-07-01 Epub Date: 2024-04-18 DOI:10.1089/bfm.2023.0308
Priya Dharshini Duruvasal, Usha Devi, Utkarsh Patil, Giridhar Sethuraman
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引用次数: 0

摘要

背景:新生儿直观喂养技术(NIFTY)杯式喂养对早产低体重儿是可行的。然而,目前还缺乏将其与巴拉代喂养法进行直接比较的文献。方法:在这项开放标签的随机对照试验中,早产儿(结果:中位数(IQR)为 0.5%,而早产儿(结果:中位数(IQR)为 0.5%)为 0.5%:从开始喂养到完全过渡到全杯喂养至少 24 小时所用时间的中位数(IQR)无显著差异[Nifty 杯组 4(3,7) 天,Paladai 杯组 3(2,6) 天,P = 0.25]。从干预到出院,两组患者体重增加的平均值(±SD)也相似(Nifty 杯组 16 ± 6 克/千克/天,Paladai 杯组 17 ± 5 克/千克/天,P = 0.18)。不良反应没有差异(A 组为 32.9%,B 组为 27.1%,P = 0.580)。护士在向护理人员传授知识的难易程度上未发现任何差异[中位数(IQR)为 Nifty 杯组 4(4,5) 对 Paladai 杯组 4(4,5),p = 0.13]。结论早产儿使用 Nifty 杯喂养和 Paladai 杯喂养的疗效和不良事件发生率相似。早产低体重儿在过渡到直接母乳喂养之前,可以使用这两种喂养方式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Paladai Cup Against Nifty Cup Feeding in Preterm Low-Birth-Weight Infants: An Open-Labeled Randomized Controlled Trial.

Background: Neonatal Intuitive Feeding Technology (NIFTY) cup feeding has been found to be feasible in preterm low-birth-weight babies. However, literature on direct comparison of the same with paladai feeding is lacking. Methods: In this open-labeled, randomized controlled trial, preterm infants (<34 weeks/<1800 g) on full oral gastric tube feeding for at least 3 consecutive days, eligible to be given a trial of suck and swallow cup feeding, prior to initiation of direct breastfeeding, were randomized to the two feeding intervention groups: paladai cup and Nifty cup. The primary outcome was the time taken from initiation of oral cup feeds to reaching complete gavage-free cup feeds for at least 24 hours. Secondary outcomes were the ease of use of both instruments, the adverse effects during and within 10 minutes after feeding, and anthropometric parameters (head circumference and weight gain). Results: The median (IQR) time taken from initiation to complete transition to full cup feeding for at least 24 hours was not significantly different [4(3,7) days in Nifty cup group versus 3(2,6) days in paladai cup group, p = 0.25]. Mean ± SD weight gain from intervention to discharge was also similar in both the groups (16 ± 6 g/kg/day in Nifty cup group versus 17 ± 5 g/kg/day in paladai cup group, p = 0.18). Adverse events did not differ (32.9% in group A versus 27.1% in group B, p = 0.580). Nurses did not find any difference in ease of teaching caregivers [median (IQR) Nifty cup group 4(4,5) versus paladai cup group 4(4,5), p = 0.13]. Conclusion: The efficacy and adverse event rates were similar between Nifty cup feeding and paladai cup feeding in preterm infants. Both feeding modalities can be used prior to transition to direct breastfeeding in preterm low-birth-weight infants.

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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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