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:3/24/2017)... -- Research and Markets has announced the addition of ... - Industry Forecast to 2025" report to their offering. ... The Global Biometric Vehicle ... around 15.1% over the next decade to reach approximately $1,580 million ... estimates and forecasts for all the given segments on global as ...
(Date:3/22/2017)... March 21, 2017 Optimove , ... by retailers such as 1-800-Flowers and AdoreMe, today ... Recommendations and Replenishment. Using Optimove,s machine learning algorithms, ... product and replenishment recommendations to their customers based ... predictions of customer intent drawn from a complex ...
(Date:3/16/2017)... Germany , March 16, 2017 CeBIT 2017 - Against identity ... Continue Reading ... Used combined in one project, multi-biometric solutions provide ... Used ... Systems) ...
Breaking Biology News(10 mins):
(Date:4/27/2017)... and RESEARCH TRIANGLE PARK, N.C. ... (NASDAQ: UTHR ) today announced that its ... $250 million of the company,s common stock. This program ... December 31, 2017. Purchases may be made in the ... transactions from time to time as determined by United ...
(Date:4/27/2017)... ... April 27, 2017 , ... Arrowhead ... ( http://www.paintherapeuticsummit.com ) is coming to San Diego, CA on September 27-28, 2017. ... learn about the latest advances in the treatment of various types of pain. ...
(Date:4/27/2017)... , ... April 27, 2017 , ... ... 2017 Borlaug CAST Communication Award goes to Jayson Lusk, a consummate communicator who ... of media to advocate for science, as he explains how innovation and growth ...
(Date:4/26/2017)... USA (PRWEB) , ... April 26, 2017 , ... ... on FDA’s GMP expectations for phase I clinical trials comes to Tampa, San ... various biotechnology and pharma professionals representing FDA regulated organizations such as Pfizer Inc., ...
Breaking Biology Technology: