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Comparison of Efficacy Between Paladai and Syringe Feeding in Stable Preterm Neonates-A Randomized Control Trial

Deepti Thandaveshwara1, Shivangi Ganeshan1, Srinivasa Murthy Doreswamy1

  • 1Department of Pediatrics, JSS Medical College, JSS Academy of Higher Education and Research, Mysore, India.

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
|December 6, 2021
PubMed

Insights

Syringe feeding for preterm neonates showed no significant difference in milk spillage compared to paladai feeding. However, nurses reported higher satisfaction with syringe feeding methods.

Area of Science:

  • Neonatal care
  • Pediatric nutrition
  • Clinical research

Background:

  • Preterm neonates' feeding abilities vary with maturity.
  • Oral feeding methods like cup/spoon or paladai are used.
  • Milk spillage with paladai feeding is a noted issue.

Purpose of the Study:

  • To compare milk spillage between paladai and syringe feeding in neonates.
  • To evaluate feeding efficiency and safety outcomes.
  • To assess nurse satisfaction with different feeding methods.

Main Methods:

  • Randomized trial with 75 nurse-baby pairs.
  • Comparison of paladai versus syringe feeding.
  • Measurement of milk spillage, feeding time, and adverse events.

Main Results:

  • No significant difference in median milk spillover volume (paladai: 3.33 mL, syringe: 3.23 mL).
  • Similar feeding completion times and rates between groups.
  • 70% of nurses reported greater satisfaction with syringe feeding.

Conclusions:

  • Syringe feeding does not increase milk spillage compared to paladai feeding.
  • Syringe feeding offers improved nurse satisfaction.
  • Further research on syringe feeding practices in neonates is warranted.

Keywords:
neonatespaladaipretermsyringe feeding

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