Enemas, suppositories and rectal stimulation are not effective in accelerating enteral feeding or meconium evacuation in low-birthweight infants: a systematic review

Kim Kamphorst; Ydelette Sietsma; Annemieke J Brouwer; Paul J T Rood; Agnes van den Hoogen

doi:10.1111/apa.13540

Enemas, suppositories and rectal stimulation are not effective in accelerating enteral feeding or meconium evacuation in low-birthweight infants: a systematic review

Kim Kamphorst, Ydelette Sietsma, Annemieke J Brouwer, Paul J T Rood, Agnes van den Hoogen

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Early full enteral feeding in preterm infants decreases morbidity and mortality. Our systematic review covered the effectiveness of rectal stimulation, suppositories and enemas on stooling patterns and feeding tolerance in low-birthweight infants born at up to 32 weeks. It comprised seven studies published between 2007 and 2014 and covered 495 infants.

CONCLUSION: Suppositories were ineffective in shortening the time to reach full enteral feeding, and the evidence on enemas was contradictory. Enemas and rectal stimulation did not shorten the time until complete meconium evacuation was reached. Further research into safe, effective interventions to accelerate meconium excretion is needed.

Original language	English
Pages (from-to)	1280-1287
Number of pages	8
Journal	Acta Paediatrica
Volume	105
Issue number	11
DOIs	https://doi.org/10.1111/apa.13540
Publication status	Published - Nov 2016

Keywords

Enemas
Feeding tolerance
Low-birthweight infants
Meconium excretion
Suppositories

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10.1111/apa.13540

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title = "Enemas, suppositories and rectal stimulation are not effective in accelerating enteral feeding or meconium evacuation in low-birthweight infants: a systematic review",

abstract = "Early full enteral feeding in preterm infants decreases morbidity and mortality. Our systematic review covered the effectiveness of rectal stimulation, suppositories and enemas on stooling patterns and feeding tolerance in low-birthweight infants born at up to 32 weeks. It comprised seven studies published between 2007 and 2014 and covered 495 infants.CONCLUSION: Suppositories were ineffective in shortening the time to reach full enteral feeding, and the evidence on enemas was contradictory. Enemas and rectal stimulation did not shorten the time until complete meconium evacuation was reached. Further research into safe, effective interventions to accelerate meconium excretion is needed.",

keywords = "Enemas, Feeding tolerance, Low-birthweight infants, Meconium excretion, Suppositories",

author = "Kim Kamphorst and Ydelette Sietsma and Brouwer, {Annemieke J} and Rood, {Paul J T} and {van den Hoogen}, Agnes",

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Enemas, suppositories and rectal stimulation are not effective in accelerating enteral feeding or meconium evacuation in low-birthweight infants: a systematic review. / Kamphorst, Kim; Sietsma, Ydelette; Brouwer, Annemieke J et al.
In: Acta Paediatrica, Vol. 105, No. 11, 11.2016, p. 1280-1287.

Research output: Contribution to journal › Article › Academic › peer-review

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AU - Kamphorst, Kim

AU - Sietsma, Ydelette

AU - Brouwer, Annemieke J

AU - Rood, Paul J T

AU - van den Hoogen, Agnes

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KW - Enemas

KW - Feeding tolerance

KW - Low-birthweight infants

KW - Meconium excretion

KW - Suppositories

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ER -

Enemas, suppositories and rectal stimulation are not effective in accelerating enteral feeding or meconium evacuation in low-birthweight infants: a systematic review

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Keywords

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