OBJECTIVE To determine whether delaying oral feeding until coming off NCPAP will alter feeding and respiratory-related morbidities in preterm infants. DESIGN In this retrospective pre-post analysis, outcomes were compared in two preterm infant groups (≤32 weeks gestation). Infants in Group 1 were orally fed while on NCPAP, while infants in Group 2 were only allowed oral feedings after ceasing NCPAP. RESULTS Although infants in Group 2 started feeds at a later postmenstrual age (PMA), they reached full oral feeding at a similar PMA compared with Group 1. Interestingly, there was a positive correlation between the duration of oral feeding while on NCPAP and the time spent on respiratory support in Group 1. CONCLUSIONS Delayed oral feeding until ceasing NCPAP did not contribute to feeding-related morbidities. We recommend caution when initiating oral feedings in preterm infants on NCPAP without evaluating the safety of the infants and their readiness for oral feedings.

中文翻译：

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口服喂养对早产儿经鼻持续气道正压通气 (NCPAP) 的影响。

目的 确定推迟口服喂养直到 NCPAP 结束是否会改变早产儿的喂养和呼吸相关疾病。设计 在这项回顾性的前后分析中，比较了两个早产儿组（≤ 32 周妊娠）的结果。第 1 组婴儿在使用 NCPAP 期间口服喂养，而第 2 组婴儿仅在停止 NCPAP 后才允许口服喂养。结果 尽管第 2 组的婴儿在较晚的经后年龄 (PMA) 开始喂食，但与第 1 组相比，他们在相似的 PMA 下达到完全经口喂食。有趣的是，在接受 NCPAP 期间经口喂食的持续时间与时间呈正相关第 1 组用于呼吸支持。 结论 延迟口服喂养直到停止 NCPAP 不会导致喂养相关的发病率。