학술논문
Enemas, suppositories and rectal stimulation are not effective in accelerating enteral feeding or meconium evacuation in low-birthweight infants: a systematic review.
Document Type
Journal Article
Source
Subject
*ENEMA
*SUPPOSITORIES
*MECONIUM
*ENTERAL feeding of children
*RECTUM physiology
*PREMATURE infants
*LOW birth weight
*SYSTEMATIC reviews
*HEALTH
*DEFECATION
*ENTERAL feeding
*NEONATAL intensive care
*TIME
*NEONATAL intensive care units
*THERAPEUTICS
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Language
ISSN
0803-5253
Abstract
Early full enteral feeding in preterm infants decreases morbidity and mortality. Our systematic review covered the effectiveness of rectal stimulation, suppositories and enemas on stooling patterns and feeding tolerance in low-birthweight infants born at up to 32 weeks. It comprised seven studies published between 2007 and 2014 and covered 495 infants.Conclusion: Suppositories were ineffective in shortening the time to reach full enteral feeding, and the evidence on enemas was contradictory. Enemas and rectal stimulation did not shorten the time until complete meconium evacuation was reached. Further research into safe, effective interventions to accelerate meconium excretion is needed. [ABSTRACT FROM AUTHOR]