>Hi all, I know that this info is in the archives somewhere, but I have
> not been able to locate it.  I need to find a study showing that the
> risks of syringe/cup feeding (aspiration concerns) are similar or less
> than bottlefeeding EBM.  Thanks for your help.

Check this article out to see if it contains what you need.

Barb Berges BS, RN, IBCLC
Rochester, New York

PEDIATRICS Vol. 104 No. 5 Supplement November 1999, pp. 1204-1207 

Physiologic Stability of Newborns During Cup-and Bottle-feeding         
Received Mar 17, 1999; accepted Jun 29, 1999. 

Cynthia R. Howard*, Elisabeth A. de Blieck*, Cynthia B. ten Hoopen*,
Fred M. Howard, Bruce P. Lanphear§, and Ruth A. Lawrence* 

From the Departments of * Pediatrics and  Obstetrics and Gynecology,
University of Rochester School of Medicine and Dentistry, Rochester, New
York; and the Children's Hospital Medical Center and the § Department of
Pediatrics, University of Cincinnati, Cincinnati, Ohio. 

Background.  To prevent breastfeeding problems, cup-feeding has been
recommended as a method of providing medically necessary supplemental
feedings to breastfed infants. 

Objectives.  To compare amounts ingested, administration time, and
infant physiologic stability during cup-, bottle-, and breastfeeding. 

Design/Methods.  A total of 98 term, healthy newborns were randomized to
either cup-feeding (n = 51) or bottle-feeding (n = 47). The heart (HR),
respiratory (RR), and oxygen (O2) saturation rates were monitored on
these infants and 25 breastfed newborns during 1 feeding. Differences in
amounts ingested and administration times were evaluated with t tests
and physiologic data with repeat measures analysis of variance. 

Results.  There were no significant differences in administration time,
amounts ingested or overall HR, RR, and (O2) saturation rates, between
cup and bottle groups. Breastfed infants had longer administration times
and lower overall HR, RR, and higher O2 saturation as compared with cup-
and bottle-fed infants. 

Conclusions.  Administration times, amounts ingested, and infant
physiologic stability do not differ with cup- and bottle-feeding.
Breastfeeding takes longer than cup- or bottle-feeding, but infants
experience less physiologic variability. These data support cup-feeding
as an alternative to bottle-feeding for supplying supplements to
breastfed infants.  Key words:  breastfeeding, bottle-feeding,
cup-feeding.

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