Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-26T21:38:16.619Z Has data issue: false hasContentIssue false
  • English
  • Français

Effect of breast milk oral care in infants who underwent surgical correction of ventricular septal defect

Part of: Ventricular Septal Defect (VSD)

Published online by Cambridge University Press:  22 April 2021

Xian-Rong Yu ,
Yu-Qing Lei ,
Jian-Feng Liu ,
Zeng-Chun Wang ,
Hua Cao Open the ORCID record for Hua Cao [Opens in a new window]  and
Qiang Chen Open the ORCID record for Qiang Chen [Opens in a new window]
Xian-Rong Yu
Affiliation:
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Department of Cardiac Surgery, Fujian Children’s Hospital, Fuzhou, China
Yu-Qing Lei
Affiliation:
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Department of Cardiac Surgery, Fujian Children’s Hospital, Fuzhou, China
Jian-Feng Liu
Affiliation:
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Department of Cardiac Surgery, Fujian Children’s Hospital, Fuzhou, China
Zeng-Chun Wang
Affiliation:
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Department of Cardiac Surgery, Fujian Children’s Hospital, Fuzhou, China
Hua Cao
Affiliation:
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Department of Cardiac Surgery, Fujian Children’s Hospital, Fuzhou, China
Qiang Chen*
Affiliation:
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Department of Cardiac Surgery, Fujian Children’s Hospital, Fuzhou, China
*
Author for correspondence: Qiang Chen, MD, Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China. Tel: +86-0591-87501062; Fax: +0591-87501062. E-mail: chenqiang2228@163.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

This study explored the clinical effect of employing breast milk oral care for infants who underwent surgical correction of ventricular septal defect.

Methods:

A prospective randomised controlled study was conducted in a provincial hospital between January, 2020 and July, 2020 in China. Patients were randomly divided into an intervention group (breast milk oral care, n = 28) and a control group (physiological saline oral care, n = 28). The intervention group was given oral nursing using breast milk for infants in the early post-operative period, and the control group was given oral nursing using physiological saline. Related clinical data were recorded and analysed.

Results:

There were no significant differences in age, gender, weight, operation time, cardiopulmonary bypass time, or aortic cross-clamping time between the two groups. Compared with the physiological saline oral care group, the mechanical ventilation duration, the length of ICU stay in the breast milk oral care group were significantly shorter. The time of start feeding and total enteral nutrition were significantly earlier in the intervention group than those in the control group. The incidence of post-operative pneumonia in the breast milk oral care group was 3.6%, which was significantly lower than that of the physiological saline oral care group.

Conclusion:

The use of breast milk for oral care in infants who underwent surgical correction of VSD can reduce the incidence of post-operative pneumonia and promote the recovery of gastrointestinal function.

Keywords

Breast milkoral careinfantVSD
Type
Original Article
Information
Cardiology in the Young , Volume 31 , Issue 12 , December 2021 , pp. 2015 - 2018
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Hoffman, JIE, Kaplan, S. The incidence of congenital heart disease. J Am Coll Cardiol 2002; 39: 1890–1900.CrossRefGoogle ScholarPubMed
Eskedal, L, Hagemo, PS, Eskild, A, Aamodt, G, Seiler, KS, Thaulow, E. Survival after surgery for congenital heart defects: does reduced early mortality predict improved long-term survival? Acta Paediatr 2005; 94: 438–443.CrossRefGoogle ScholarPubMed
He, S, Chen, B, Li, W, et al. Ventilator-associated pneumonia after cardiac surgery: a meta-analysis and systematic review. J Thorac Cardiovasc Surg 2014; 148: 3148–55.e1–5.CrossRefGoogle ScholarPubMed
Shaath, GA, Jijeh, A, Faruqui, F, Bullard, L, Mehmood, A, Kabbani, MS. Ventilator-associated pneumonia in children after cardiac surgery. Pediatr Cardiol 2014; 35: 627–631.CrossRefGoogle ScholarPubMed
Fernandez Rodriguez, B, Peña Gonzalez, L, Calvo, MC, Chaves Sanchez, F, Pallas Alonso, CR, de Alba Romero, C. Oral care in a neonatal intensive care unit. J Matern Fetal Neonatal Med 2017; 30: 953–957.CrossRefGoogle Scholar
Davoudi, A, Najafi, N, Alian, S, et al. Resistance pattern of antibiotics in patient underwent open heart surgery with Nosocomial infection in North of Iran. Glob J Health Sci 2015; 8: 288–297.CrossRefGoogle ScholarPubMed
Haghighi, A, Shafipour, V, Bagheri-Nesami, M, Gholipour Baradari, A, Yazdani Charati, J. The impact of oral care on oral health status and prevention of ventilator-associated pneumonia in critically ill patients. Aust Crit Care 2017; 30: 69–73.CrossRefGoogle ScholarPubMed
Cutler, LR, Sluman, P. Reducing ventilator associated pneumonia in adult patients through high standards of oral care: a historical control study. Intensive Crit Care Nurs 2014; 30: 61–68.CrossRefGoogle ScholarPubMed
Brandtzaeg, P. The mucosal immune system and its integration with the mammary glands. J Pediatr 2010; 156 (2 Suppl): S8–S15.CrossRefGoogle ScholarPubMed
Cavigelli-Brunner, A, Hug, MI, Dave, H, et al. Prevention of low cardiac output syndrome after pediatric cardiac surgery: a double-blind randomized clinical pilot study comparing Dobutamine and Milrinone. Pediatr Crit Care Med 2018; 19: 619–625.CrossRefGoogle ScholarPubMed
Horan, TC, Andrus, M, Dudeck, MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control 2008; 36: 309–332.CrossRefGoogle ScholarPubMed
Goldstein, B, Giroir, B, Randolph, A; International Consensus Conference on Pediatric Sepsis. International pediatric sepsis consensus conference: definitions for sepsis and organ dysfunction in pediatrics. Pediatr Crit Care Med. 2005; 6: 2–8.CrossRefGoogle Scholar
Roeleveld, PP, Guijt, D, Kuijper, EJ, Hazekamp, MG, de Wilde, RB, de Jonge, E. Ventilator-associated pneumonia in children after cardiac surgery in The Netherlands. Intensive Care Med 2011; 37: 1656–1663.CrossRefGoogle ScholarPubMed
Azab, SF, Sherbiny, HS, Saleh, SH, et al. Reducing ventilator-associated pneumonia in neonatal intensive care unit using “VAP prevention Bundle”: a cohort study. BMC Infect Dis 2015; 15: 314.CrossRefGoogle ScholarPubMed
Chastre, J, Luyt, CE, Trouillet, JL, Combes, A. New diagnostic and prognostic markers of ventilator-associated pneumonia. Curr Opin Crit Care 2006; 12: 446–451.CrossRefGoogle ScholarPubMed
Tan, B, Zhang, F, Zhang, X, et al. Risk factors for ventilator-associated pneumonia in the neonatal intensive care unit: a meta-analysis of observational studies. Eur J Pediatr 2014; 173: 427–434.CrossRefGoogle ScholarPubMed
Atashi, V, Yousefi, H, Mahjobipoor, H, Bekhradi, R, Yazdannik, A. Effect of oral care program on prevention of ventilator-associated pneumonia in intensive care unit patients: a randomized controlled trial. Iran J Nurs Midwifery Res 2018; 23: 486–490.Google ScholarPubMed
Ma, A, Yang, J, Li, Y, Zhang, X, Kang, Y. Oropharyngeal colostrum therapy reduces the incidence of ventilator-associated pneumonia in very low birth weight infants: a systematic review and meta-analysis. Pediatr Res 2021; 89: 54–62.CrossRefGoogle ScholarPubMed
Ahn, Y, Jun, Y, Kim, N, Sohn, M. Flora colonization and oral care in high-risk newborns. J Spec Pediatr Nurs 2019; 24: e12233.CrossRefGoogle ScholarPubMed
Lee, HC, Kurtin, PS, Wight, NE, et al. A quality improvement project to increase breast milk use in very low birth weight infants. Pediatrics 2012; 130: e1679–e1687.CrossRefGoogle ScholarPubMed
Meier, P, Patel, A, Esquerra-Zwiers, A. Donor human milk update: evidence, mechanisms, and priorities for research and practice. J Pediatr 2017; 180: 15–21.CrossRefGoogle Scholar
Rodriguez, NA, Meier, PP, Groer, MW, Zeller, JM, Engstrom, JL, Fogg, L. A pilot study to determine the safety and feasibility of oropharyngeal administration of own mother’s colostrum to extremely low-birth-weight infants. Adv Neonat Care 2010; 10: 206–212.CrossRefGoogle ScholarPubMed
Thibeau, S, Boudreaux, C. Exploring the use of mothers’ own milk as oral care for mechanically ventilated very low-birth-weight preterm infants. Adv Neonat Care 2013; 13: 190–197.CrossRefGoogle ScholarPubMed
Sohn, K, Kalanetra, KM, Mills, DA, Underwood, MA. Buccal administration of human colostrum: impact on the oral microbiota of premature infants. J Perinatol 2016; 36: 106–111.CrossRefGoogle ScholarPubMed
Fucile, S, Milutinov, M, Timmons, K, Dow, K. Oral sensorimotor intervention enhances breastfeeding establishment in preterm infants. Breastfeed Med 2018; 13: 473–478.CrossRefGoogle ScholarPubMed