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Subject:
From:
Denise Fisher <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 7 Apr 2005 09:30:22 +1000
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I did some research on this not too long ago and this is what I wrote as a 
result:
"
Routine gastric suctioning, involving the passage of a tube into the 
neonate's stomach and aspiration of the contents has been linked to an 
increased prevalence of functional intestinal disorders in later life 
(Anand, 2004). Widstrom (1987) noted that gastric suctioning delayed the 
infant's prefeeding behaviors.

However, the most telling outcome of these unnecessary procedures is 
described by Deneyer et al (1992). Twelve full-term newborns with vague 
symptoms related to the upper gastrointestinal tract (anorexia, poor 
feeding, retching, regurgitation, and incessant crying) were diagnosed, by 
esophagogastroduodenoscopy performed between days 2 and 5 of life, with 
extremely severe esophagitis (circular ulcerations). When all other 
possible causes of this condition were eliminated it was determined to have 
been caused by pharyngeal, esophageal, or gastric suction at birth."

Anand KJ, Runeson B, Jacobson B. (2004) Gastric suction at birth associated 
with long-term risk for functional intestinal disorders in later life. J 
Pediatr.; 144(4):449-54.
Deneyer M, Goossens A, Pipeleers-Marichal M, Hauser B, Blecker U, Sacre L, 
Vandenplas Y. (1992) Esophagitis of likely traumatic origin in newborns. J 
Pediatr Gastroenterol Nutr.; 15(1):81-4.
Widstrom AM, Ransjo-Arvidson AB, Christensson K, Matthiesen AS, Winberg J, 
Uvnas-Moberg K. (1987) Gastric suction in healthy newborn infants. Effects 
on circulation and developing feeding behaviour. Acta Paediatr Scand.; 
76(4):566-72.

All the best with changing those horrible routines.
Warmly
Denise

***************************************
Denise Fisher
Health e-Learning
http://www.health-e-learning.com

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