{"id":208,"date":"2022-11-11T05:17:10","date_gmt":"2022-11-11T05:17:10","guid":{"rendered":"https:\/\/earlychildhoodresearch.csu.domains\/early-childhood-voices-conference-2022\/?page_id=208"},"modified":"2022-12-01T08:59:54","modified_gmt":"2022-12-01T08:59:54","slug":"ecv2022-229","status":"publish","type":"post","link":"https:\/\/earlychildhoodresearch.csu.domains\/early-childhood-voices-conference-2022\/ecv2022-229\/","title":{"rendered":"229 – Evolution of swallowing and feeding abilities of neonates with hypoxic-ischaemic encephalopathy during hospitalisation: A case series"},"content":{"rendered":"\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t

Presentation - ECV2022-229<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t

Evolution of swallowing and feeding abilities of neonates with hypoxic-ischaemic encephalopathy during hospitalisation: A case series<\/strong><\/h1>\n

<\/p>\n

<\/p>\n

Roxanne Malan<\/strong>, University of Pretoria, South Africa (malanroxanne@gmail.com<\/a>)
Jeannie van der Linde<\/strong>, University of Pretoria, South Africa (jeannie.vanderlinde@up.ac.za<\/a>)
Alta Kritzinger<\/strong>, University of Pretoria, South Africa (alta.kritzinger@up.ac.za<\/a>)
Marien Graham<\/strong>, University of Pretoria, South Africa (marien.graham@up.ac.za<\/a>)
Esedra Kr\u00fcger<\/strong>, University of Pretoria, South Africa (esedra.kruger@up.ac.za<\/a>)
Kumeshnie Kollapen<\/strong>, University of Pretoria, South Africa (komeshnie.kollapen@up.ac.za<\/a>)
Zarina Lockhat<\/strong>, University of Pretoria, South Africa (zarina.lockhat@up.ac.za<\/a>)<\/p>\n

<\/p>\n

<\/p>\n

<\/p>\n

<\/p>\n

<\/p>\n

<\/p>\n

<\/p>\n

<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t
\n\t\t\t
<\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\n

Background: <\/strong>Neonatal hypoxic-ischaemic encephalopathy (HIE) commonly occurs in lower-and middle-income countries and often causes oropharyngeal dysphagia (OPD), but relevant research is limited. Increased understanding of the evolution of swallowing and feeding among affected neonates during hospitalisation may improve speech-language pathology (SLP) service delivery.<\/p>\n\n

Aim:<\/strong> To describe the evolution of swallowing and feeding of neonates with HIE during hospitalisation.<\/p>\n\n

Method:<\/strong> A longitudinal cohort study was used. Twenty-nine participants (median age 39.0 weeks [IQR=2.0 weeks]) were included. Clinical swallowing and feeding assessments were conducted at the introduction of oral feeds and at discharge using the Neonatal Feeding Assessment Scale (NFAS). Video-fluoroscopic swallow studies (VFSS) supplemented the NFAS before discharge.<\/p>\n\n

Results:<\/strong> Approximately two-thirds of participants displayed OPD symptoms during initial NFAS and VFSS. Significantly fewer OPD symptoms occurred at discharge (p<\/em>=0.004). Sucking endurance (p<\/em><0.001), suck-swallow-breathe coordination (p<\/em>=0.031), and tongue protrusion reactions (p<\/em>=0.025) significantly improved during hospitalisation. Nine participants (31.0%) demonstrated penetration or aspiration. Most aspiration events were silent (60%). Many participants displayed OPD symptoms regardless of HIE severity.<\/p>\n\n

Conclusions:<\/strong> Neonates with all grades of HIE should be considered for early speech-language pathology intervention before discharge.<\/p>\n\n

Implications for children and families:<\/strong> If your newborn has HIE, they may be at risk of having swallowing and feeding difficulties that can cause health issues. Speech-language pathologists are uniquely equipped to manage swallowing and feeding difficulties, therefore, their early involvement in your newborn\u2019s care is encouraged.<\/p>\n\n

Implications for practitioners:<\/strong> Among neonates with all grades of HIE, early speech-language pathology intervention is recommended for OPD. This study highlighted the value of VFSS in diagnosing OPD. Most aspiration events among participants were silent and may have been missed otherwise.<\/p>\n\n

Key words<\/strong>: Hypoxic-ischaemic encephalopathy; neonate; professionals\u2019 voices, oropharyngeal dysphagia; swallowing and feeding; wellbeing; vulnerable communities<\/p>\n\n

This presentation relates to the following <\/strong>United Nations Sustainable Development Goals<\/strong><\/a>:<\/strong><\/p>\n\n