Breathing pattern and ventilation during oral feeding in term newborn infants
The effect of oral feeding on breathing pattern and ventilation was studied in 19 healthy term neonates in the semiupright supine position. Ventilation was measured with a nasal flowmeter, and sucking pressure via a modified nipple that permitted milk delivery. The feeding pattern in these infants c...
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| Veröffentlicht in: | The Journal of pediatrics 1985-01, Vol.106 (5), p.810-813 |
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| container_title | The Journal of pediatrics |
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| creator | Mathew, Oommen P. Clark, Mark L. Pronske, Maria L. Luna-Solarzano, Hortencia G. Peterson, Mary Dale |
| description | The effect of oral feeding on breathing pattern and ventilation was studied in 19 healthy term neonates in the semiupright supine position. Ventilation was measured with a nasal flowmeter, and sucking pressure via a modified nipple that permitted milk delivery. The feeding pattern in these infants consisted of an initial period of continuous sucking followed by intermittent sucking for the remainder of the feed. A significant reduction in minute ventilation (P |
| doi_str_mv | 10.1016/S0022-3476(85)80363-2 |
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Ventilation was measured with a nasal flowmeter, and sucking pressure via a modified nipple that permitted milk delivery. The feeding pattern in these infants consisted of an initial period of continuous sucking followed by intermittent sucking for the remainder of the feed. A significant reduction in minute ventilation (P<0.01) was observed during continuous sucking, and resulted entirely from a reduction in breathing frequency (P<0.01). Tidal volume did not change (P>0.05), but prolongation of expiration (P<0.01) and shortening of inspiration (P<0.05) were also observed. During intermittent sucking, the minute ventilation was similar to that of the control period. However, smaller but significant changes in breathing frequency and in duration of inspiration and expiration persisted during intermittent sucking. Our results document a significant reduction in ventilation during the initial part of oral feeding in term neonates, and subsequent recovery with continued feeding. Depending on the magnitude of this reduction in ventilation, cyanosis and bradycardia may develop in some infants during oral feeding.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/S0022-3476(85)80363-2</identifier><identifier>PMID: 3998923</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Air breathing ; Biological and medical sciences ; Bottle Feeding ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Infant, Newborn ; Male ; Respiration ; Respiratory system: anatomy, metabolism, gas exchange, ventilatory mechanics, respiratory hemodynamics ; Sucking Behavior - physiology ; Tidal Volume ; Vertebrates: respiratory system</subject><ispartof>The Journal of pediatrics, 1985-01, Vol.106 (5), p.810-813</ispartof><rights>1985 The C. V. 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Ventilation was measured with a nasal flowmeter, and sucking pressure via a modified nipple that permitted milk delivery. The feeding pattern in these infants consisted of an initial period of continuous sucking followed by intermittent sucking for the remainder of the feed. A significant reduction in minute ventilation (P<0.01) was observed during continuous sucking, and resulted entirely from a reduction in breathing frequency (P<0.01). Tidal volume did not change (P>0.05), but prolongation of expiration (P<0.01) and shortening of inspiration (P<0.05) were also observed. During intermittent sucking, the minute ventilation was similar to that of the control period. However, smaller but significant changes in breathing frequency and in duration of inspiration and expiration persisted during intermittent sucking. Our results document a significant reduction in ventilation during the initial part of oral feeding in term neonates, and subsequent recovery with continued feeding. Depending on the magnitude of this reduction in ventilation, cyanosis and bradycardia may develop in some infants during oral feeding.</description><subject>Air breathing</subject><subject>Biological and medical sciences</subject><subject>Bottle Feeding</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Respiration</subject><subject>Respiratory system: anatomy, metabolism, gas exchange, ventilatory mechanics, respiratory hemodynamics</subject><subject>Sucking Behavior - physiology</subject><subject>Tidal Volume</subject><subject>Vertebrates: respiratory system</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMFu1DAQhq2Kqiylj1ApB4TgELA9jpOcEFTQIrXiQHu2JvYYjLLOYnuLeHu83dVeOXms__vH1sfYpeDvBBf6_XfOpWxB9frN0L0dOGho5QlbCT72rR4AnrHVEXnOXuT8i3M-Ks7P2BmM4zBKWLG7T4mw_AzxR7PBUijFBqNrHimWMGMJS2zcNu3iJeHceCK3u4TYVHbdRPozLbUTosdY8kt26nHOdHE4z9nDl8_3Vzft7bfrr1cfb1vbgS4tKt4pQKmc8ORc76zgpNUAshck_QSiE5MXXisYUSNaGusEwF0PE6CGc_Z6v3eTlt9bysWsQ7Y0zxhp2WbTayGFAqhgtwdtWnJO5M0mhTWmv0Zws9NonjSanSMzdOZJo5G1d3l4YDutyR1bB281f3XIMVucfcJoQz5ig9LQ96piH_YYVRmPgZLJNlC0VWIiW4xbwn8-8g9KP46z</recordid><startdate>19850101</startdate><enddate>19850101</enddate><creator>Mathew, Oommen P.</creator><creator>Clark, Mark L.</creator><creator>Pronske, Maria L.</creator><creator>Luna-Solarzano, Hortencia G.</creator><creator>Peterson, Mary Dale</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19850101</creationdate><title>Breathing pattern and ventilation during oral feeding in term newborn infants</title><author>Mathew, Oommen P. ; Clark, Mark L. ; Pronske, Maria L. ; Luna-Solarzano, Hortencia G. ; Peterson, Mary Dale</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c536t-a40543a24d1fedd7dc10e6483271e2fb3151bf1f6439a6aace9439330d73b3a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Air breathing</topic><topic>Biological and medical sciences</topic><topic>Bottle Feeding</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Respiration</topic><topic>Respiratory system: anatomy, metabolism, gas exchange, ventilatory mechanics, respiratory hemodynamics</topic><topic>Sucking Behavior - physiology</topic><topic>Tidal Volume</topic><topic>Vertebrates: respiratory system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mathew, Oommen P.</creatorcontrib><creatorcontrib>Clark, Mark L.</creatorcontrib><creatorcontrib>Pronske, Maria L.</creatorcontrib><creatorcontrib>Luna-Solarzano, Hortencia G.</creatorcontrib><creatorcontrib>Peterson, Mary Dale</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mathew, Oommen P.</au><au>Clark, Mark L.</au><au>Pronske, Maria L.</au><au>Luna-Solarzano, Hortencia G.</au><au>Peterson, Mary Dale</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Breathing pattern and ventilation during oral feeding in term newborn infants</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>1985-01-01</date><risdate>1985</risdate><volume>106</volume><issue>5</issue><spage>810</spage><epage>813</epage><pages>810-813</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>The effect of oral feeding on breathing pattern and ventilation was studied in 19 healthy term neonates in the semiupright supine position. Ventilation was measured with a nasal flowmeter, and sucking pressure via a modified nipple that permitted milk delivery. The feeding pattern in these infants consisted of an initial period of continuous sucking followed by intermittent sucking for the remainder of the feed. A significant reduction in minute ventilation (P<0.01) was observed during continuous sucking, and resulted entirely from a reduction in breathing frequency (P<0.01). Tidal volume did not change (P>0.05), but prolongation of expiration (P<0.01) and shortening of inspiration (P<0.05) were also observed. During intermittent sucking, the minute ventilation was similar to that of the control period. However, smaller but significant changes in breathing frequency and in duration of inspiration and expiration persisted during intermittent sucking. Our results document a significant reduction in ventilation during the initial part of oral feeding in term neonates, and subsequent recovery with continued feeding. Depending on the magnitude of this reduction in ventilation, cyanosis and bradycardia may develop in some infants during oral feeding.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>3998923</pmid><doi>10.1016/S0022-3476(85)80363-2</doi><tpages>4</tpages></addata></record> |
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| ispartof | The Journal of pediatrics, 1985-01, Vol.106 (5), p.810-813 |
| issn | 0022-3476 1097-6833 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Air breathing Biological and medical sciences Bottle Feeding Female Fundamental and applied biological sciences. Psychology Humans Infant, Newborn Male Respiration Respiratory system: anatomy, metabolism, gas exchange, ventilatory mechanics, respiratory hemodynamics Sucking Behavior - physiology Tidal Volume Vertebrates: respiratory system |
| title | Breathing pattern and ventilation during oral feeding in term newborn infants |
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