Abstract Objective To analyze the available evidence on the transition from orogastric tube feeding to breastfeeding directly from the breast with premature infants admitted to hospital units. Methods Systematic literature review with search in the following databases: PubMed/MEDLINE, Web of Science, EMBASE, Scopus, Cochrane CENTRAL, CINAHL, with the inclusion criteria: experimental studies, without temporal restrictions and in Portuguese, Spanish and English. The methodological assessment was carried out using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) and Revised Cochrane risk-of-bias tool for randomized trials (RoB 2.0) tools and consisted of two stages: methodological quality and the risk of bias of the studies. Results 10 papers were identified, all randomized clinical trials. The techniques used in transitioning the premature babies’ diet were: finger tube and syringe, cup and finger tube, cup and bottle, spoon and non-nutritive sucking, non-nutritive sucking, non-nutritive sucking and oral stimulation, behavior of premature babies, and smell of breast milk. Conclusion The demonstrated techniques allowed the transition of the diet in a shorter period, reducing the length of hospital stay, increasing weight gain 1and proved to be safe, as long as the premature baby is mature enough to undergo the procedure. However, bottle feeding was not recommended due to the occurrence of episodes of desaturation, increased heart rate and nipple confusion. Systematic review registration number: CRD42021240725 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=240725) units databases PubMedMEDLINE PubMed MEDLINE PubMed/MEDLINE Science EMBASE Scopus CENTRAL CINAHL criteria studies Portuguese English Assessment GRADE (GRADE riskofbias RoB 2.0 20 2 0 stages 1 identified babies syringe nonnutritive non nutritive stimulation milk period stay safe procedure However desaturation confusion number CRD CRD4202124072 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=240725 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID240725 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID https //www.crd.york.ac.uk/prospero/display_record.php RecordID=240725 www crd york ac uk prospero display record php RecordID 240725 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=240725 2. CRD420212407 phpRecordID https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=24072 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID24072 wwwcrdyorkacukprosperodisplayrecordphp RecordID240725 RecordID=24072 24072 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=24072 CRD42021240 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=2407 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID2407 RecordID24072 RecordID=2407 2407 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=2407 CRD4202124 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=240 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID240 RecordID2407 RecordID=240 240 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=240 CRD420212 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=24 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID24 RecordID240 RecordID=24 24 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=24 CRD42021 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=2 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID2 RecordID24 RecordID=2 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=2 CRD4202 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID= RecordID2 RecordID= (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID= CRD420 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID CRD42 CRD4
Resumen Objetivo Analizar las evidencias disponibles sobre la transición alimentaria de sonda orogástrica a lactancia materna directamente de la mama con prematuros internados en unidades hospitalarias. Métodos Revisión sistemática de la literatura con búsqueda en las bases de datos PubMed/MEDLINE, Web of Science, EMBASE, Scopus, Cochrane CENTRAL, CINAHL, con los siguientes criterios de inclusión: estudios experimentales, sin restricción temporal y en idioma portugués, español e inglés. La evaluación metodológica se realizó por medio de las herramientas Grading of Recommendations Assessment, Development and Evaluation (GRADE) y Revised Cochrane risk-of-bias tool for randomized trials (RoB 2.0) y consistió en dos etapas: calidad metodológica y riesgo de sesgo de los estudios. Resultados Se identificaron 10 artículos, todos ensayos clínicos aleatorizados. Las técnicas utilizadas para la transición de la dieta de prematuros fueron: dedo-jeringa y jeringa, vaso y dedo-jeringa, vaso y mamadera, cuchara y succión no nutritiva, succión no nutritiva, succión no nutritiva y estimulación oral, comportamiento de los prematuros, olor de la leche materna. Conclusión Las técnicas observadas permitieron realizar la transición de la dieta en un período más corto, con reducción del tiempo de internación y mejor aumento de peso y demostraron ser seguras, siempre que el prematuro tenga madurez para realizarlas. No obstante, se desaconseja la mamadera por la presencia de episodios de desaturación, aumento de la frecuencia cardíaca y confusión tetina-pezón. Número de registro da revisão sistemática: CRD42021240725 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=240725) hospitalarias PubMedMEDLINE PubMed MEDLINE PubMed/MEDLINE Science EMBASE Scopus CENTRAL CINAHL inclusión experimentales portugués inglés Assessment GRADE (GRADE riskofbias risk bias RoB 2.0 20 2 0 etapas 1 artículos aleatorizados fueron dedojeringa dedo jeringa dedojeringa, oral corto seguras realizarlas obstante desaturación tetinapezón. tetinapezón tetina pezón. pezón tetina-pezón CRD CRD4202124072 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=240725 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID240725 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID https //www.crd.york.ac.uk/prospero/display_record.php RecordID=240725 www crd york ac uk prospero display record php RecordID 240725 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=240725 2. CRD420212407 phpRecordID https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=24072 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID24072 wwwcrdyorkacukprosperodisplayrecordphp RecordID240725 RecordID=24072 24072 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=24072 CRD42021240 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=2407 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID2407 RecordID24072 RecordID=2407 2407 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=2407 CRD4202124 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=240 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID240 RecordID2407 RecordID=240 240 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=240 CRD420212 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=24 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID24 RecordID240 RecordID=24 24 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=24 CRD42021 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=2 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID2 RecordID24 RecordID=2 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=2 CRD4202 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID= RecordID2 RecordID= (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID= CRD420 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID CRD42 CRD4
Resumo Objetivo Analisar as evidências disponíveis sobre a transição alimentar de sonda orogástrica para aleitamento materno diretamente na mama com prematuros internados em unidades hospitalares. Métodos Revisão sistemática da literatura com busca nas bases de dados PubMed/MEDLINE, Web of Science, EMBASE, Scopus, Cochrane CENTRAL, CINAHL, com os critérios de inclusão: estudos experimentais, sem restrição temporal e nos idiomas português, espanhol e inglês. A avaliação metodológica foi realizada por meio das ferramentas Grading of Recommendations Assessment, Development and Evaluation (GRADE) e Revised Cochrane risk-of-bias tool for randomized trials (RoB 2.0) e consistiu em duas etapas: qualidade metodológica e o risco de viés dos estudos. Resultados Foram identificados 10 artigos, todos ensaios clínicos randomizados. As técnicas utilizadas na transição da dieta dos prematuros encontradas foram: sonda-dedo e seringa, copo e sonda-dedo, copo e mamadeira, colher e sucção não-nutritiva, sucção não-nutritiva, sucção não-nutritiva e estimulação oral, comportamento dos prematuros, cheiro do leite materno. Conclusão As técnicas evidenciadas permitiram a transição da dieta, em um período mais curto, reduzindo o tempo de internação, aumentando o ganho de peso e se mostraram seguras, desde que o prematuro tenha maturidade para ser realizada. Contudo, a mamadeira foi desaconselhada, pela ocorrência de episódios de dessaturação, aumento da frequência cardíaca e confusão de bico. hospitalares PubMedMEDLINE PubMed MEDLINE PubMed/MEDLINE Science EMBASE Scopus CENTRAL CINAHL inclusão experimentais português inglês Assessment GRADE (GRADE riskofbias risk bias RoB 2.0 20 2 0 etapas 1 artigos randomizados foram sondadedo dedo seringa sondadedo, dedo, nãonutritiva, nãonutritiva não nutritiva, nutritiva oral curto internação seguras Contudo desaconselhada dessaturação bico 2.