Does Kangaroo Care Have an Effect on Transition Time from Gavage Feeding to Full Oral Feeding in Premature Babies?

Abstract

Objectives Kangaroo care is a safe and effective alternative method to conventional neonatal care for newborn babies. The aim of this study was to evaluate the effect of kangaroo care on the transition time to full oral feeding in preterm infants fed by gavage.

Methods This is a randomized controlled trial. This study was conducted in a level III neonatal intensive care unit of a university hospital in eastern Turkey 50 premature babies with a birth weight of≥1000 g and a gestational age of 27–36 weeks, and their mothers were included in the study. The cases were randomly divided into two groups: kangaroo care, which would be applied up to five days a week, and standard care. Records of cases were kept regularly from their hospitalization until they reached full oral feeding.

Results Premature babies in the kangaroo care group reached full oral feeding at 29.20±8.06 days after birth, while babies in the standard care group reached full oral feeding at 44.60±21.90 days. The transition period from gavage feeding to reaching full oral feeding was 13.60±6.83 days in the kangaroo care group, and 22.10±7.38 days in the standard care group. The difference was statistically significant (p=0.007).

Conclusion Kangaroo care is an effective method to reduce the transition time from gavage feeding to full oral feeding for premature babies.

Zusammenfassung

Fragestellung und Hintergrund Känguru Pflege ist eine sichere und effektive Alternative zur traditionellen Neugeborenenpflege für Neugeborene. Das Ziel dieser Studie war es, die Wirkung der Känguru-Pflege auf die Übergangszeit zur vollständigen oralen Ernährung bei Frühgeborenen, die mit einer Schlundsonde ernährt wurden, zu bewerten.

Patienten und Methodik Dies ist eine randomisierte kontrollierte Studie. In diese Studie wurden 50 Frühgeborene mit einem Geburtsgewicht≥1000 g und einem Gestationsalter von 27–36 Wochen und deren Mütter auf der neonatologischen Intensivstation der 3. Ebene eines Universitätskrankenhauses in der Osttürkei in die Studie eingeschlossen. Die Fälle wurden zufällig in zwei Gruppen eingeteilt: Känguru-Pflege und Standard-Pflege für bis zu fünf Tage in der Woche. Die Aufzeichnungen der Fälle wurden regelmäßig von ihrem Krankenhausaufenthalt bis zum Erreichen der vollständigen oralen Ernährung aufbewahrt.

Ergebnisse Frühgeborene in der Känguru-Pflegegruppe erreichten nach 29,20±8,06 Tagen nach der Geburt eine vollständige orale Nahrungsaufnahme, während Babys in der Standard- Pflegegruppe nach 44,60±21,90 Tagen eine vollständige orale Nahrungsaufnahme erreichten. Die Übergangszeit von der Sondenernährung zur vollständigen oralen Ernährung betrug 13,60±6,83 Tage in der Känguru-Pflegegruppe und 22,10±7,38 Tage in der Standard-Pflegegruppe. Der Unterschied war statistisch signifikant (p=0,007).

Schlussfolgerung Die Känguru-Pflege ist eine wirksame Methode, um die Übergangszeit von der Sondenernährung zur vollständigen oralen Ernährung von Frühgeborenen zu verkürzen.

Key words

gavage feeding - kangaroo care - oral feeding - preterm babies

Schlüsselwörter

sondenernährung - känguru-pflege - orale ernährung - frühgeborene

Publication History

Article published online:
20 December 2022

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