Abstract

• Purpose
  To examine the effects of body position and time after feeding on gastric residuals in low birth weight infants(LBW).
• Methods
  A repeated measures design was conducted. Twenty LBW infants being fed via indwelling nasogastric tubes were randomly assigned to one of 5 different position orderings. In each position, gastric residuals were measured at 30, 60, 90, 120, 150, and 180 minutes after feeding.
• Results
  In comparisons of gastric residuals with position and time, the main effects of position and time were statistically significant (F = 5.038, p = 0.001; F = 429.763, p < 0.001, respectively), but the interaction between position and time was found not to be significant. In pairwise comparisons, the gastric residuals were more reduced in the right anterior oblique and prone positions compared with the left lateral position (P < 0.05) and the differences across time periods were significant (p < 0.001).
• Conclusion
  The body position after feeding has a significant affect on gastric residuals over time in LBW infants. The right anterior oblique or prone position is recommended rather than left lateral position after feeding. Knowledge of the proper position and the pattern of gastric emptying over time after feeding may lead to the development of evidence-based nursing care.
• Keywords: low birth weight infant; gastric emptying; enteral feeding; body position

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by  

• The Effects of Different Nursing Positions During Preterm Infants Feeding on Gastric Residual Volume and Emptying Rate: A Systematic Review and Network Meta‐Analysis
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• Efficacy of body position on gastric residual in preterm infant: a systematic review and meta-analysis
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  Clinical and Experimental Pediatrics.2023; 66(6): 262.     CrossRef
• Effect of different positions on gastric residuals in preterm infants initiating full enteral feeding
  Duygu Gözen, Zeynep Erkut, Rabia Uslubaş, Leyla Bilgin
  Nutrition in Clinical Practice.2022; 37(4): 945.     CrossRef
• The Effect of Body Position on Gavage Residual Volume of Gastric in Intensive Care Units Patients
  J Rezae, H Kadivarian, A Abdi, M Rezae, K Karimpour, S Rezae
  Iran Journal of Nursing.2018; 30(110): 58.     CrossRef
• Preventing Respiratory Complications of Tube Feedings: Evidence-Based Practice
  Norma A. Metheny
  American Journal of Critical Care.2006; 15(4): 360.     CrossRef