Effect of using cup versus bottle for feeding premature neonates on breastfeeding pattern / Amel Mosbah Abouelfettoh ; Supervised Soheir Abd El hameed Dabash , Eman Abd El salam Seoud , Shadia Ryahd Elguindy

Thesis (PH.D.) - Cairo University - Faculty Of Nursing - Department Of Pediatrics Nursing

The purpose of the current study is to examine the effect of using cup feeding versus bottle feeding for the supplementation of breastfeeding for preterm infants on breastfeeding pattern after dischargeA convenience sample of 60 singleton preterm infants between 34 and 37 weeks' gestational age and a mean weight of 2150 grams at birth were recruited during their stay in the NICU (4 - 37 days) from two neonatal intensive care units at Cairo University Pediatric HospitalA quasi - experimental cohort design was used , with the control group (n=30) studied firstControl group infants received only bottle feedings to supplement breastfeeding during hospitalizationThe experimental group (n=30) received only cup feedings to supplement breastfeeding during hospitalizationAll infants were followed weekly after discharge through six weeks to determine maternal breastfeeding practice as well as observing infant's breastfeeding behaviorThe overall mean proportion of feedings that were breastfeeding one week after discharge was 723in hundred , with a significantly higher proportion in the cup feeding groups compared to the bottle feeding group (p=031) Seventy five percent of bottle fed infants received bottle feeding after discharge mainly for a nutritional purposeCup fed infants demonstrated significantly more mature breastfeeding behaviors when compared to bottle fed infants (p=001) These findings support the Baby Friendly Hospital Initiative recommendations to use cup feeding as the method of choice when providing supplemental feeding for preterm infantsImproving breastfeeding outcomes for preterm infants will contribute to their long - term health

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