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Published on: September 22, 2023
Evaluation of paladai cup feeding in breast-fed preterm infants compared with bottle feeding
1Department of Speech and Language Therapy, Hammersmith Hospitals NHS Trust, Queen Charlottes and Chelsea Hospital, Du Cane Road, London, United Kingdom. Aaloysius@hhnt.nhs.uk
Insights
This pilot study compared paladai cup feeding to bottle feeding in preterm infants. Paladai feeding resulted in more spillage and feeding time, with increased infant stress cues.
Area of Science:
- Neonatal nutrition and feeding methods.
- Infant development and care.
Background:
- Bottle feeding is common for preterm infants, but alternative methods are explored.
- Evaluating feeding devices requires standardized, objective assessment techniques.
Purpose of the Study:
- To develop and pilot a procedure for comparing paladai cup feeding to bottle feeding in preterm infants.
- To assess feeding efficiency, infant physiological stability, and feeding experience.
Main Methods:
- Utilized weighed napkins to quantify milk spillage.
- Employed video analysis to measure volume consumed and feeding duration.
- Monitored physiological stability and observed infant stress cues during feeding sessions.
Main Results:
- Paladai cup feeding was associated with increased milk spillage compared to bottle feeding.
- Feeding duration was longer with the paladai cup.
- Infants exhibited more stress cues during paladai cup feeding sessions.
Conclusions:
- The developed procedure provides an objective method for evaluating infant feeding devices.
- Paladai cup feeding may present challenges for preterm infants, including increased spillage and feeding time.
- Further research is needed to optimize paladai cup use or explore alternative feeding strategies for preterm infants.
Abstract:
This pilot study developed an appropriate procedure to evaluate the paladai cup compared to bottle feeding in preterm infants, using weighed napkins and video analysis to assess amount of spillage, volume consumed, time taken and physiological stability. Paladai results demonstrated increased spillage, increased feed times with more stress cues.
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