Impact of Delivery Room Gastric Lavage on Exclusive Breastfeeding Rates Among Neonates Born Through Meconium-Stained Amniotic Fluid : A Randomized Controlled Trial
BACKGROUND: Delivery-room gastric lavage reduces feeding intolerance and respiratory distress in neonates born through meconium-stained amniotic fluid (MSAF).
OBJECTIVES: To evaluate the effects of gastric lavage on exclusive breastfeeding and skin-to-skin contact in neonates delivered through MSAF.
DESIGN: Randomized controlled trial.
PARTICIPANTS: 110 late preterm and term neonates delivered through MSAF not requiring resuscitation beyond initial steps.
METHODS: Participants randomized into gastric lavage (GL) (n=55) and no-GL (n=55) groups. The primary outcome was the rate of exclusive breastfeeding at 72±12 hours of life. Secondary outcomes were time to initiate breastfeeding and establish exclusive breastfeeding, rate of exclusive breastfeeding at discharge, time to initiate skin-to-skin contact and its duration, rates of respiratory distress, feeding intolerance, and the procedure-related complications of gastric lavage monitored by pulse oximetry and videography.
RESULTS: Both the groups were similar in baseline characteristics. 49 (89.1%) neonates in GL group could achieve exclusive breast-feeding at 72 hours compared to 48 (87.3%) in no-GL group [RR (95% CI) 1.02 (0.89-1.17); P=0.768]. Initiation of skin-to-skin contact was significantly delayed and the total duration was significantly less in GL group compared to no-GL group. No difference in respi-ratory distress and feeding intolerance was observed. Procedure-related complications included retching, vomiting, and mild desaturation.
CONCLUSION: Gastric lavage did not help to establish exclusive breastfeeding, delayed the initiation of skin-to-skin contact in delivery room and reduced its total duration. Moreover, the procedure of gastric lavage was associated with neonatal discomfort.
| Errataetall: |
CommentIn: Indian Pediatr. 2023 Sep 15;60(9):701-702. - PMID 37705263 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:60 |
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| Enthalten in: |
Indian pediatrics - 60(2023), 9 vom: 15. Sept., Seite 719-725 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Chaudhary, Rahul Kumar [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Completed 15.09.2023 Date Revised 07.11.2023 published: Print-Electronic CommentIn: Indian Pediatr. 2023 Sep 15;60(9):701-702. - PMID 37705263 Citation Status MEDLINE |
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| 100 | 1 | |a Chaudhary, Rahul Kumar |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Impact of Delivery Room Gastric Lavage on Exclusive Breastfeeding Rates Among Neonates Born Through Meconium-Stained Amniotic Fluid |b A Randomized Controlled Trial |
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| 500 | |a Date Revised 07.11.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: Indian Pediatr. 2023 Sep 15;60(9):701-702. - PMID 37705263 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Delivery-room gastric lavage reduces feeding intolerance and respiratory distress in neonates born through meconium-stained amniotic fluid (MSAF) | ||
| 520 | |a OBJECTIVES: To evaluate the effects of gastric lavage on exclusive breastfeeding and skin-to-skin contact in neonates delivered through MSAF | ||
| 520 | |a DESIGN: Randomized controlled trial | ||
| 520 | |a PARTICIPANTS: 110 late preterm and term neonates delivered through MSAF not requiring resuscitation beyond initial steps | ||
| 520 | |a METHODS: Participants randomized into gastric lavage (GL) (n=55) and no-GL (n=55) groups. The primary outcome was the rate of exclusive breastfeeding at 72±12 hours of life. Secondary outcomes were time to initiate breastfeeding and establish exclusive breastfeeding, rate of exclusive breastfeeding at discharge, time to initiate skin-to-skin contact and its duration, rates of respiratory distress, feeding intolerance, and the procedure-related complications of gastric lavage monitored by pulse oximetry and videography | ||
| 520 | |a RESULTS: Both the groups were similar in baseline characteristics. 49 (89.1%) neonates in GL group could achieve exclusive breast-feeding at 72 hours compared to 48 (87.3%) in no-GL group [RR (95% CI) 1.02 (0.89-1.17); P=0.768]. Initiation of skin-to-skin contact was significantly delayed and the total duration was significantly less in GL group compared to no-GL group. No difference in respi-ratory distress and feeding intolerance was observed. Procedure-related complications included retching, vomiting, and mild desaturation | ||
| 520 | |a CONCLUSION: Gastric lavage did not help to establish exclusive breastfeeding, delayed the initiation of skin-to-skin contact in delivery room and reduced its total duration. Moreover, the procedure of gastric lavage was associated with neonatal discomfort | ||
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Chaurasia, Suman |e verfasserin |4 aut | |
| 700 | 1 | |a Singh, Poonam |e verfasserin |4 aut | |
| 700 | 1 | |a Priyadarshi, Mayank |e verfasserin |4 aut | |
| 700 | 1 | |a Bhat, Nowneet Kumar |e verfasserin |4 aut | |
| 700 | 1 | |a Chaturvedi, Jaya |e verfasserin |4 aut | |
| 700 | 1 | |a Basu, Sriparna |e verfasserin |4 aut | |
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