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

South African Journal of Communication Disorders

 
 
Field Value
 
Title Breastfeeding and swallowing in a neonate with mild hypoxic-ischaemic encephalopathy
 
Creator Krüger, Esedra Kritzinger, Alta Pottas, Lidia
 
Subject Speech-Language Pathology; Dysphagia; Paediatric dysphagia; Neonatology Hypoxic-ischaemic encephalopathy; breastfeeding; swallowing; video-fluoroscopic swallow study; neonate; HIV
Description Background: Specific breastfeeding and swallowing characteristics in neonates with hypoxic-ischaemic 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.
 
Publisher AOSIS
 
Contributor
Date 2017-05-22
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Case study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajcd.v64i1.209
 
Source South African Journal of Communication Disorders; Vol 64, No 1 (2017); 7 pages 2225-4765 0379-8046
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajcd.org.za/index.php/sajcd/article/view/209/721 https://sajcd.org.za/index.php/sajcd/article/view/209/720 https://sajcd.org.za/index.php/sajcd/article/view/209/722 https://sajcd.org.za/index.php/sajcd/article/view/209/719
 
Coverage South Africa — Neonate
Rights Copyright (c) 2017 Esedra Krüger, Alta Kritzinger, Lidia Pottas https://creativecommons.org/licenses/by/4.0
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