I know the above title is no Politically Correct (should read babies with
Cardiac problems), but wanted you to know the subject...
Jeanette Panchula, BSW, RN, IBCLC, LLLL
Vacaville, CA
mailto:[log in to unmask]
Title
Oxygen saturations during breast and bottle feedings in infants with
congenital heart disease.
Author
Marino BL; O'Brien P; LoRe H
Address
Children's Hospital, Boston, MA 02115, USA.
Source
J Pediatr Nurs, 1995 Dec, 10:6, 360-4
Abstract
Bottle feeding is commonly advised for infants with congenital heart
disease (CHD) based on the belief that breast feeding is too difficult
for them. However, studies of preterm infants have shown that
greater cardiorespiratory effort occurs during bottle feeding than
during breast feeding. The purpose of this study is to determine if
there is a relationship between feeding method (breast vs. bottle) and
oxygen saturations (SaO2) in infants with CHD. In a correlational
design, pulse oximetry measured SaO2 during one breast and one
bottle feeding in each of 7 infants with CHD. SaO2 during breast
feeding is significantly different from SaO2 during bottle feeding (F
=
59.72, p < .0001). SaO2 during breast feeding is higher on average
and less variable (M = 96.3%, SD = 2.2) than SaO2 during bottle
feedings (M = 92.5%, SD = 6.9), indicating that there is less
cardiorespiratory stress with breast feeding. None of the infants
desaturated (SaO2 < 90%) during breast feedings, whereas four
infants desaturated during bottle feedings.
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