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Effects of different fluids on the relationship between swallowing and breathing during nutritive sucking in neonates

Katsumi Mizuno1, Aki Ueda, Tosio Takeuchi

  • 1Division of Neonatology, Chiba Children's Hospital, 5789-1 Heta-Cho, Midori-Ku, Chiba City, Chiba, Japan. katsuorobi@aol.com

Biology of the Neonate
|January 23, 2002
PubMed

Insights

Breast milk feeding in newborns improves swallowing and breathing coordination, reducing aspiration risk. This study highlights breast milk

Area of Science:

  • Neonatal physiology
  • Pediatric nutrition

Background:

  • Infant feeding practices require careful consideration of physiological responses.
  • Coordination between swallowing and breathing is critical for safe infant feeding.

Purpose of the Study:

  • To investigate the impact of different feeding fluids on swallowing-breathing coordination in term infants.
  • To compare the effects of breast milk, formula, and distilled water on cardiorespiratory parameters during bottle feeding.

Main Methods:

  • Observational study involving 10 term infants.
  • Monitoring of sucking pressure, swallowing events, breathing rate, and oxygen saturation during bottle feedings.
  • Analysis of fluid effects on cardiorespiratory coordination.

Main Results:

  • Infants exhibited a significantly higher breathing rate when fed breast milk compared to formula or distilled water.
  • Breast milk consumption was associated with fewer swallows followed by inspiration.
  • Improved coordination between swallowing and breathing was observed with breast milk.

Conclusions:

  • Expressed breast milk is a suitable feeding option for neonates.
  • Breast milk promotes better swallowing-breathing coordination, potentially preventing subclinical aspiration.
  • Findings support the use of breast milk for optimizing infant feeding safety.

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