2.50
Hdl Handle:
http://hdl.handle.net/10755/304064
Category:
Abstract
Type:
Presentation
Title:
Feeding Proficiency and Efficiency for Preterm Infants with BPD
Author(s):
McCain, Gail C.
Lead Author STTI Affiliation:
Alpha Phi
Author Details:
Gail C. McCain, PhD, RN, FAAN, gmccain@hunter.cuny.edu
Abstract:

Session presented on: Friday, July 26, 2013

Purpose: Preterm infants with bronchopulmonary dysplasia (BPD) have immature nutritive sucking patterns and are less proficient (% volume ingested) and less efficient (ml/minute ingested) compared to preterm infants without BPD and term infants. The objective was to describe the progression of proficiency and efficiency for preterm infants with BPD from their first oral feedings to the attainment of full oral feeding.

Methods: The setting was a 120 bed neonatal intensive care unit. A randomized, experimental design included 86 preterm infants with BPD who were assigned to the control condition (n = 42) (standard care) or the experimental protocol (n = 44). Nurses assigned to the experimental protocol used infant behavioral and cardio-respiratory responses to regulate frequency, length, and volume of feedings. Mean gestational ages at birth and birth weights were 25 + 1.54 weeks and 784 gm for the control group, and 25 + 1.48 weeks and 787 gm in the experimental group. ANOVA was used to analyze these data.

Results: There were no differences between study groups on proficiency (% volume ingested). Proficiency at first oral feeding was 68.1 control and 68.9 experimental, at mid-point was 88.3 control and 81.4 experimental, and on attainment of full oral feeding was 100 for both groups. Efficiency (ml/minute) was not different at first oral feeding with 1.4 control and 1.5 experimental, nor at mid-point with 1.9 control and 1.7 experimental. There was a significant difference at attainment of full feeding with 3.4 for control and 2.3 for experimental.

Conclusion: The difference in proficiency on attainment of full oral feeding was because the experimental infants reached feeding on an average of 6 days compared to control infants who took 12 days, and so were less mature. The proficiency to ingest a required volume of feeding necessary for growth is more important than efficiency.

Keywords:
BPD; feeding; preterm
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryAbstracten
dc.typePresentationen
dc.titleFeeding Proficiency and Efficiency for Preterm Infants with BPDen
dc.contributor.authorMcCain, Gail C.en
dc.contributor.departmentAlpha Phien
dc.author.detailsGail C. McCain, PhD, RN, FAAN, gmccain@hunter.cuny.eduen
dc.identifier.urihttp://hdl.handle.net/10755/304064-
dc.description.abstract<p>Session presented on: Friday, July 26, 2013</p><b>Purpose: </b>Preterm infants with bronchopulmonary dysplasia (BPD) have immature nutritive sucking patterns and are less proficient (% volume ingested) and less efficient (ml/minute ingested) compared to preterm infants without BPD and term infants. The objective was to describe the progression of proficiency and efficiency for preterm infants with BPD from their first oral feedings to the attainment of full oral feeding. <p><b>Methods: </b>The setting was a 120 bed neonatal intensive care unit. A randomized, experimental design included 86 preterm infants with BPD who were assigned to the control condition (n = 42) (standard care) or the experimental protocol (n = 44). Nurses assigned to the experimental protocol used infant behavioral and cardio-respiratory responses to regulate frequency, length, and volume of feedings. Mean gestational ages at birth and birth weights were 25 + 1.54 weeks and 784 gm for the control group, and 25 + 1.48 weeks and 787 gm in the experimental group. ANOVA was used to analyze these data. <p><b>Results: </b>There were no differences between study groups on proficiency (% volume ingested). Proficiency at first oral feeding was 68.1 control and 68.9 experimental, at mid-point was 88.3 control and 81.4 experimental, and on attainment of full oral feeding was 100 for both groups. Efficiency (ml/minute) was not different at first oral feeding with 1.4 control and 1.5 experimental, nor at mid-point with 1.9 control and 1.7 experimental. There was a significant difference at attainment of full feeding with 3.4 for control and 2.3 for experimental. <p><b>Conclusion: </b>The difference in proficiency on attainment of full oral feeding was because the experimental infants reached feeding on an average of 6 days compared to control infants who took 12 days, and so were less mature. The proficiency to ingest a required volume of feeding necessary for growth is more important than efficiency.en
dc.subjectBPDen
dc.subjectfeedingen
dc.subjectpretermen
dc.date.available2013-10-22T20:28:31Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:28:31Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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