Navigation Links
Crib-side studies help struggling newborns go home without feeding tubes
Date:1/22/2009

(COLUMBUS, Ohio) A new strategy developed in the Neonatal and Infant Feeding Disorders Program at Nationwide Children's Hospital is helping premature infants and other newborns with severe swallowing difficulties learn to feed on their own. According to a study appearing in the February issue of the Journal of Pediatric Gastroenterology and Nutrition, physicians at Nationwide Children's were able to help 15 out of 20 infants with severe feeding difficulties and airway concerns learn to feed by mouth. Successful feeders were sent home without the need for feeding tubes.

These infants were referred to the Neonatal and Infant Feeding Disorders Program for evaluation and management of their severe feeding concerns. Previous research has shown that nearly two out of 10 babies experience difficulty feeding, often resulting in significant medical bills and extended hospital stays. In the United States, approximately 13 percent of all infants, and 26 percent of premature infants experience swallowing dysfunction.

Aside from the improved quality of life, this study resulted in an estimated savings of $1.8 million in health care costs for the participants related to gastric feeding tubes (G-tubes). It has been estimated that the health care costs for children on G-tubes is nearly $50,000 per patient for the first year, about the cost of one year's tuition at a major ivy-league university.

"Any infant that fails to feed orally is considered to have feeding difficulty," said Sudarshan Jadcherla, MD, FRCPI, DCH, AGAF, Nationwide Children's Hospital neonatologist and principal investigator in the Center for Perinatal Research, medical director of the Neonatal and Infant Feeding Disorders Program at Nationwide Children's and lead author of the study. Dr. Jadcherla is funded by the National Institutes of Health to study the mechanisms of feeding disorders in infants.

Symptoms of feeding difficulties include difficulty breathing, spluttering, coughing during and after feeds, aspiration, regurgitation, failure to coordinate sucking and swallowing with breathing, and irritability during feeds. These feeding difficulties can be seen in patients with systemic illness and may relate to gastrointestinal, esophageal, behavioral, neurological, structural, and cardiorespiratory origins.

Despite the range of symptoms or causes of feeding difficulty, the desired objective is the same said Dr. Jadcherla, also an associate professor of Pediatrics at The Ohio State University College of Medicine. "For every baby diagnosed with a feeding disorder, the ultimate goal is full oral feeds."

Teaching newborns to transition early to oral feeds is imperative. "We can make the greatest impact during the first few months of their lives because this is when the largest transformation is going on in their behaviors and feeding skills," said Dr. Jadcherla. If infants don't develop appropriate pathways to feeding skills early on, it is less likely that they will develop them during their lifetime.

The babies that learned to feed orally in the study did so through approaches developed at the Newborn and Infant Disorders Program at Nationwide Children's Hospital. The program accelerates newborns' feeding skills through individualized, crib-side studies. To determine the underpinning of each newborn's feeding problem, the team uses a special feeding tube with advanced sensors to capture the rhythm of muscular contractions throughout the entire aero-digestive tract, beginning with the mouth and ending beyond the stomach. The signals from the tube are translated into a graphic form and are evaluated. Data is then shared with a multidisciplinary clinical team that collaborates to execute the individualized strategies for delivering effective nutrition, based on the baby's individual needs.

In light of outcome data, this multidisciplinary program could serve as a model of care for newborns with feeding disorders and could lead to new understanding of how pediatric feeding disorders develop. "These diagnostic and therapeutic strategies that have evolved to improve feeding success may raise the health quality and lower the costs," said Dr. Jadcherla.


'/>"/>

Contact: Mary Ellen Peacock
MaryEllen.Peacock@NationwideChildrens.org
614-355-0495
Nationwide Children's Hospital
Source:Eurekalert

Related biology news :

1. Studies point to novel target for treating arrhythmias
2. Studies examine genetic determinants of ADHD
3. Studies offer guide as protein interaction mapping comes of age
4. Web-based case studies help students develop career skills
5. To improve forecasting earthquakes, NJIT mathematician studies grains
6. Studies on imaging and tracking transplanted cells
7. UI researchers help to improve carbon measurements in global climate studies
8. MSU researcher studies ties between cholesterol drugs, muscle problems
9. Studies of small water fleas help ecologists understand population dynamics
10. ASU researchers receive NIH awards for studies of malaria and emergent disease
11. Drug-embedded microparticles bolster heart function in animal studies
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/21/2016)... , June 21, 2016 NuData Security announced ... new role of principal product architect and that ... director of customer development. Both will report directly ... officer. The moves reflect NuData,s strategic growth in ... to high customer demand and customer focus values. ...
(Date:6/9/2016)... June 9, 2016 Paris ... Teleste,s video security solution to ensure the safety of people ... during the major tournament Teleste, an international ... and services, announced today that its video security solution will ... to back up public safety across the country. The system ...
(Date:6/2/2016)... -- Perimeter Surveillance & Detection Systems, Biometrics ... Support & Other Service  The latest report ... analysis of the global Border Security market . ... $17.98 billion in 2016. Now: In November ... software and hardware technologies for advanced video surveillance. ...
Breaking Biology News(10 mins):
(Date:6/23/2016)... June 23, 2016  The Prostate Cancer Foundation (PCF) is pleased ... and faster cures for prostate cancer. Members of the Class of 2016 were ... Read More About the Class of 2016 PCF Young ... ... ...
(Date:6/23/2016)... ... June 23, 2016 , ... Supplyframe, ... of the Supplyframe Design Lab . Located in Pasadena, Calif., the Design ... of how hardware projects are designed, built and brought to market. , The ...
(Date:6/23/2016)... 2016 Apellis Pharmaceuticals, Inc. today announced ... of its complement C3 inhibitor, APL-2. The trials ... dose studies designed to assess the safety, tolerability, ... in healthy adult volunteers. Forty subjects ... single dose (ranging from 45 to 1,440mg) or ...
(Date:6/23/2016)... YORK , June 23, 2016 ... trading session at 4,833.32, down 0.22%; the Dow Jones Industrial ... S&P 500 closed at 2,085.45, down 0.17%. Stock-Callers.com has initiated ... INFI ), Nektar Therapeutics (NASDAQ: NKTR ), ... Therapeutics Inc. (NASDAQ: BIND ). Learn more about ...
Breaking Biology Technology: