Novel feeding system to promote establishment of breastfeeds after preterm birth: a randomized controlled trial

作者：Simmer, K.^*; Kok, C.; Nancarrow, K.; Hepworth, A. R.; Geddes, D. T.

来源：Journal of Perinatology, 2016, 36(3): 210-215.

DOI：10.1038/jp.2015.184

• INTRAORAL VACUUM
• TONGUE MOVEMENT
• WEIGHT INFANTS
• MILK
• SUCKING
• CONFUSION
• CARE

OBJECTIVE: We aimed to determine if a novel feeding system where milk only flowed when the preterm infant created a vacuum would influence time to full oral feeds, the length of stay (LOS) in hospital and breastfeeding at discharge. @@@ STUDY DESIGN: This was a randomized controlled trial in the tertiary neonatal intensive care unit at King Edward Memorial Hospital, Perth, Australia. Eligibility criteria were: preterm infants of gestational age 25 to 34 weeks receiving >75% human milk by gastric tube. Infants were randomly assigned to being fed with a novel teat (NT) or conventional teat (CT). Intention to treat analysis was performed. @@@ RESULT: Time to full suck feeds was not different between groups. LOS was shorter (mean: 2.5 days; P=0.026) and less formula was fed at discharge in the NT group (P=0.036). @@@ CONCLUSION: Use of a NT that releases milk when the infant applies vacuum while establishing breastfeeding reduces duration of hospitalization of preterm infants.

• 出版日期2016-3