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Preliminary findings: a maximum oral feeding time for premature infants, the relationship to physiological indicators

A S Hill

    Maternal-Child Nursing Journal
    |January 1, 1992
    PubMed

    Insights

    This study monitored preterm infants during feeding, finding a link between formula intake and respiratory rate. No maximum stressful nippling time was identified, but birthweight correlated with the first nipple feed timing.

    Area of Science:

    • Neonatal Physiology
    • Pediatric Nutrition
    • Clinical Monitoring

    Background:

    • Preterm infants often require specialized feeding support.
    • Monitoring physiological responses during feeding is crucial for infant well-being.
    • Nippling can be a stressor for vulnerable infants.

    Purpose of the Study:

    • To identify a maximum stressful nippling duration during infant feeding.
    • To examine the relationship between nipple feeding and clinical stress indicators.
    • To correlate formula intake, physiological variables, and infant birthweight with feeding initiation.

    Main Methods:

    • Continuous monitoring of oxygen saturation (SaO2), pulse rate (PR), and respiratory rate (RR) in 21 preterm infants.
    • Data collected at 3-minute intervals during feeding sessions using pulse oximetry.
    • Statistical analysis including repeated analysis of variance and correlational analysis.

    Main Results:

    • No significant changes in SaO2, PR, or RR from baseline were observed during feeding.
    • A significant positive correlation was found between the amount of formula consumed in the first 3 minutes and respiratory rate (r = .69, p = .001).
    • A significant relationship was confirmed between infant birthweight and the time to the first nipple feed (p < .05).

    Conclusions:

    • The study did not establish a maximum stressful nippling time based on the physiological measures.
    • Early formula intake is significantly associated with respiratory rate during feeding in preterm infants.
    • Birthweight is a significant factor influencing the timing of the initial nipple feed in preterm neonates.

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