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Journal of Human Lactation
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Cup or Bottle for Preterm Infants: Effects on Oxygen Saturation, Weight Gain, and Breastfeeding

Neide M. N. Rocha, MD

Departamento de Saúde Materno-Infantil da Universidade Federal do Ceará, Brazil

Francisco E. Martinez, MD

Department of Pediatrics, Faculdade de Medicina de Ribeirão Preto, University of São Paulo, Avenida Bandeirantes 3900-Ribeirão Preto, SP, Brazil, CEP 14049-900

Salim M. Jorge, MD

Departamento de Puericultura e Pediatria, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Brazil

The impact of cup-feeding or bottle-feeding on weight gain, oxygen saturation, and breastfeeding rates of preterm infantswas studied in 34 bottle-fed and 44 cup-fed preterm infants. At initiation of oral feeding, postconceptional age and weight were 37.2 ± 2.2 weeks and 1676 ± 83 g for the bottle-fed group (BF) and 37.0 ± 1.6 weeks and 1637 ± 40 g for the cup-fed (CF) group, respectively. No significant differences between groups were found with regard to time spent feeding, feeding problems, weight gain, or breastfeeding prevalence at discharge or at 3-month follow-up. Possible beneficial effects of cup-feeding were lower incidence of desaturation episodes (13.6% vs 35.3%, CF vs BF, P= .024) and a higher prevalence of breastfeeding at 3 months among those still breastfeeding at the first follow-up visit (68.4% vs 33.3%, CF vs BF, P= .04).

Key Words: cup-feeding • bottle-feeding • preterm infant • nutrition • breastfeeding

Journal of Human Lactation, Vol. 18, No. 2, 132-138 (2002)
DOI: 10.1177/089033440201800204
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C. T Collins, P. Ryan, C. A Crowther, A. J McPhee, S. Paterson, and J. E Hiller
Effect of bottles, cups, and dummies on breast feeding in preterm infants: a randomised controlled trial
BMJ, July 24, 2004; 329(7459): 193 - 198.
[Abstract] [Full Text] [PDF]