Oral Feeding Protocol

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Aim of the study was to:
Determine effect of using feeding protocol on feeding performance for post-operative infants with cleft lip or cleft palate
Research hypothesis:
Implementation protocol of feeding on feeding performance for post-operative infants with cleft lips or cleft palate will give positive effect on infant that reduce the transition time from the tube to oral feeding and improve rate of infants.
Operational definition: Feeding protocol:
Oral feeding protocol intervention for the transition from gavages feeding to oral feeding had to vary from and be a change in practice from the traditional feeding method. The feeding protocol had to include criteria for the initiation of oral feeding and the systematic progression of
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The initial section, “Oral Feeding Readiness,” is designed to assess whether the infant has sufficient energy for feeding, is in an optimal state, and has adequate baseline oxygen saturation. The middle section, “Oral Feeding Skill,” has items to assess four skill domains to successful feeding. The final section, “Oral Feeding Recovery,” is used to evaluate the impact of the feeding on the infant's state of alertness, energy level, and physiologic system (Brigit M, carter R,…show more content…
Nature of the study and their right to withdraw from the study at any time
4-Pilot study was carried out on 6 infants to test validity and reliability of the study tool. Accordingly, the required changes were done. The sample which was included in the pilot study was excluded from the study sample
5- The study was conducted through four phases a- Assessment Phase
- Initial interview with infant mothers individually to obtained information included in the structure interview schedule and the time took 30 minutes
- Assessed early feeding skills
- Assessed infant oral feeding readiness & feeding behavior. b- Implementation Phase
-Implementation of the feeding protocol for infants included: assessment of infant general condition-
Assessment of infant feeding pattern
Assessment of infant gain weight
Monitoring of infant vital sign
Measurement of anthropometric measurement such as weight length and chest circumference
-Using measures to improve sucking by using developmental care, minimize negative stimulation and promoting nonnutritive sucking, physiological stability for the transition to full oral feeding
Overview of the oral feeding practice guideline,
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