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An alternative supplemental feeding method for preterm infants: the supplemental feeding tube device
Müjde Çalıkuşu İncekar1, Seda Çağlar2, Fatma Kaya Narter3
1Department of Pediatric Nursing, Faculty of Health Sciences, Yüksek İhtisas University, Ankara, Turkey
Insights
The supplemental feeding tube device (SFTD) and bottle feeding methods showed similar outcomes for preterm infant weight gain, breastfeeding success, and hospital stay duration. Both methods supported improved breastfeeding scores over time.
Area of Science:
- Neonatal care
- Infant nutrition
- Lactation studies
Background:
- Preterm infants often require specialized feeding support.
- Evaluating different feeding methods is crucial for optimizing infant outcomes.
- Breastfeeding success and duration are key indicators in neonatal care.
Purpose of the Study:
- To compare the effects of the supplemental feeding tube device (SFTD) and standard bottle feeding.
- To assess impacts on weight gain in preterm infants.
- To evaluate transition to full breastfeeding, breastfeeding success, and hospital discharge duration.
Main Methods:
- A randomized controlled trial involving 46 preterm infants.
- Infants were divided into two groups: SFTD (study) and bottle (control).
- Data collected using information forms, infant feeding follow-up, and the LATCH breastfeeding assessment instrument.
Main Results:
- No statistically significant difference in daily weight gain between the SFTD and bottle groups.
- Infants in the SFTD group transitioned to full breastfeeding slightly earlier (4.70 days vs. 6.00 days).
- LATCH scores improved significantly in both groups; discharge duration was shorter in the SFTD group, though not statistically significant.
Conclusions:
- The supplemental feeding tube device (SFTD) and bottle feeding methods demonstrate comparable effectiveness.
- Both methods support positive breastfeeding outcomes and infant weight gain.
- Further research may explore subtle differences in discharge duration and transition to breastfeeding.
Background/Aim:
The purpose of this study was to determine the effects of the supplemental feeding tube device (SFTD) and bottle methods on weight gain, transition to full breastfeeding, breastfeeding success, and duration of discharge in preterm infants.
Materials And Methods:
This randomized controlled trial was conducted with a total of 46 preterm infants including 23 infants in study (SFTD) and control (bottle) groups. An information form, an infant follow-up form for feeding, and LATCH breastfeeding assessment instrument were used to collect the data.
Results:
The gestation week of the infants in the study group was 31.22 ± 2.76, and in the control group it was 30.52 ± 2.47. The birth weight of the infants in the study group was 1586.3 ± 525.35 g and 1506.09 ± 454.77 g in the control group. The daily weight gain of the infants was 24.09 ± 15.21 g in the study group and 27.17 ± 17.63 g in the control group. The infants in the study group (4.70 ± 2.44 days) transitioned to full breastfeeding earlier than those in the control group (6.00 ± 4.10 days). LATCH 2nd measurement scores were significantly higher in both groups than LATCH 1st measurement scores (p < 0.01). Although it was not statistically significant (p > 0.05), the infants in the study group (10.22 ± 5.20 days) were discharged earlier than those in the control group (13.48 ± 8.78 days).
Conclusion:
The SFTD and bottle methods were determined to be similar in terms of daily weight gain, transition to full breastfeeding, breastfeeding success, and duration of hospitalization.
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