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Related Experiment Videos

Feeding-facilitating techniques for the nursing infant with Robin sequence.

Edamil Nassar1, Ilza Lazarinni Marques, Alceu Sergio Trindade

  • 1Hospital de Reabilitação de Anomalias Craniofaciais, University of São Paulo, Bauru, Brazil.

The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
|January 13, 2006
PubMed
Summary

Feeding-facilitating techniques improved oral feeding in infants with Robin sequence. These methods, including specialized bottle nipples and positioning, significantly increased milk intake and reduced feeding times.

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Area of Science:

  • Pediatrics
  • Craniofacial Anomalies
  • Neonatal Care

Background:

  • Robin sequence is a congenital condition characterized by micrognathia, glossoptosis, and airway obstruction.
  • Feeding difficulties are common in infants with Robin sequence due to glossoptosis, impacting oral intake and growth.
  • Effective feeding strategies are crucial for the management of infants with this condition.

Purpose of the Study:

  • To evaluate the efficacy of specific feeding-facilitating techniques in infants diagnosed with Robin sequence.
  • To compare the outcomes of two different management approaches for feeding in these infants.

Main Methods:

  • A study involving 26 infants under 2 months old with Robin sequence, all experiencing respiratory obstruction solely from glossoptosis.
  • Two groups were formed: 13 infants managed with prone positioning (Group 1) and 13 with nasopharyngeal intubation (Group 2).

Related Experiment Videos

  • Both groups received daily feeding-facilitating interventions including pacifier use, tongue massage, specialized bottle nipples, specific positioning, and nipple manipulation during feeding.

    • Main Results:

    • Initially, Group 1 (prone position) consumed 36.15 mL in 44.62 minutes, while Group 2 (intubation) consumed 20.00 mL in 30.38 minutes.
    • After a mean of 10.7 days, both groups showed a significant increase in oral milk volume (Group 1: 63.46 mL; Group 2: 55.00 mL) (p < .01).
    • The mean duration of feeding sessions decreased in both groups, indicating improved efficiency.

    Conclusions:

    • Feeding-facilitating techniques are effective in promoting oral feeding in infants with Robin sequence.
    • These techniques can help overcome feeding challenges associated with glossoptosis.
    • The study highlights the potential of non-invasive methods to improve nutritional intake in this population.