Infants with bronchopulmonary dysplasia suckle with weak pressures to maintain breathing during feeding

Katsumi Mizuno1, Yoshiko Nishida, Motohiro Taki

  • 1Showa University of Medicine, Department of Pediatrics, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan. katsuorobi@aol.com

Pediatrics
|September 26, 2007
PubMed

Insights

The severity of bronchopulmonary dysplasia (BPD) significantly impacts preterm infants feeding abilities. Severe BPD correlates with poorer suck-swallow-respiration coordination, reduced sucking endurance, and overall impaired feeding performance.

Area of Science:

  • Neonatal Medicine
  • Pediatric Pulmonology
  • Developmental Pediatrics

Background:

  • Preterm infants with bronchopulmonary dysplasia (BPD) frequently experience feeding challenges.
  • Sucking difficulties are a common concern in infants diagnosed with BPD.

Purpose of the Study:

  • To investigate the relationship between the severity of bronchopulmonary dysplasia (BPD) and feeding capabilities in preterm infants.
  • To assess how BPD severity influences suck-swallow-respiration coordination, sucking endurance, and feeding performance.

Main Methods:

  • Twenty very low birth weight infants were evaluated at 40 weeks' postmenstrual age.
  • Infants were categorized into three groups based on BPD severity: none, BPD without home oxygen, and BPD with home oxygen.
  • Feeding parameters including sucking pressure, frequency, duration, swallows, deglutition apnea, and respiratory rate were measured during bottle-feeding.

Main Results:

  • Infants with severe BPD exhibited the lowest sucking pressure, frequency, and burst duration.
  • Severe BPD was associated with reduced feeding efficiency, fewer swallows per feeding burst, and prolonged deglutition apnea.
  • These infants also showed the highest respiratory rates and the most significant decrease in oxygen saturation during feeding.

Conclusions:

  • Feeding difficulties in preterm infants are directly related to the severity of bronchopulmonary dysplasia.
  • Infants with BPD demonstrate impaired feeding coordination, reduced endurance, and diminished overall feeding performance.
Abstract

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