Comparison of the effect of Nutrition in Kangaroo Mother Care and Supine Positions on Gavage Residual Volume in Preterm Infants

Document Type: Original Quantitative and Qualitative Research Paper

Authors

1 Associate Professor of Pediatrics, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran

2 Associate Professor of Pediatrics, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

3 . Associate Professor of Tabriz Health Services Management Research Center, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran

4 Neonatal Intensive Care Nursing Graduate Student, School of Nursing and Midwifery, Tabriz University of Medical Sciences, B.Sc. nurse of S.S.O., 29Bahman hospital of Tabriz, Iran

Abstract

Background: Feeding intolerance is a major concern in preterm infants. Appropriate position during feeding is one of the interventions that nurses can exploite in order to improve the feeding tolerance in preterm infants.
Aim: Comparison of the effect of nutrition in the kangaroo mother care and supine position on gavage residual volume in preterm infants.
Methods: Thisrandomized single-blind clinical trial was conducted on 100 preterm infants in 2012. The infants in the first group were feeded twice in kangaroo mother care position and then twice in supine position.The infant of second group were feeded vise versa. The gastric residuals were measured 1 and 2 hours after each feeding and compared with each other. The researcher-made questionnair was used for data entry. Data analysis was done with chi-square, Fisher, Maan Whitney, T-Tests, and mixed models using SPSS11.5.
Results: The two groups were similar regarding weight, gestational and calendar age, and the amount of milk. In group I, the mean weight was 1558.3±202.7 , gestational age 30.2±4.6 and quantity of milk 20.8±6.0 while these were 1547.5±168.8, 30.6±1.8 and 20.8±5.5 was in group II, respectively. The average gastric residual volume two hours after feeding in kangaroo mother care position (0.9±1.6) was lower than that in supine position (2.0±2.3) (p<0/001).
Conclusion: The findings suggest that feeding preterm infants in the kangaroo mother care position reduces the gastric residual volume, therefore, nurses can feed preterm infants in this position to improve nutritional tolerance.

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