这项研究的目的是研究父母对奶瓶喂养行为的报告与奶嘴上的婴儿非营养性吸吮(NNS)以及奶瓶喂养过程中的口服喂养技巧之间的关联。进行了前瞻性研究。在3个月时招募了没有先前诊断出喂养障碍的足月婴儿。父母使用新生儿饮食评估工具-瓶喂养(NeoEAT-Bottle-Feeding)报告婴儿的奶瓶喂养行为,由五个领域组成:婴儿法规,能量和生理稳定性,胃肠道功能,感官反应,以及有问题的喂养症状。使用定制安抚奶嘴测量婴儿NNS,压力传感器装置,它产生以下NNS变量:持续时间(秒),频率(Hz),振幅(cmH20),每个脉冲串的周期,循环量,和爆裂量。口服喂养技巧(OFS)量表用于测量初始体积,传输体积,熟练程度,和奶瓶喂养过程中的牛奶转移率。52名婴儿(58%为男性)报告了以前的瓶子经历完成了这项研究。NeoEAT-Bottle-Feeding总分与NNS爆发持续时间和每次NNS周期呈显着正相关。NeoEAT-Bottle-Feeding能量和生理稳定性域与每次爆发的NNS周期呈显着正相关。NeoEAT-Bottle-Feeding胃肠道功能域评分与NNS持续时间呈显著正相关,振幅,和每个脉冲周期。NeoEAT-Bottle-Feeding域与OFS量表之间没有显着关联。研究结果表明,父母在3月龄时喂养有问题的报告与婴儿NNS生理方面有关,而与奶瓶喂养期间的口服喂养指标无关。奶瓶喂养行为的家长报告,特别是关于胃肠道问题,与婴儿NNS的各个方面有关。这些数据一起将允许对婴儿喂养有更细致的理解,并且将有助于确定婴儿是否有喂养延迟。
The aim of this
study was to examine associations between parent reports of bottle-feeding behaviors and infant non-nutritive suck (NNS) on a pacifier as well as oral feeding skills during bottle-feeding. A prospective
study was conducted. Full-term infants with no prior diagnosed feeding disorders were recruited at 3-months. Parents reported their infant\'s bottle-feeding behaviors using the Neonatal Eating Assessment Tool-Bottle-Feeding (NeoEAT-Bottle-Feeding), consisting of five domains: Infant Regulation, Energy and Physiologic Stability, Gastrointestinal Tract Function, Sensory Responsiveness, and Compelling Symptoms of Problematic Feeding. Infant NNS was measured using a custom pacifier, pressure transducer device, which yields the following NNS variables: duration (sec), frequency (Hz), amplitude (cmH20), cycles per burst, cycle amount, and burst amount. The Oral Feeding Skills (OFS) scale was used to measure the initial volume, transfer volume, proficiency, and rate of milk transfer during bottle feeding. Fifty-two infants (58% male) with reported prior bottle experience completed this
study. NeoEAT-Bottle-Feeding Total score was significantly positively associated with NNS burst duration and NNS cycles per burst. The NeoEAT-Bottle-Feeding Energy and Physiologic Stability domain was significantly positively correlated with NNS cycles per burst. NeoEAT-Bottle-Feeding Gastrointestinal Tract Function domain score was significantly positively correlated with NNS duration, amplitude, and cycles per burst. There were no significant associations between NeoEAT-Bottle-Feeding domains and the OFS scale. The findings demonstrate that parent reports of problematic feeding at 3 months of age are associated with aspects of infant NNS physiology and not with oral feeding metrics during bottle-feeding. Parent reports of bottle-feeding behaviors, particularly pertaining to gastrointestinal issues, were associated with aspects of infant NNS. These data together will allow for a more nuanced understanding of infant feeding and will be beneficial in determining if infants have a feeding delay.