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Journal of Human Lactation
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The Effect of Breast-and Bottle-Feeding on Oxygen Saturation and Body Temperature in Preterm Infants

Chao-Huei Chen, MD

Section of Neonatology, Department of Pediatrics, Taichung Veterans General Hospital, 160, sec 3, Chung—Kang Road, Taichung, 407 Taiwan.

Teh-Ming Wang, MD

Intensive Care, Department of Pediatrics, Taichung Veterans Hospital.

Ho-Mei Chang, RN

Special Nursery, Nursing Department, Taichung Veterans Hospital.

Ching-Shiang Chi, MD

Department of Pediatrics, Taichung Veterans Hospital.

From July 1997 to June 1998, 25 preterm infants (birth weight < 1800 g) were included in a prospective study to compare the clinical effects of breast-and bottle-feeding. Oxygen saturation, heart rate, respiratory rate, and body temperature were recorded every minute for 20 minutes during feeding periods. Eighty pairs of breast-and bottle-feeding sessions were observed at the chronological age of 9.3 ± 4.3 (range=2.1-25.3) weeks. Oxygen saturation and body temperature of the preterm infants were significantly higher when they were directly breastfed. There were 2 episodes of apnea (breath pause more than 20 seconds) and 20 episodes of oxygen desaturation (PaO 2< 90%) during bottle-feeding and none during breastfeeding. We conclude that breastfeeding is a more physiological feeding method for the preterm infant and bottle-feeding may be more stressful.

Key Words: breastfeeding • preterm infant • oxygen saturation • body temperature

Journal of Human Lactation, Vol. 16, No. 1, 21-27 (2000)
DOI: 10.1177/089033440001600105
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