SYRINGE FEEDING VERSUS BOTTLE FEEDING; IMPACT ON BREAST FEEDING

Objective: To compare the effects of syringe feeding versus bottle feeding on subsequent breast feeding in terminfants admitted to the nursery for routine care for the first 12–24 hours of life.Study Design: Prospective cohort study.Place and Duration of Study: Nurseries of Combined Military Hospital Gujranwala and Mangla, from Feb 2016 toJul 2016.Patients and Methods: All term neonates fulfilling inclusion criteria were included in the study. All neonatesadmitted for observation delivered by lower segment caesarean section to the nursery at CMH Gujranwalawere placed in group 1. They were initially syringe fed while being observed in nursery (12-24 hours) andsubsequently advised to start breast feeding. Whereas all neonates admitted for observation to the nursery atCMH Mangla were placed in group 2. They were initially bottle fed and subsequently advised to breast feed. Allinfants were followed up at 1.5 months to determine feeding practices. At follow-up, infants were categorised aseither exclusively breast fed or not exclusively breast fed.Results: In group 1, 62.2% of infants were exclusively breast feeding at 1.5 months. In group 2, 59% of infantswere exclusively breast feeding at 1.5 months. Group 1 did not have a significantly higher number of infants whowere exclusively breastfed as compared to group 2 (p-value 0.64).Conclusion: Supplementary feeding with syringe feeding as compared to bottle feeding does not confer anybenefit in establishing exclusive breastfeeding in healthy term infants who are unable to breast feed for initial 12-24 hours and hence cannot be recommendedas the preferred method of supplementary feeding in this group ofneonates.