Issue N# 2 - 2008
Going from the tube feeding to the oral feeding in infants
Authors : Senez C. (Paris)
Ref. : rev Laryngol Otol Rhinol. 2008;129,2:115-119.
Article published in french
Downloadable PDF document french
Tube feeding has greatly improved the vital prognosis in neonatology. However, after a varying time of tube feeding, the return to oral feeding can present quite a challenge for some infants. Moreover, going back home with tube feeding can cause succession of ordeals for the parents. Our purpose is to work out a successful return to home by having prepared the infant for future oral feeding at the very beginning of the hospitalization. Going from minor to serious pathologies, we describe a method aimed at helping the infant's sucking and an alternative method of cup feeding; both intended to avoid a very harmful forced feeding. We have to organize tube feeding, while inuring the mouth to tasty stimulations, and establishing a frequency comparable to the normal feeding rhythm. The intolerance to a bolus of food or rapid flow rate occur when the oral cavity and the oesophagus are bypassed by the tube. The digestive physiology requires observing the digestive chain reaction going from the mouth to the small intestine.
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