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

dc.contributor.authorKruger, Esedra
dc.contributor.authorKritzinger, Alta M. (Aletta Margaretha)
dc.contributor.authorPottas, Lidia
dc.date.accessioned2018-05-02T09:06:32Z
dc.date.available2018-05-02T09:06:32Z
dc.date.issued2017-05-22
dc.description.abstractBACKGROUND : 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.departmentSpeech-Language Pathology and Audiologyen_ZA
dc.description.librarianam2018en_ZA
dc.description.urihttp://www.sajcd.org.za/index.php/SAJCDen_ZA
dc.identifier.citationKrüger, 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.issn0379-8046 (print)
dc.identifier.issn2225-4765 (online)
dc.identifier.other10.4102/sajcd.v64i1.209
dc.identifier.urihttp://hdl.handle.net/2263/64753
dc.language.isoenen_ZA
dc.publisherAOSIS OpenJournalsen_ZA
dc.rights© 2017. The Authors. Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.en_ZA
dc.subjectNeonatesen_ZA
dc.subjectBreastfeedingen_ZA
dc.subjectSwallowingen_ZA
dc.subjectHypoxic-ischaemic encephalopathy (HIE)en_ZA
dc.titleBreastfeeding and swallowing in a neonate with mild hypoxic-ischaemic encephalopathyen_ZA
dc.typeArticleen_ZA

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