Orofaringeal introduction of colostrine - survey data and theoretical prospects

• Svetlana E. Pavlova
• Lyudmila N. Sofronova

Abstract

The aim of the study - to identify the frequency of practical use, the variety of methods for early oropharyngeal administration of colostrum (EOAC) among neonatologists and resuscitators in cities of the Russian Federation, the awareness of the importance of EOAC for newborn children and mothers.

Material and methods. A survey of 200 doctors was conducted on the developed monitoring map in 18 cities of the Russian Federation. The map is compiled by sections: city of residence, place of work, work experience in neonatology, application of the EOAC method with the response option «yes, no». If the answer is positive, the details of the technology were evaluated, namely the capacity used, the time of the first colostrum administration, the volume of colostrum injected, and the specific method.

Results. The frequency of using EOAC in premature and sick newborns in maternity ward among the doctors surveyed was 86%. A variety of methods have been identified. Most doctors express colostrum in a syringe, in a beaker, other vessels and inject directly into the newborn's oral cavity. Some doctors place colostrum on a cotton pad behind the cheek of a child or lubricate the baby's lips so, that the colostrum enters the oral cavity. The preferred method is expressing into a syringe. On average, a child receives up to 0.5 ml of colostrum.

Conclusions. The survey data indicate a high frequency of use of early oropharyngeal administration of colostrum to premature and sick newborns in cities of the Russian Federation. This reflects sufficient knowledge, understanding by doctors - neonatologists and resuscitators of the importance of administering colostrum to newborns, starting immediately after birth in the maternity ward when their condition is stabilized. The lack of a single optimal method requires the standardization of EOAC.

Keywords:neonatologists' and resuscitators' survey, colostrum, early oropharyngeal colostrum administration, premature and sick newborns

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