Ofek Shlomai Noa, Mordechai Chen, Morag Iris, Bdolach Abram Tali, Eventov Friedman Smadar
Department of Neonatology, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Front Pediatr. 2024 Sep 20;12:1417628. doi: 10.3389/fped.2024.1417628. eCollection 2024.
To compare volume-driven and cue-based feeding of low birth weight preterm infants, regarding short-term outcomes, including transition to oral feeds, weight gain, and length of stay.
This was a retrospective cohort study. Feeding and weight gain outcomes were compared between infants fed by volume-driven and cue-based feeds. The groups were subdivided by birth weight categories.
The study group included 240 low birth weight preterm infants born before 34 weeks of gestation, 120 infants fed by volume-driven feeding were compared to 120 infants fed by cue-based feeding. The groups were sub-analyzed by birth weight categories: <1,500 g and 1,500-2,500 g. Study groups were comparable regarding baseline characteristics and neonatal morbidities. Infants fed by cue-based feeding were more likely to achieve full oral feeding faster and at an earlier gestational age. Infants with a birth weight <1,500 g were less likely to experience adverse respiratory episodes during cue-based feeding. Although the rate of weight gain was reduced in cue-based feeding in the heavier infant group, discharge weight, breastfeeding rates, and length of stay were comparable between the groups.
Cue-based feeding results in faster transition to full oral feeding in very low birth weight preterm infants and at an earlier gestational age.
比较低出生体重早产儿采用容量驱动喂养和基于线索喂养的短期结局，包括过渡到经口喂养、体重增加和住院时间。
这是一项回顾性队列研究。比较了采用容量驱动喂养和基于线索喂养的婴儿的喂养和体重增加结局。根据出生体重类别对两组进行细分。
研究组包括240例孕周小于34周的低出生体重早产儿，将120例采用容量驱动喂养的婴儿与120例采用基于线索喂养的婴儿进行比较。根据出生体重类别对两组进行亚分析：<1500g和1500 - 2500g。研究组在基线特征和新生儿疾病方面具有可比性。采用基于线索喂养的婴儿更有可能更快且在更早的孕周实现完全经口喂养。出生体重<1500g的婴儿在基于线索喂养期间发生不良呼吸事件的可能性较小。虽然较重婴儿组中基于线索喂养的体重增加率有所降低，但两组之间的出院体重、母乳喂养率和住院时间相当。
基于线索喂养可使极低出生体重早产儿更快地过渡到完全经口喂养，且在更早的孕周实现。
