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

Background. During the initial days of hospitalization, preterm newborns are given combinations of breastfeeding, spoon/paladai feeding, and/or gavage feeding. Each method of feeding may have a different effect on vital parameters. Objective. To study changes in vital parameters in relation to diffe...

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Main Authors: Dipen Vasudev Patel, Dharti Shah, Kunjal A. Kantharia, Mayur K. Shinde, Jaishree Ganjiwale, Kushal Shah, Somashekhar Marutirao Nimbalkar
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2022/9962358
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author Dipen Vasudev Patel
Dharti Shah
Kunjal A. Kantharia
Mayur K. Shinde
Jaishree Ganjiwale
Kushal Shah
Somashekhar Marutirao Nimbalkar
author_facet Dipen Vasudev Patel
Dharti Shah
Kunjal A. Kantharia
Mayur K. Shinde
Jaishree Ganjiwale
Kushal Shah
Somashekhar Marutirao Nimbalkar
author_sort Dipen Vasudev Patel
collection DOAJ
description Background. During the initial days of hospitalization, preterm newborns are given combinations of breastfeeding, spoon/paladai feeding, and/or gavage feeding. Each method of feeding may have a different effect on vital parameters. Objective. To study changes in vital parameters in relation to different feeding methods and postmenstrual age (PMA) in preterm newborns. Study Design. This prospective observational study was carried out at a tertiary care neonatal unit. Participants. Physiologically stable preterm newborns with PMA less than 37 weeks on full enteral feeds were included in the study. Intervention. None. Outcomes. Respiratory rate (RR), pulse rate (PR), oxygen saturation (SPO2), nasal flaring, and lower chest indrawing were monitored before and up to 3 h after the breastfeeding/spoon (paladai) feeding/gavage feeding or their combinations. These vital parameters were assessed in relation to the feeding methods and PMA groups using ANOVA. Results. A total of 383 records were analyzed from 110 newborns. No infant developed chest indrawing or nasal flaring after any feeding method. During the 3 h period of monitoring, vital parameters changed significantly except in the gavage feeding group. The mean PR did not change, but the mean RR and SPO2 changed significantly at different PMA. Conclusion. Vital parameters changed after different types of feeding methods and at different PMA. A further multicentric prospective study is needed to understand the effect of different feeding methods and PMA on vital parameters.
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spelling doaj-art-9d5d3d63a7024899bac36254e7650dae2025-02-03T05:53:51ZengWileyInternational Journal of Pediatrics1687-97592022-01-01202210.1155/2022/9962358Evaluation of Pulse Rate, Oxygen Saturation, and Respiratory Effort after Different Types of Feeding Methods in Preterm NewbornsDipen Vasudev Patel0Dharti Shah1Kunjal A. Kantharia2Mayur K. Shinde3Jaishree Ganjiwale4Kushal Shah5Somashekhar Marutirao Nimbalkar6Department of NeonatologyDepartment of PediatricsDepartment of PediatricsCentral Research ServicesCentral Research ServicesDepartment of PediatricsDepartment of NeonatologyBackground. During the initial days of hospitalization, preterm newborns are given combinations of breastfeeding, spoon/paladai feeding, and/or gavage feeding. Each method of feeding may have a different effect on vital parameters. Objective. To study changes in vital parameters in relation to different feeding methods and postmenstrual age (PMA) in preterm newborns. Study Design. This prospective observational study was carried out at a tertiary care neonatal unit. Participants. Physiologically stable preterm newborns with PMA less than 37 weeks on full enteral feeds were included in the study. Intervention. None. Outcomes. Respiratory rate (RR), pulse rate (PR), oxygen saturation (SPO2), nasal flaring, and lower chest indrawing were monitored before and up to 3 h after the breastfeeding/spoon (paladai) feeding/gavage feeding or their combinations. These vital parameters were assessed in relation to the feeding methods and PMA groups using ANOVA. Results. A total of 383 records were analyzed from 110 newborns. No infant developed chest indrawing or nasal flaring after any feeding method. During the 3 h period of monitoring, vital parameters changed significantly except in the gavage feeding group. The mean PR did not change, but the mean RR and SPO2 changed significantly at different PMA. Conclusion. Vital parameters changed after different types of feeding methods and at different PMA. A further multicentric prospective study is needed to understand the effect of different feeding methods and PMA on vital parameters.http://dx.doi.org/10.1155/2022/9962358
spellingShingle Dipen Vasudev Patel
Dharti Shah
Kunjal A. Kantharia
Mayur K. Shinde
Jaishree Ganjiwale
Kushal Shah
Somashekhar Marutirao Nimbalkar
Evaluation of Pulse Rate, Oxygen Saturation, and Respiratory Effort after Different Types of Feeding Methods in Preterm Newborns
International Journal of Pediatrics
title Evaluation of Pulse Rate, Oxygen Saturation, and Respiratory Effort after Different Types of Feeding Methods in Preterm Newborns
title_full Evaluation of Pulse Rate, Oxygen Saturation, and Respiratory Effort after Different Types of Feeding Methods in Preterm Newborns
title_fullStr Evaluation of Pulse Rate, Oxygen Saturation, and Respiratory Effort after Different Types of Feeding Methods in Preterm Newborns
title_full_unstemmed Evaluation of Pulse Rate, Oxygen Saturation, and Respiratory Effort after Different Types of Feeding Methods in Preterm Newborns
title_short Evaluation of Pulse Rate, Oxygen Saturation, and Respiratory Effort after Different Types of Feeding Methods in Preterm Newborns
title_sort evaluation of pulse rate oxygen saturation and respiratory effort after different types of feeding methods in preterm newborns
url http://dx.doi.org/10.1155/2022/9962358
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