Nursing interventions to decrease respiratory distress during bottle feeding with preterm infants

Abstract

Preterm infants are born after 20 weeks' gestation but before the completion of 3-7 weeks' gestation. Because of cardiopulmonary, gastrointestinal, and neuromuscular immaturity, preterm infants are at high risk for respiratory complications during bottle feedings. The purpose of this integrated review of literature was to compile evidence based nursing interventions to decrease respiratory distress during bottle feedings.

Research findings were obtained through searches conducted in the CINAHL, Health Source, and MEDLINE databases. Results indicated that assessment of feeding readiness prior to the initiation of bottle-feeding was either lacking or inconsistent among neonatal units. Many hospitals lack protocols, failing to provide specific guidelines for the initiation of bottle-feeding with preterm infants. Feeding techniques such as external pacing, how the bottle was held, and oral support were statistically significant in positively influencing successful bottle-feeding. Because feeding criteria is limited and inconsistent, the risk of overlooking factors necessary for clinical decision-making to prevent respiratory distress is increased. Further research addressing the management of preterm infants during bottle feedings is needed to clarify which interventions are the most effective in preventing respiratory distress while promoting adequate nutritional intake.

Notes

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Thesis Completion

2010

Semester

Spring

Advisor

Covelli, Maureen

Degree

Bachelor of Science in Nursing (B.S.N.)

College

College of Nursing

Degree Program

Nursing

Subjects

Dissertations, Academic -- Nursing;Nursing -- Dissertations, Academic

Format

Print

Identifier

DP0022439

Language

English

Access Status

Open Access

Length of Campus-only Access

None

Document Type

Honors in the Major Thesis

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