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Evaluation of Pulse Rate, Oxygen Saturation, and Respiratory Effort after Different Types of Feeding Methods in

Dipen Vasudev Patel1, Dharti Shah2, Kunjal A Kantharia2

  • 1Department of Neonatology, Pramukhswami Medical College, Shree Krishna Hospital, Charutar Arogya Mandal, Bhaikaka University, Karamsad, Gujarat, India.

International Journal of Pediatrics
|June 24, 2022
PubMed

Insights

Feeding methods significantly impact vital signs in preterm infants. Respiratory rate and oxygen saturation changed with different feeding types and postmenstrual age, highlighting the need for further research.

Area of Science:

  • Neonatal care
  • Pediatric physiology
  • Clinical nutrition

Background:

  • Preterm newborns receive various feeding methods including breastfeeding, spoon feeding, and gavage feeding.
  • Each feeding method may differentially affect vital parameters in hospitalized preterm infants.

Purpose of the Study:

  • To investigate changes in vital parameters (respiratory rate, pulse rate, oxygen saturation) in preterm newborns.
  • To assess the relationship between feeding methods (breastfeeding, spoon/paladai, gavage) and postmenstrual age (PMA) on these vital parameters.

Main Methods:

  • Prospective observational study in a tertiary neonatal unit.
  • Inclusion of physiologically stable preterm newborns (<37 weeks PMA) on full enteral feeds.
  • Monitoring of respiratory rate, pulse rate, and oxygen saturation before and up to 3 hours post-feeding.

Main Results:

  • No instances of chest indrawing or nasal flaring were observed post-feeding.
  • Vital parameters showed significant changes within 3 hours after feeding, except in the gavage feeding group.
  • Mean pulse rate remained stable, while mean respiratory rate and oxygen saturation varied significantly with PMA.

Conclusions:

  • Feeding methods and postmenstrual age influence vital parameter changes in preterm infants.
  • Gavage feeding appears to have a less pronounced effect on immediate vital parameter fluctuations.
  • Further multicenter studies are recommended to comprehensively understand these effects.
Abstract

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