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Comparison of the finger-feeding versus cup feeding methods in the transition from gastric to oral feeding in preterm infants Please cite this article as: Moreira CM, Cavalcante-Silva RP, Fujinaga CI, Marson F. Comparison of the finger-feeding versus cup feeding methods in the transition from gastric to oral feeding in preterm infants. J Pediatr (Rio J). 2017;93:585-91. ,☆☆ ☆☆ Study conducted at Universidade Federal do Paraná (UFPR), Curitiba, PR, Brazil.

Abstract

Objectives:

To assess the finger-feeding technique when compared with the cup feeding method during the early stage of preterm infant feeding transition regarding milk loss, milk ingestion period, and complications.

Methods:

Experimental, randomized, prospective study including 53 preterm infants with gestation age < 37 weeks, clinically stable, and with a score of >28 points in the Oral Feeding Readiness Assessment Scale. The preterm babies were randomized to be included in the control group, which underwent the feeding transition using a cup or in the experimental group, which used the finger-feeding technique. The analysis of data was performed using Student's t-test to evaluate differences between mean values of the appointed variables, and Fischer's test for categorical variables; the asymmetric variables were assessed by the Kruskal-Wallis ANOVA test.

Results:

When compared with the control group, the experimental group showed lower milk loss, longer milk ingestion time, and a lower frequency of complications during feeding. The significance level was set at 5%, with a confidence interval of 90%.

Conclusion:

The finger-feeding technique was shown to be a better feeding transition method regarding efficacy when compared with cup feeding method, due to lower milk loss and fewer complication episodes.

KEYWORDS
Preterm; Sucking behavior; Feeding methods

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