Every three-hour versus every six-hour oral feeding in preterm infants: a randomised clinical trial.

TitleEvery three-hour versus every six-hour oral feeding in preterm infants: a randomised clinical trial.
Publication TypeJournal Article
Year of Publication2017
AuthorsGray MM, Medoff-Cooper B, Enlow EM, Mukhopadhyay S, DeMauro SB
JournalActa Paediatr
Volume106
Issue2
Pagination236-241
Date Published2017 Feb
ISSN1651-2227
KeywordsFeeding Methods, Female, Humans, Infant, Newborn, Infant, Premature, Intensive Care, Neonatal, Male, Time Factors
Abstract

AIM: This trial compares two oral feeding schedules, every three-hour and every six-hour oral feeding attempts, to determine which schedule allows for more rapid attainment of full oral feeding in preterm infants.

METHODS: Infants born at ≤33-week gestation were randomly assigned to receive oral feeding every three hours or every six hours if feeding cues were present. The primary outcome was time to full oral feeding; secondary outcomes include respiratory and apnoea rates, growth and length of stay.

RESULTS: A total of 55 infants were recruited. There was no difference between the groups in the primary or secondary outcomes.

CONCLUSION: For preterm infants fed when oral feeding cues are present, an every six-hour schedule did not alter the time to full oral feeding and had no effect on rates of tachypnoea, apnoea or length of hospital stay compared to every three-hour feeding schedule. An every six-hour oral feeding schedule led to only small reductions in number of oral feeding attempts per day.

DOI10.1111/apa.13658
Alternate JournalActa Paediatr.
PubMed ID27862264