A randomised controlled trial of two feeding schedules in neonates weighing

Arti Dhingra, Sunil K Agrawal, Praveen Kumar, Anil Narang

Journal: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians 2009;22(3):198-203

PMID: 19330703

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Abstract

OBJECTIVES

To study the incidence of feed intolerance, apnea and hypoglycemia in neonates weighing

METHODS

Ninety-two neonates, weighing

RESULTS

The incidence of feed intolerance was not different between 3 hourly and 2 hourly feeding groups [13%vs. 19%, OR 0.69 (95% CI 0.19-2.49)]. The incidence of apnea was 25 and 28%[OR 0.86 (95% CI 0.3-2.48)] and that of hypoglycemia was 21 and 26%[OR 0.75 (95% CI 0.24-2.3)] in 3 hourly and 2 hourly feeding groups, respectively. The incidence of necrotising enterocolitis was also similar (7%) in both the feeding groups. The total nursing time spent on feeding per day was significantly less in 3 hourly group.

CONCLUSIONS

In comparison to a 2 hourly schedule, a 3 hourly feeding schedule did not decrease the incidence of feed intolerance; it, however, did not increase the incidence of hypoglycemia or apnea. For practical convenience, a 3 hourly feeding schedule may be preferred over 2 hourly schedule in neonates weighing

Address: Neonatal Unit, Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

DOI: 10.1080/14767050802385749

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MeSH Terms: Apnea, Enteral Nutrition, Humans, Hypoglycemia, Infant, Low Birth Weight, Infant, Newborn, Neonatal Nursing, Time Factors