Purpose: The purpose of this study was to determine the effect of using a disposable syringe, without the needle, to feed 1-14-week-old cleft lip and palate babies and compare findings with a control group of normal babies. Methods: 57 cleft lip and palate babies were randomly assigned at birth to feeding with a syringe (intervention) or feeding with cup and spoon. Group 1 consisted of 38 syringe fed babies and Group 2 consisted of 19 cup and spoon fed babies. All babies that had both unilateral or bilateral cleft lip and palate who could not latch onto the breast or feeding bottle were selected for the study. For a control group, 55 normal babies who kept to an immunization schedule for the first 14 weeks without any history of ill health were studied. Both of the cleft groups were compared to these 55 normal babies. The group of 55 were breast-fed directly or with a feeding bottle. The cleft babies were followed up weekly to assess the type of feed and difficulty in …show more content…
feeding. This was assessed every 4 weeks, the time that it took to feed both the groups was also recorded. Feeding efficiency was monitored by noting if there was spill or regurgitation for the cleft babies. Statistical analysis was done to obtain the differences between the weights gained for all groups. Results: Babies that were fed with a cup and spoon took a longer time to feed averaging 10ml/2.08 min compared with 10ml/1.25 min for babes fed with syringe, at 6 weeks. 19(100%) of the cleft babies fed with a cup and spoon had spilling, 19 (100%) also had regurgitation compared to 30 (79%) syringe fed cleft babies who showed spilling and 28 (74%) regurgitation. This was statistically significant (P>0.05). Overall, the babes fed with cup and spoon and those fed with the syringe showed a decrease in spill and regurgitation with age. Babies fed with a combination of breast milk and formula using the syringe had a significant increase in weight gain (1.2g) between 10-14 weeks, (P<0.05). Strength of the evidence: The syringe feeding technique compared to the other various methods of feeding cleft lip and palate babies to determine if weight gain and feeding efficiency could be improved has had great success.
For example the present study shows that the feeding time in babies fed with the syringe was 10ml/1.25min compared with 10ml/2.08 min without palatal obturation for cup and spoon fed babies at 6 weeks. This demonstrates that babies fed with either the syringe or the cup and spoon showed a faster feeding time than those fed with the obturator. The syringe feeding also indicated a greater volume of feed and faster feeding time. This study also shows less spill and regurgitation which is most likely a result of the tip of the syringe entering the oral cavity away from the cleft. Since the volume of the milk is measured, a more efficient delivery of the milk is possible, resulting in fewer spills. Syringe feeing is practical, easier to use, the baby gets a larger of feed and takes a shorter time to
feed.
The case study that I chose to focus my literature review on is concerning premature babies who developed Necrotising Enterocolitis (NEC) from a milk thickener that was given to them while while was on the Neonatal Intensive Care Unit (NICU), and which some babies were discharge home on. In one example of this occurrence, which I will use to guide my search for literature, the staff on the NICU had noticed that the baby’s heart rate slightly slowed down when he ate, so they thought that he was having difficulty feeding. To combat this difficulty the staff added a thickener, SimplyThick, to his feedings. When he was discharged home they gave the thickener to the parents to take home with them. Thickening foods makes them easier to swallow because it allows them to move more slowly in the mouth giving more time for a patient to close their airway, which can prevent aspiration (Queensland Health Dietitians, 2007). SimplyThick is a thickener made of Xanthan Gum, which is a substance commonly added to thicken foods for adults. There is a lack of information on how safe Xanthan Gum is for babies. SimplyThick was marketed to speech language pathologists as being easy to dissolve in breast milk as well as maintaining its consistency when mixed. These pathologists recommended SimplyThick as an additive to milk for babies with problems swallowing.
Feeding a baby is an indispensable duty of a parent. Part of that duty includes making
Many people believe that the only way to receive HIV and AIDS is through sexual intercourse. Although it can be spread through sexual intercourse without proper protection, there is a bigger issue at hand. Not only can HIV and AIDS be transferred through sex, it can be transferred through the sharing of needles. A large number of people forget that drugs are becoming a popular trend in today’s society. The spread of HIV and AIDS has increased because of the sharing of needles between drug users.Not only is it an STD (Sexually Transmitted Disease) it is a bloodborne pathogen. This is why needle exchange programs are a must have in communities like Licking County, today. Needle exchange programs are extremely helpful because it decreases the spread of HIV and AIDS.
When the child was first born (his name is Lionel), one of the first major decisions we made was determining what type of food we should give to him. I never leaned toward either one of the options more than the other, so I decided to feed him by giving him both breast milk and formula. This was a good decision in my opinion, because he got the nutrients and antibodies from the breast milk, as well as the ability to eat
...nt research shows that breastfeeding is protective against SIDS. SIDS is not caused by immunizations. Actually, if a receives the proper immunizations, there is 50% less risk for SIDS. SIDS is not the same thing as suffocation, and is not caused by vomiting or choking.
The rapid physical growth of an infant which we talked about earlier is fueled by the nutrients that the infant receives. Without the proper nutrition,infants cannot reach their physical, and cognitive potential. It is important to breast feed your baby until they turn one, but if that’s not an option bottle feeding is widely accepted as
“Commercially prepared infant formulas are a nourishing alternative to breast milk, and even contains vitamins and nutrients that breastfed infants need to get from supplements (Pearl, E., 2015). Breastfeeding is proven to strengthen the immune system for children of all ages. While a mother nurses the infant, the mother passes down nutrients and antibodies from the milk the babies drink while nursing. Like immunizations building invulnerabilities for people destructive illnesses, breast milk gives additional antibodies to infants to help them. Nursing sessions are less demanding to retain and process the formula since it contains living development elements, hormones, and chemicals which help an infant to effectively process all healthy intake from each feeding (The Office on Women’s Health, 2012). Further, in creating nations, scientists found that for newborn children who were not breastfed have danger of dying from irresistible infections, in the primary month is six times more prominent than babies who were breastfed (Chen and Rogan, 2004). Children that are breastfed have less problems with digestive systems due to the breast milk, a standout amongst the most essential advantages of breast milk is the containing living parts, for example, contamination battling antibodies, white platelets, red platelets, and hostile to viral components (Taylor, 2013). All which are essential to the growth of a newborn's digestive system that formula does not
Although the comorbidities and type of surgery dictate certain decisions in managing patient care, anesthesiologists maintain various modalities for the perioperative period. These consist of anything from local to regional anesthesia, including neuraxial techniques and peripheral nerve blocks, as well as monitored anesthesia care with sedation to general anesthesia. Overlapping of different anesthetic types and combinations of regional analgesics to supplement general anesthesia occur frequently.
The Web. The Web. 10 Mar 2014. The "Cleft Lip and Cleft Palate." Monroe Carell Jr..
My interest in anesthesia came about like the wounded path along a well traveled hiking trail, one of many that looks enticing and is just right, but didn't reveal itself until I got myself through the hurdles along the road. In anesthesia I am looking for a specialty that values quick thinking and detailed precision, a field with the right balance of intensity and patient interaction, and a career that can challenge me to perform at the top of my abilities.
Tetanus is a bacteria that causes very rare fatal disease that people sometimes called lockjaw, they call it lockjaw because it is a tightness in the jaw. Not many people know what Tetanus is because it is so rare. The bacteria that Tetanus comes from is very good at duplicating itself; also, Tetanus has many layers to protect themselves which makes it hard to cure when you get it. You can cure it by washing out the cut right when you get it or getting it vaccinated.
Certified Registered Nurse Anesthetists (CRNA) are high trained nurses who use their developed training in the use of anesthesia to alleviate patient pain and discomfort due to medical procedures. Nurse anesthetists have been providing anesthesia for more than 125 years, dating back to the early Civil War. ("Nurse anesthetist," 2014). They undergo rigorous training post nursing licensure that allows them to hold a high position in the nursing field working beside surgeons, anesthesiologist, dentists, podiatrist, and many other skilled healthcare professionals ("Nurse anesthetist," 2014). Pain management is one of the main aspects in any procedure, if not the most important to the patient, therefore giving nurse anesthetists a wide spectrum of work settings in the medical field that they can practice in.
Though I was unable obtain his immunization records, in consonance with the CDC (2015, p.1), Caleb should have received three doses of Hepatitis B, two doses of Rotavirus, three doses of DTaP, two doses of Hib, three doses of PCV13, and three doses of IPV. (CDC, 2015, p.1) His mother does not encourage the influenza vaccine considering that the shot can be ineffective at times. The vaccines he received have supplemented the lack of antibodies he received from only bottle-feeding. Though the World Health Organization (2015, p.1) recommends that infants be fed exclusively with breast milk for the first four to six months. Caleb only was breastfed until the age of four months because he preferred the bottle. Since he did not receive any antibodies, which as stated in the American Pregnancy Association article is “only found in breast milk” (American Pregnancy Association, 2015, p.1), it is expected that he can easily become sick, however Caleb is a relatively healthy baby. Although there was a time he had fallen ill, it was only due to a change in weather. It is too soon to determine whether this lack of breast milk will affect Caleb in the future, but as of now, he is doing well. He has been slowly introduced to solid foods and has a diet consisting of formula mixed with Gerber cereal and stage one baby food. The child is a difficult and fussy eater. Majority of the time his
Breast milk is made for the baby having just the right amount of protein, sugar, water, and fat that is needed for a baby’s growth and development. As breast milk is easier for newborn’s to digest than formal, it prevents intestinal upsets. Furthermore, breast milk includes substances such as immunoglobulin’s...
Mother is considering breast feeding as an option, but is unsure of methods and benefits in comparison to bottle feeding. Is unsure about herself and whether or not she will be able to perform necessary tasks required to breast feed successfully.