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[The child in digestive resuscitation]
Archives Francaises De Pediatrie
|December 1, 1978
Insights
Infants receiving total parenteral nutrition followed by gastrointestinal feeding experienced feeding challenges primarily due to extended hospital stays and separation from parents, not feeding techniques.
Area of Science:
- Pediatric Gastroenterology
- Neonatal Nutrition
Context:
- Infants requiring nutritional support during the early neonatal period (10-90 days of life).
- Transition from intravenous (total parenteral nutrition) to enteral (gastrointestinal tract) feeding methods.
Purpose:
- To investigate the factors influencing feeding resumption in infants previously on total parenteral nutrition.
- To differentiate between technical feeding difficulties and environmental factors affecting oral intake.
Summary:
- Studied 21 children who underwent total parenteral nutrition followed by continuous gastrointestinal infusion.
- Feeding difficulties upon resuming normal feeding were associated with prolonged hospitalization, parental separation, and reduced adult contact.
- Technical aspects of feeding were found to be less significant contributors to these challenges.
Impact:
- Highlights the crucial role of hospital environment and parental involvement in infant feeding rehabilitation.
- Informs clinical practice regarding strategies to mitigate feeding issues in neonates transitioning to oral diets.
- Emphasizes a holistic approach to infant nutrition, considering psychosocial factors alongside medical interventions.
Abstract:
Twenty one children who had total parenteral nutrition followed by a constant infusion into the gastrointestinal tract between the 10th and 90th day of life were studied. When normal feeding is resumed the difficulties are related to the lengths of hospital stay, separation from the parents and the lack of contact with adults more than to the techniques of feeding themselves.