Oral Feeding Outcomes in Infants Born With Neonatal Abstinence Syndrome.

IF 1.5 4区医学 Q3 NURSING Journal of Perinatal & Neonatal Nursing Pub Date : 2024-07-01 Epub Date: 2024-07-29 DOI:10.1097/JPN.0000000000000741

Stephanie Nagy, Kimberly Dow, Sandra Fucile

{"title":"Oral Feeding Outcomes in Infants Born With Neonatal Abstinence Syndrome.","authors":"Stephanie Nagy, Kimberly Dow, Sandra Fucile","doi":"10.1097/JPN.0000000000000741","DOIUrl":null,"url":null,"abstract":"Objective: Breastfeeding is the optimal source of nutrition for all infants, but there are limited data on feeding outcomes in infants with neonatal abstinence syndrome (NAS) who are admitted in the neonatal intensive care unit (NICU).Methods: A retrospective cohort study was conducted at a level II/III NICU. Study sample consisted infants with a diagnosis of NAS and those diagnosed with respiratory distress syndrome. The primary outcome was attainment of independent oral feeds, defined as the number of days to transition from full-tube to full oral feeds. Secondary outcomes included length of hospital stay and method (breast or bottle) of oral feeds at the start, at attainment of independent oral feeds, and at hospital discharge.Results: Infants with NAS took significantly longer to attain independent oral feeds than controls ( P = .021) and received significantly fewer breastfeeds at the start of oral feeds, at independent oral feeds, and at hospital discharge ( P = .000). There was no difference in length of hospital stay between groups.Conclusion: These results suggest that infants with NAS can experience difficulties achieving independent oral feeds and are less likely to receive breastfeeds. Additional support is required to enhance oral feeds in infants with NAS in the NICU.","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Perinatal & Neonatal Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/JPN.0000000000000741","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/29 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: Breastfeeding is the optimal source of nutrition for all infants, but there are limited data on feeding outcomes in infants with neonatal abstinence syndrome (NAS) who are admitted in the neonatal intensive care unit (NICU).

Methods: A retrospective cohort study was conducted at a level II/III NICU. Study sample consisted infants with a diagnosis of NAS and those diagnosed with respiratory distress syndrome. The primary outcome was attainment of independent oral feeds, defined as the number of days to transition from full-tube to full oral feeds. Secondary outcomes included length of hospital stay and method (breast or bottle) of oral feeds at the start, at attainment of independent oral feeds, and at hospital discharge.

Results: Infants with NAS took significantly longer to attain independent oral feeds than controls ( P = .021) and received significantly fewer breastfeeds at the start of oral feeds, at independent oral feeds, and at hospital discharge ( P = .000). There was no difference in length of hospital stay between groups.

Conclusion: These results suggest that infants with NAS can experience difficulties achieving independent oral feeds and are less likely to receive breastfeeds. Additional support is required to enhance oral feeds in infants with NAS in the NICU.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

新生儿戒断综合征婴儿的口服喂养效果。

目的：母乳喂养是所有婴儿的最佳营养来源：母乳喂养是所有婴儿的最佳营养来源，但有关新生儿重症监护室（NICU）收治的患有新生儿禁欲综合征（NAS）的婴儿喂养效果的数据却很有限：在一家二级/三级新生儿重症监护病房进行了一项回顾性队列研究。研究样本包括确诊为 NAS 的婴儿和确诊为呼吸窘迫综合征的婴儿。主要结果是实现独立口服喂养，即从全管喂养过渡到完全口服喂养的天数。次要结果包括住院时间和开始、实现独立口喂和出院时的口喂方式（母乳或奶瓶）：与对照组相比，NAS患儿实现独立口喂所需的时间明显更长（P = .021），在开始口喂时、独立口喂时和出院时接受母乳喂养的次数明显更少（P = .000）。两组婴儿的住院时间没有差异：这些结果表明，患有 NAS 的婴儿在实现独立口喂方面可能会遇到困难，而且接受母乳喂养的可能性较低。在新生儿重症监护室中，需要为患有 NAS 的婴儿提供更多支持，以加强其口腔喂养。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Journal of Perinatal & Neonatal Nursing 医学-妇产科学

CiteScore

1.60

自引率

7.70%

发文量

147

审稿时长

>12 weeks

期刊介绍： The Journal of Perinatal and Neonatal Nursing (JPNN) strives to advance the practice of evidence-based perinatal and neonatal nursing through peer-reviewed articles in a topic-oriented format. Each issue features scholarly manuscripts, continuing education options, and columns on expert opinions, legal and risk management, and education resources. The perinatal focus of JPNN centers around labor and delivery and intrapartum services specifically and overall perinatal services broadly. The neonatal focus emphasizes neonatal intensive care and includes the spectrum of neonatal and infant care outcomes. Featured articles for JPNN include evidence-based reviews, innovative clinical programs and projects, clinical updates and education and research-related articles appropriate for registered and advanced practice nurses. The primary objective of The Journal of Perinatal & Neonatal Nursing is to provide practicing nurses with useful information on perinatal and neonatal nursing. Each issue is PEER REVIEWED and will feature one topic, to be covered in depth. JPNN is a refereed journal. All manuscripts submitted for publication are peer reviewed by a minimum of three members of the editorial board. Manuscripts are evaluated on the basis of accuracy and relevance of content, fit with the journal purpose and upcoming issue topics, and writing style. Both clinical and research manuscripts applicable to perinatal and neonatal care are welcomed.