JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING, cilt.29, sa.e12428, ss.1-10, 2024 (SCI-Expanded)
Abstract
Purpose: This single‐group, quasiexperimental study was conducted to determine
the effect of feeding position on the physiological parameters and feeding
performance of term‐born infants with cleft lip and palate (CLP) in the preoperative
period.
Methods: The study sample consisted of 45 infants aged 0–6 months with CLP
followed up preoperatively in our outpatient clinic between January 2021 and
2022. Infants who were being fed with a specialty bottle for babies with CLP
and whose families consented to participate in the study were included. After
2 h of fasting, the infants were fed in the elevated supine (ESU) position for the
first meal, then in the elevated side‐lying (ESL) position for the second meal
after another 2 h of fasting. The infants' heart rate and oxygen saturation values
before, during, and after each feed and indicators of feeding performance were
compared between the positions.
Results: There was no significant difference between the positions in terms of heart
rate and oxygen saturation before, during, or after feeding (p > .05). There was no
statistically significant difference in measures of feeding performance according to
the infants' feeding position (p > .05).
Conclusion: According to the findings obtained in this study, infants with CLP
showed no statistically significant differences in heart rate, oxygen saturation, or
feeding performance when fed in the ESL and ESU positions.
Practice Implications: However, despite the lack of statistical significance, both
physiological values and feeding performance tended to be better when the
infants were fed in the ESL position, nurses can practice ESL position according
to the infant's opposite direction of the side of the cleft lip or palate.