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Effects of two different feeding positions on physiological characteristics and feeding performance of preterm

Burcu Aykanat Girgin1, Duygu Gözen2, Güner Karatekin3

  • 1Faculty of Health Sciences Pediatric Nursing Department, Çankırı Karatekin University, Çankırı, Turkey.

Journal for Specialists in Pediatric Nursing : JSPN
|March 6, 2018
PubMed

Insights

The semielevated side-lying (ESL) position improves oxygen saturation and heart rate stability in preterm infants during bottle-feeding compared to the semielevated supine (ESU) position. This makes ESL a recommended feeding position for preterm infants.

Area of Science:

  • Neonatal care
  • Pediatric physiology
  • Clinical nutrition

Background:

  • Preterm infants often experience physiological instability during bottle-feeding.
  • Current feeding positions may not optimize cardiorespiratory stability.
  • Optimizing feeding positions is crucial for preterm infant well-being.

Purpose of the Study:

  • To compare the effects of semielevated side-lying (ESL) and semielevated supine (ESU) positions on preterm infants' physiological status during bottle-feeding.
  • To evaluate the impact of these positions on feeding performance and cardiorespiratory parameters.

Main Methods:

  • A randomized controlled study involving 80 preterm infants (gestational age ≤ 31 weeks).
  • Infants were randomized into ESL (n=38) and ESU (n=42) groups.
  • Physiological parameters (SpO2, heart rate) and feeding performance were monitored before, during, and after feeding using pulse oximetry and video recording.

Main Results:

  • Infants in the ESL group exhibited significantly higher SpO2 (96.77% ± 2.51) and lower heart rates (155.87 bpm ± 11.18) during feeding compared to the ESU group (SpO2: 93.48% ± 5.63; HR: 164.35 bpm ± 6.00).
  • The ESU position was associated with greater decreases in oxygen saturation and increases in heart rate during feeding compared to baseline.
  • The ESL position demonstrated better physiological stabilization during feeding.

Conclusions:

  • The semielevated side-lying (ESL) position offers significant benefits for preterm infants' oxygen saturation and heart rate regulation during bottle-feeding.
  • ESL promotes better physiological stability compared to the semielevated supine (ESU) position.
  • The ESL position is recommended for bottle-feeding preterm infants to enhance cardiorespiratory stability and feeding performance.
Abstract

Keywords:
feedingpositionpreterm infantsemielevated side-lyingsemielevated supine

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