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Effect of positional management and milk type on digestive health: a retrospective randomised controlled study on
1Affiliated Hospital of Nantong University, Nantong, China.
Insights
Kangaroo care and human milk are beneficial for preterm infant colic. These methods significantly improved colic symptoms and stool type in a study of 313 infants.
Area of Science:
- Neonatal care
- Pediatric gastroenterology
Background:
- Preterm infant colic causes significant parental distress.
- Nantong University Affiliated Hospital treats ~300 pediatric outpatients daily, with ~180 hospitalizations for colic annually.
- Colic management is crucial for infant well-being and parental support.
Purpose of the Study:
- To evaluate the effectiveness of positional management strategies for preterm infant colic.
- To assess the impact of different milk types on colic symptoms in preterm infants.
Main Methods:
- A study of 313 preterm infants treated for colic between February 2021 and December 2022.
- Positional management included lateral, kangaroo care, supine, flexed, and prone positions (125 infants).
- Milk type management involved human milk, formula, and mixed feeding (188 infants).
Main Results:
- Positional management showed significant differences in colic degree and stool type (p<0.05), with kangaroo care being most effective.
- Milk type management also demonstrated significant differences (p<0.05), with human milk yielding the best outcomes.
- Kangaroo care and human milk interventions positively impacted colic severity and stool characteristics.
Conclusions:
- Kangaroo care presents potential advantages for managing colic in preterm infants.
- Exclusive or predominant use of human milk is recommended for preterm infants experiencing colic.
- These findings support non-pharmacological interventions for improved infant comfort and care.
Background:
Preterm infant colic can cause significant distress to the parents. The paediatrics department of the Affiliated Hospital of Nantong University sees an average of approximately 300 outpatient children per day, and an average of about 180 preterm infants are hospitalised annually due to colic.
Purpose:
To assess the relevance of positional management and milk type management to colic in preterm infants.
Methods:
313 cases of preterm infants who underwent colic treatment in the paediatric department of Affiliated Hospital of Nantong University from February 2021 to December 2022 were taken as the study subjects. 125 cases participated in positional management, while 188 cases participated in milk type management, and the samples were not duplicated between the two groups. The positional management was divided into lateral group, kangaroo care group, supine group, flexed group and prone group, and the milk type management was divided into human milk group, formula group and mixed group. A p value of <0.05 difference was considered statistically significant.
Results:
There was a statistically significant difference in the degree of colic and type of stool in position management (p<0.05), with the best performance in the kangaroo care group. There was a statistically significant difference in the degree of colic and type of stools in milk type management (p<0.05), with the human milk group performing the best.
Conclusion:
For preterm infants with colic, kangaroo care may offer potential advantages, and human milk is also recommended whenever possible.
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