Short Bowel Syndrome Clinical Trial
Official title:
Pilot Study on Sham Feeding in Post-operative Gastrointestinal Surgery Infants
The purpose of this pilot study is to evaluate a feeding technique, sham feeding, to promote adequate oral skills in order to prevent oral aversion and/or poor oral skills due to the delay in oral feeds for surgical reasons. Sham feeding is intended for infants who are expected to have a prolonged course without normal enteral feeding by mouth.
There is a lack of literature and research on which to base interventions that intend to
preserve and develop oral and motor feeding skills in the post-operative patient population
during the critical window of opportunity to establish proper oral skills. Due to the lack of
positive oral feeding stimuli (i.e. prolonged airway management, nasogastric tubes, and
airway and upper GI suctioning), these patients are at risk to develop oral aversions that
may negatively impact long-term outcomes.
Parents in the neonatal intensive care unit (NICU) report feelings of stress and loss of
control associated with medical interventions. When normal oral feeding is contraindicated,
there may be impairment of parent-child bonding and mothers may be less dedicated to
providing milk for the infant. Impaired bonding has been shown to affect the parent-child
relationship and the child's development long after discharge.
Sham feeding has been shown to be safe and shorten time to oral feeding in infants with
esophageal atresia with delayed esophageal repair. Anecdotal evidence from Le Bonheur
suggests that sham feeding in post-operative gastroschisis patients improves parental
satisfaction and engagement.
There is no literature to describe the use of sham feeding in neonates other than those with
esophageal atresia. Anecdotal reports from our institution and others institutions suggests
that it increases parental engagement and improves parental satisfaction among patients with
other bowel pathology.
This is a cohort study with historical controls within a single level IV NICU. Participants
will be offered sham feeding by breast or bottle and observed.
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