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Bottle-feeding behaviors in preterm infants with and without bronchopulmonary dysplasia
Tsu-Hsin Howe1, Ching-Fan Sheu, Ian R Holzman
1School of Occupational Therapy, College of Medicine, National Taiwan University, Taiwan.
Insights
Infants with bronchopulmonary dysplasia (BPD) show immature sucking patterns and longer hospital stays for oral feeding. Feeding transition rates may be a better indicator for discharge readiness in these preterm infants.
Area of Science:
- Neonatal care
- Pediatric respiratory medicine
Background:
- Bronchopulmonary dysplasia (BPD) is a chronic lung disease affecting preterm infants.
- Impaired oral feeding is a common challenge in infants with BPD.
Purpose of the Study:
- To compare bottle-feeding behaviors in preterm infants with and without BPD.
- To identify potential indicators for discharge readiness in infants with BPD.
Main Methods:
- Retrospective analysis of medical records from 41 preterm infants with BPD and 99 without BPD.
- Comparison of sucking characteristics and feeding transitional rates during initial hospitalization.
Main Results:
- Infants with BPD exhibited immature sucking patterns at discharge.
- Infants with BPD required longer hospital stays to achieve full oral feeding compared to controls.
- No significant differences were observed in feeding duration or need for oral support.
Conclusions:
- Feeding transitional rate may be a more reliable discharge indicator for infants with BPD than sucking patterns.
- Further research is needed to validate feeding transition rates as discharge criteria.
Objective:
This study compared bottle-feeding behaviors in preterm infants with and without bronchopulmonary dysplasia (BPD) during the initial hospitalization.
Method:
Individual sucking characteristics and feeding transitional rates were compared in 41 preterm infants (22 boys, 19 girls) with BPD and 99 infants (44 boys, 55 girls) without BPD. Observations of the first bottle feeding and observations of the last feeding before discharge were obtained from medical records of all infants retrospectively.
Results:
On discharge, infants with BPD, unlike those without BPD, continued to have an immature sucking pattern and required longer hospital stays to attain full oral feeding (p < .001). No differences were found between the BPD and non-BPD groups in time needed for feeding and use of oral support.
Conclusion:
These results suggest that feeding transitional rate, rather than sucking pattern, may be a better discharge indicator for infants with BPD.
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