Mode of gavage feeding: does it really matters

Authors

  • Ravi Ambey Department of Pediatrics, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India
  • Priya Gogia Department of Pediatrics, Government Medical College, Vidisha, Madhya Pradesh, India
  • Kalpesh Manager Department of Pediatrics, Gandhi Medical College, Bhopal, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20182012

Keywords:

Apnoea, Gavage feeding, Naso-gastric tube, Oro-gastric tube, Preterm

Abstract

Background: The establishment of safe oral feeding in preterm or low birth weight infants may be delayed because of poor co-ordination of sucking and swallowing, neurological immaturity and respiratory distress. Enteral feeds may be delivered through a catheter (feeding tube) passed via the nose or via the mouth. This study was planned to compare oro-gastric and naso-gastric route for placing feeding tube to see duration to achieve full feeding.

Methods: The study was conducted in in-patient of SCNU (Sick Newborn Care Unit) of Department of Paediatrics. All patients (200 newborns) in the study were randomly enrolled in groups as per gestational weeks between 28-34 weeks by using New Ballard Scoring (NBS) chart at the time of admission.

Results: The mean duration to achieve full feeding either by direct breast feeding or cup feeding in oro-gastric and naso-gastric tube groups are (6.18±0.61) and (6.47±0.59) days respectively. This study will help in the individualization of the mode of gavage feeding in various institutions across the country.

Conclusions: In the present study the episodes of non-intentional removal and displacement are more in OGT group and it is statistically significant (p = 0.012 and p <0.0001 respectively). The episodes of feed intolerance are more.

References

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Published

2018-06-22

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Original Research Articles