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Performance on Paladai Feeding of Preterm Infants with Bronchopulmonary Dysplasia

Chandra Kumar Natarajan1, Mari Jeeva Sankar1, Ramesh Agarwal2

  • 1Division of Neonatology, Department of Pediatrics, Newborn Health Knowledge Centre, All India Institute of Medical Sciences, New Delhi, 110029, India.

Indian Journal of Pediatrics
|December 15, 2018
PubMed

Insights

Infants with bronchopulmonary dysplasia (BPD) fed using a paladai demonstrated comparable feeding performance to those without BPD. Paladai feeding is a safe method to support oral feeding transitions in infants with BPD.

Area of Science:

  • Neonatal Medicine
  • Pediatric Nutrition
  • Respiratory Medicine

Background:

  • Bronchopulmonary dysplasia (BPD) is a chronic lung disease affecting preterm infants.
  • Feeding difficulties are common in infants with BPD, impacting growth and development.
  • Alternative feeding methods are explored to support oral feeding transitions.

Purpose of the Study:

  • To evaluate and compare the feeding performance of infants with BPD versus those without BPD when using paladai feeding (PF).
  • To assess the safety and efficacy of paladai feeding in facilitating oral feeding in infants with BPD.

Main Methods:

  • A cross-sectional study involving 19 infants (27-32 weeks gestation) in North India.
  • Infants were divided into a BPD group (n=9) and a 'No BPD' group (n=10).
  • Paladai feeding sessions were video-recorded, and feeding performance metrics (proficiency, efficiency, overall transfer) were analyzed, along with physiological changes (heart rate, oxygen saturation).

Main Results:

  • No significant differences were observed in postmenstrual age at first successful feeding between the BPD and 'No BPD' groups.
  • Feeding performance metrics, including proficiency, efficiency, and overall feed transfer, were comparable between the two groups.
  • Changes in heart rate and oxygen saturation during paladai feeding did not significantly differ between infants with and without BPD.

Conclusions:

  • Infants with bronchopulmonary dysplasia exhibit comparable feeding performance when using paladai feeding.
  • Paladai feeding can be safely implemented to aid the transition to oral feeding in infants diagnosed with BPD.
Abstract

Keywords:
Bronchopulmonary dysplasiaPaladai feedingPreterm

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