Evidence Based Care

Evidence Based Care

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
Susan Valizadeh 1
Mohammad Bagher Hosseini 2
Mohammad Asghari Jafarabadi 3
laya mohebbi 4
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
10.22038/ebcj.2015.3734
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.
Keywords
Nutrition
Kangaroo mother care
Supine Position
Preterm infant
Subjects
  1. Verklan MT, Walden M. Core Curriculum for Neonatal Intensive Care Nursing: WB Saunders Co; 2010. 194-205 p.
  2. Howson CP, Kimmey M, McDougall L, Lawn JE. Born too Soon: Preterm Birth Matters. Reprod Health. 2013;10(Suppl 1):S1.
  3. Organization WH. Born too Soon: The Global Action Report on Preterm Birth. 2012.
  4. Organization WH. Newborn Health Epidemiolog. 2012; Available from: www.who.int/entity/maternal.../epidemiology/newborn/en/index.html.
  5. Hockenberry MJ, Wilson D. Wong's Nursing Care of Infants and Children Multimedia Enhanced Version: Elsevier Health Sciences; 2013.p.1818.
  6. Yildiz A, Arikan D, Gözüm S, Taştekın A, Budancamanak İ. The Effect of the Odor of Breast Milk on the Time Needed for Transition from Gavage to Total Oral Feeding in Preterm Infants. J Nurs Scholarsh. 2011;43(3):265-73.
  7. Hockenberry MJ. Wong's Nursing Care of Infants and Children: Text and Simulation Learning System. 9th  ed: Elsevier Science Health Science Division; 2011.p.1809
  8. Hwang SK, Ju HO, Kim YS, Lee HZ, Kim YH. Effects of Body Position and Time after Feeding on Gastric Residuals in LBW Infants. Taehan Kanho Hakhoe Chi. 2003;33(4):488-94.
  9. Martin CR, Brown YF, Ehrenkranz RA, O'Shea TM, Allred EN, Belfort MB, et al. Nutritional Practices and Growth Velocity in the First Month of Life in Extremely Premature Iinfants. Pediatrics. 2009;124(2):649-57.

10. De Curtis M, Rigo J. The Nutrition of Preterm Infants. Early Human Development. 2012;88:S5-S7.

11. Diniz KT, Cabral Filho JE, Miranda RM, Lima GMS, de Vasconcelos D. Effect of the Kangaroo Position on the Electromyographic Activity of Preterm Children: a Follow-up Study. BMC pediatrics. 2013;13(1):79.

12. Moniem IIAE, Morsy MA. The Effectiveness of Kangaroo Technique on Preterm Infant’s Weight Gain.J Am Sci. 2011;7(1):697-702.

13. Organization WH. Kangaroo Mother Care: A Practical Guide. 2003.p.48.

14. Törnhage C-J, Serenius F, Uvnäs-Moberg Κ, Lindberg Τ. Plasma Somatostatin and Cholecystokinin Levels in Preterm Infants During Kangaroo Care with and without Nasogastric Tube-Feeding. J Pediatr Endocrinol Metab 1998;11(5):645-52.

15. Tornhage Cj Fau - Serenius F, Serenius F Fau - Uvnas-Moberg K, Uvnas-Moberg K Fau - Lindberg T, Lindberg T. Plasma Somatostatin and Cholecystokinin Levels in Response to Feeding in Preterm Infants. 1998;27(0277-2116 (Print)):199-205.

16. Boxwell G. Neonatal Intensive Care Nursing: Routledge; 2010. p. 503.

17. Jebreili M, Syeedrasooli A, Headarzadeh M, Gogezadeh4 M. The Effect of Body Position on Gastric Residual in Preterm Infants. Med J Tabriz Univ Med Sci. 2011;33(2). (Persian).

18. Hussein HA. The Difference Between Right Side and Semi Recumbent Positions after Feeding on Gastric Residual Volume among Infants. J Am Sci. 2012;8(1):127-32.

19. Chen S-S, Tzeng Y-L, Gau B-S, Kuo P-C, Chen J-Y. Effects of Prone and Supine Positioning on Gastric Residuals in Preterm Iinfants: A time series with cross-over study. Int J Nurs Studs. 2013;50(11):1459-67.

20. Smith L. Gastric Residuals in Neonates: Evidence-Based Practice Approach. 2011.

21. Lau C. Is There an Advantage for Preterm Infants to Feed Orally in an Upright or Sidelying Position? J Neonatal Nurs. 2012.