Cup versus bottle feeding for hospitalized late preterm infants in Egypt: A quasi-experimental studyReport as inadecuate




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International Breastfeeding Journal

, 3:27

First Online: 21 November 2008Received: 11 October 2007Accepted: 21 November 2008

Abstract

BackgroundAlthough previous studies have demonstrated beneficial breastfeeding outcomes when cup feeding rather than bottle feeding was used for feeding preterm infants, cup feeding has not been implemented in Egypt. The aim of the current study was to examine the effect of using cup feeding as an exclusive method of feeding preterm infants during hospitalization on breastfeeding outcomes after discharge.

MethodsA quasi-experimental design, with the control group studied first, was used to examine the effect of cup feeding for preterm infants on breastfeeding outcomes after discharge. Sixty preterm infants mean gestational age was 35.13 weeks and mean birth weight was 2150 grams were recruited during Neonatal Intensive Care Unit NICU stay. Control group infants n = 30 received only bottle feedings during hospitalization and the experimental group n = 30 received only cup feedings during hospitalization. Both groups were followed up after discharge for six weeks to evaluate infant-s breastfeeding behavior and mother-s breastfeeding practices. Data were analyzed using descriptive statistics and repeated measures ANOVA for testing the differences between the cup feeding and bottle feeding groups over six weeks after discharge.

ResultsCup fed infants demonstrated significantly more mature breastfeeding behaviors when compared to bottle fed infants p < 0.01 over six weeks, and had a significantly higher proportion of breast feedings one week after discharge p = 0.03.

ConclusionCup fed infants were more exclusively breast fed one week after discharge, supporting the Baby Friendly Hospital Initiative recommendations for using cup feeding and avoiding bottle feeding when providing supplementation for preterm infants. The current study provides initial evidence for the implementation of cup feeding as a method of supplementation for late preterm infants during hospitalization.

Trial RegistrationClinical Trial NCT00756587.

Electronic supplementary materialThe online version of this article doi:10.1186-1746-4358-3-27 contains supplementary material, which is available to authorized users.

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Author: Amel M Abouelfettoh - Donna A Dowling - Soheir A Dabash - Shadia R Elguindy - Iman A Seoud

Source: https://link.springer.com/







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