109 RISK FACTORS FOR POOR ORAL FEEDING PROGRESSION IN PREMATURE INFANTS
| Autor: | S. C. Alder, Jerald D. King, A. T. Kirk |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Pediatrics
medicine.medical_specialty business.industry Incidence (epidemiology) Psychological intervention Postmenstrual Age Apnea General Medicine Chorioamnionitis medicine.disease General Biochemistry Genetics and Molecular Biology medicine GERD Vocal cord paralysis medicine.symptom business Oral feeding |
| Zdroj: | Journal of Investigative Medicine. 54:S98.4-S98 |
| ISSN: | 1708-8267 1081-5589 |
| Popis: | Background Preterm infants may be at risk to develop oral feeding difficulties secondary to immature development and comorbidities associated with prematurity. We have shown that the use of cue-based oral feeding guidelines enabled preterm infants to attain full volume oral feeding at an earlier postmenstrual age (PMA) when compared to historical controls, without compromising growth. By using the guidelines, we could identify infants whose oral feeding progressed much slower than average. These infants and those who failed to attain full oral feeding at hospital discharge may have certain characteristics that cause them to have problems with oral feeding. Purpose To identify the risk factors that contributed to abnormal oral feeding progression. Design Preterm infants ( Results No differences in sex, income, race, maternal education, or age were found between groups. A significant difference among the 3 groups was noted for RDS requiring surfactant (36%, 46%, 80%) and oxygen need at discharge (14%, 21%, 70%), with the lowest percent in the fast feeder group and the highest percent in the failed feeding group. Those that failed oral feedings also had a significantly higher incidence of maternal chorioamnionitis, bloodstream infection, grade 3 or 4 IVH, PVL, apnea, vocal cord paralysis following PDA ligation, and concern for severe GERD when compared to the other two groups (p Conclusion There are multiple factors that may help predict which infants are at risk to fail oral feeding. Certain factors may be amenable to different management. We speculate that targeting interventions for infants with these factors will facilitate their oral feeding progression. |
| Databáze: | OpenAIRE |
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