Abstract
BackgroundNutrition cares are of the main measures to save premature infants. In this regard, proper positioning is one of the key measures that is done by nurses; still there is a paucity of studies in this field and the results of these few studies are an area of ongoing debates. In light of this, the present paper is an attempt to determine the effects of different positioning on gastric residual volume in premature infants in NICU.MethodsA clinical trial cross-over study was carried out on premature infants in NICU. The subjects, who had inclusion criteria, were selected through convenience sampling based on inclusion criteria and randomly allocated into three groups. Gastric residual volume before and one hours after feeding was measured and recorded for three positions including right-lateral, left-lateral, and prone. The data was analyzed via SPSS-21 using descriptive statistics such as mean, standard deviation, and frequency; and inferential statistics such as Chi Squared, Kruskal Wallis test, and Friedman test.ResultsTotally, 135 infants in three groups were studied and the results showed that minimum and maximum gastric residual volumes were in prone (6.49 ± 8.25 ML) and supine (12.59 ± 11.9 ML) positions, respectively. However, Kruskal Wallis test did not show a significant relationship between the three positions under study and the mean gastric residual volume.ConclusionProne position was featured with the lowest gastric residual volume and highest possibility of absorbing nutrient. Still, given the fact that no significant difference was found in the three groups, further and deeper studies are needed.Trial registrationThe project is approved by Iranian Registry of Clinical Trial with no. IRCT. 201404134736 N6.
Highlights
MethodsA clinical trial cross-over study was carried out on premature infants in Neonatal Intensive care unit (NICU)
Nutrition cares are of the main measures to save premature infants
Given the need for more reliable evidences about the best position(s) after meal in premature infants, the present study is aimed at determining the effects of body position on gastric residual volume in premature infants in Neonatal Intensive care unit (NICU)
Summary
The study was carried out as a clinical trial in 2016. The population was the premature infants hospitalized in NICU who were fed through gavage, the premature baby is defined based on the gestation age < 37 weeks [12], and in this study the subjects were 28–36 gestational age old. After securing the required permissions from the Department of Research and Technology, Kermanshah University of Medical Science and the officials of Imam Reza Hospital, the authors attended the NICU and selected the subjects who met the criteria. To this end, the parents were briefed at first about the objectives and procedure of the study and asked to sign an informed letter of consent. Gastric residual volume was measured, based on the ward routine and related evidence [13], and it was reinterred into the stomach, after that the subjects received their mother’s milk.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
