Breastfeeding and swallowing in a neonate with mild hypoxic-ischaemic encephalopathy

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dc.contributor.author Kruger, Esedra
dc.contributor.author Kritzinger, Alta M. (Aletta Margaretha)
dc.contributor.author Pottas, Lidia
dc.date.accessioned 2018-05-02T09:06:32Z
dc.date.available 2018-05-02T09:06:32Z
dc.date.issued 2017-05-22
dc.description.abstract BACKGROUND : Specific breastfeeding and swallowing characteristics in neonates with hypox-icischaemic encephalopathy (HIE) have not yet been well described in the literature. Considering the relatively high incidence of HIE in resource-poor settings, speech-language therapists should be cognisant of the feeding difficulties in this population during breastfeeding. OBJECTIVE : To systematically describe the breastfeeding and swallowing of a single case of a neonate diagnosed with mild HIE from admission to discharge. METHOD : A case study of a 2-day old neonate with mild HIE in a neonatal intensive care unit at an urban teaching hospital, is presented. Data were prospectively collected during four sessions in a 12-day period until the participant’s discharge. Feeding and swallowing were assessed clinically, as well as instrumentally using a video-fluoroscopic swallow study. RESULTS : After parenteral feeding, nasogastric tube feeding commenced. Breastfeeding was introduced on Day 6, as it was considered a safe option, and revealed problematic rooting, shallow latching, short sucking bursts, infrequent swallowing, and a drowsy state of arousal, with coughing and choking. No penetration or aspiration was identified instrumentally. After 13 days, the neonate was breastfeeding safely. CONCLUSION : Although the pharyngeal stage of swallowing was intact, symptoms of oral stage dysphagia were revealed using a combination of clinical and instrumental measures. Breastfeeding difficulties were identified, exacerbated by poor state regulation, which lead to prolonged hospitalisation. The case study highlights the unexpected long duration of feeding difficulties in an infant with mild HIE and indicates further research. en_ZA
dc.description.department Speech-Language Pathology and Audiology en_ZA
dc.description.librarian am2018 en_ZA
dc.description.uri http://www.sajcd.org.za/index.php/SAJCD en_ZA
dc.identifier.citation Krüger, E., Kritzinger, A., & Pottas, L. (2017). Breastfeeding and swallowing in a neonate with mild hypoxic-ischaemic encephalopathy. South African Journal of Communication Disorders 64(1), a209. https://DOI. org/ 10.4102/sajcd.v64i1.209. en_ZA
dc.identifier.issn 0379-8046 (print)
dc.identifier.issn 2225-4765 (online)
dc.identifier.other 10.4102/sajcd.v64i1.209
dc.identifier.uri http://hdl.handle.net/2263/64753
dc.language.iso en en_ZA
dc.publisher AOSIS OpenJournals en_ZA
dc.rights © 2017. The Authors. Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License. en_ZA
dc.subject Neonates en_ZA
dc.subject Breastfeeding en_ZA
dc.subject Swallowing en_ZA
dc.subject Hypoxic-ischaemic encephalopathy (HIE) en_ZA
dc.title Breastfeeding and swallowing in a neonate with mild hypoxic-ischaemic encephalopathy en_ZA
dc.type Article en_ZA


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