PDF herunterladen
Am J Perinatol 2022; 39(07): 726-731
DOI: 10.1055/s-0040-1718881
Original Article

Pilot Study of Sham Feeding in Postoperative Neonates

Alyssa Tucker
1   Department of Clinical Nutrition, Sheldon B. Korones Newborn Center, Regional One Health, Memphis, Tennessee
,
Eunice Y. Huang
2   Department of Surgery, Division of Pediatric Surgery and the Children’s Foundation Research Institute, Le Bonheur Children’s Hospital, University of Tennessee Health Science Center, Memphis, Tennessee
,
Julia Peredo
3   Department of Pediatrics, Division of Neonatology, University of Florida Jacksonville, Jacksonville, Florida
,
Mark F. Weems 
4   Department of Pediatrics, Division of Neonatology, Sheldon B. Korones Newborn Center, Regional One Health and the Children’s Foundation Research Institute, Le Bonheur Children’s Hospital, University of Tennessee Health Science Center, Memphis, Tennessee
› Institutsangaben
› Weitere Informationen
    Lizenzen und Reprints

Abstract

Objective Sham feeding may enhance development of oral skills in neonates after bowel surgery and decrease stress levels in mothers. In this pilot study, we test the feasibility of sham feeding, identify safety hazards, and assess maternal satisfaction.

Study Design A convenience sample of 15 postoperative neonates was enrolled. Sham feeding with unfortified human milk was offered following a strict advancement protocol beginning with 5 mL once daily and increasing up to 30 mL, three times daily. Continuous gastric suction was used during sham feeding. Each mother completed a satisfaction survey. Sham-fed gastroschisis patients were compared with a historic cohort.

Results All 15 patients were able to sham feed. A total of 312 sham feeds were offered with a median of 23 sham events per patient. Four minor complications occurred during sham feeding. No differences were noted between 11 sham-fed gastroschisis patients and 81 historic controls. The mothers reported a decrease in stress after sham feeding using a 5-point score (3.8 ± 1.4 vs. 1.5 ± 0.7, p < 0.005) and 100% satisfaction with sham feeding.

Conclusion Sham feeding is feasible for neonates after bowel surgery and is highly rated by mothers.

Key Points

  • Sham-feeding human milk to neonates after bowel surgery is feasible and safe.

  • A novel postoperative sham feeding protocol is described.

  • Mothers of sham-fed infants report it reduces stress compared with not feeding.

Keywords

Sham feeding - oral feeding - gastroschisis - neonate - satisfaction - surgery


Publikationsverlauf

Eingereicht: 21. Mai 2020

Angenommen: 22. September 2020

Artikel online veröffentlicht:
20. Oktober 2020

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Aljahdali A, Mohajerani N, Skarsgard ED. Canadian Pediatric Surgery Network (CAPSNet). Effect of timing of enteral feeding on outcome in gastroschisis. J Pediatr Surg 2013; 48 (05) 971-976
    CrossrefPubMedGoogle Scholar
  • 2 Obeidat HM, Bond EA, Callister LC. The parental experience of having an infant in the newborn intensive care unit. J Perinat Educ 2009; 18 (03) 23-29
    CrossrefPubMedGoogle Scholar
  • 3 Chourasia N, Surianarayanan P, Bethou A, Bhat V. Stressors of NICU mothers and the effect of counseling-experience from a tertiary care teaching hospital, India. J Matern Fetal Neonatal Med 2013; 26 (06) 616-618
    CrossrefPubMedGoogle Scholar
  • 4 Stuebe AM, Grewen K, Pedersen CA, Propper C, Meltzer-Brody S. Failed lactation and perinatal depression: common problems with shared neuroendocrine mechanisms?. J Womens Health (Larchmt) 2012; 21 (03) 264-272
    CrossrefPubMedGoogle Scholar
  • 5 Golonka NR, Hayashi AH. Early “sham” feeding of neonates promotes oral feeding after delayed primary repair of major congenital esophageal anomalies. Am J Surg 2008; 195 (05) 659-662 , discussion 662
    CrossrefPubMedGoogle Scholar
  • 6 Miles MS, Funk SG, Carlson J. Parental stressor scale: neonatal intensive care unit. Nurs Res 1993; 42 (03) 148-152
    CrossrefPubMedGoogle Scholar
  • 7 Lemoine C, Faure C, Villeneuve A. et al. P-21: feasibility and safety of sham feeding in long gap esophageal atresia. Dis Esophagus 2016; 29 (03) 294-294
    CrossrefPubMedGoogle Scholar
  • 8 Jadcherla SR. Advances with neonatal aerodigestive science in the pursuit of safe swallowing in infants: invited review. Dysphagia 2017; 32 (01) 15-26
    CrossrefPubMedGoogle Scholar
  • 9 Lau C. Development of infant oral feeding skills: what do we know?. Am J Clin Nutr 2016; 103 (02) 616S-621S
    CrossrefPubMedGoogle Scholar
  • 10 Gross RD, Trapani-Hanasewych M. Breathing and swallowing: the next frontier. Semin Speech Lang 2017; 38 (02) 87-95
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 11 Segre LS, McCabe JE, Chuffo-Siewert R, O'Hara MW. Depression and anxiety symptoms in mothers of newborns hospitalized on the neonatal intensive care unit. Nurs Res 2014; 63 (05) 320-332
    CrossrefPubMedGoogle Scholar
  • 12 Vanderbilt D, Gleason MM. Mental health concerns of the premature infant through the lifespan. Pediatr Clin North Am 2011; 58 (04) 815-832 , ix
    CrossrefPubMedGoogle Scholar
  • 13 Alkozei A, McMahon E, Lahav A. Stress levels and depressive symptoms in NICU mothers in the early postpartum period. J Matern Fetal Neonatal Med 2014; 27 (17) 1738-1743
    CrossrefPubMedGoogle Scholar
  • 14 Tahirkheli NN, Cherry AS, Tackett AP, McCaffree MA, Gillaspy SR. Postpartum depression on the neonatal intensive care unit: current perspectives. Int J Womens Health 2014; 6: 975-987
    PubMedGoogle Scholar
  • 15 Pinchevski-Kadir S, Shust-Barequet S, Zajicek M. et al. Direct feeding at the breast is associated with breast milk feeding duration among preterm infants. Nutrients 2017; 9 (11) E1202
    CrossrefPubMedGoogle Scholar
  • 16 Krol KM, Grossmann T. [Psychological effects of breastfeeding on children and mothers] (in German). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2018; 61 (08) 977-985
    CrossrefPubMedGoogle Scholar
  • 17 Dieterich CM, Felice JP, O'Sullivan E, Rasmussen KM. Breastfeeding and health outcomes for the mother-infant dyad. Pediatr Clin North Am 2013; 60 (01) 31-48
    CrossrefPubMedGoogle Scholar
  • 18 Eidelman AI, Schanler RJ. Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics 2012; 129 (03) e827-e841
    CrossrefPubMedGoogle Scholar
  • 19 American College of Nurse Midwives. Position Statement Breastfeeding. 2016 . Accessed October 11, 2020 at: https://www.midwife.org/acnm/files/ACNMLibraryData/UPLOADFILENAME/000000000248/Breastfeeding-statement-Feb-2016.pdf
    PubMedGoogle Scholar
  • 20 Lessen R, Kavanagh K. Position of the academy of nutrition and dietetics: promoting and supporting breastfeeding. J Acad Nutr Diet 2015; 115 (03) 444-449
    CrossrefPubMedGoogle Scholar
  • 21 Jones AM, Isenburg J, Salemi JL. et al. Increasing prevalence of gastroschisis--14 states, 1995-2012. MMWR Morb Mortal Wkly Rep 2016; 65 (02) 23-26
    CrossrefPubMedGoogle Scholar
  • 22 Varma S, Bartlett EL, Nam L, Shores DR. Use of breast milk and other feeding practices following gastrointestinal surgery in infants. J Pediatr Gastroenterol Nutr 2019; 68 (02) 264-271
    CrossrefPubMedGoogle Scholar
  • 23 Hobson D, Spence K, Trivedi A, Thomas G. Differences in attitudes to feeding post repair of gastroschisis and development of a standardized feeding protocol. BMC Pediatr 2019; 19 (01) 475
    CrossrefPubMedGoogle Scholar
  • 24 Gulack BC, Laughon MM, Clark RH. et al. Enteral feeding with human milk decreases time to discharge in infants following gastroschisis repair. J Pediatr 2016; 170: 85-89
    CrossrefPubMedGoogle Scholar
  • 25 Langer JC, Bell JG, Castillo RO. et al. Etiology of intestinal damage in gastroschisis, II. Timing and reversibility of histological changes, mucosal function, and contractility. J Pediatr Surg 1990; 25 (11) 1122-1126
    CrossrefPubMedGoogle Scholar