Mode of gavage feeding: does it really matters


  • Ravi Ambey Department of Pediatrics, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India
  • Priya Gogia Department of Pediatrics, Government Medical College, Vidisha, Madhya Pradesh, India
  • Kalpesh Manager Department of Pediatrics, Gandhi Medical College, Bhopal, Madhya Pradesh, India



Apnoea, Gavage feeding, Naso-gastric tube, Oro-gastric tube, Preterm


Background: The establishment of safe oral feeding in preterm or low birth weight infants may be delayed because of poor co-ordination of sucking and swallowing, neurological immaturity and respiratory distress. Enteral feeds may be delivered through a catheter (feeding tube) passed via the nose or via the mouth. This study was planned to compare oro-gastric and naso-gastric route for placing feeding tube to see duration to achieve full feeding.

Methods: The study was conducted in in-patient of SCNU (Sick Newborn Care Unit) of Department of Paediatrics. All patients (200 newborns) in the study were randomly enrolled in groups as per gestational weeks between 28-34 weeks by using New Ballard Scoring (NBS) chart at the time of admission.

Results: The mean duration to achieve full feeding either by direct breast feeding or cup feeding in oro-gastric and naso-gastric tube groups are (6.18±0.61) and (6.47±0.59) days respectively. This study will help in the individualization of the mode of gavage feeding in various institutions across the country.

Conclusions: In the present study the episodes of non-intentional removal and displacement are more in OGT group and it is statistically significant (p = 0.012 and p <0.0001 respectively). The episodes of feed intolerance are more.


Shiao SY, DiFiore TE. A survey of gastric tube practices in level II and level III nurseries. Issues of Comprehensive Pediatric Nursing. 1996;19(3):209-20.

Birnbaum R, Limperopoulos C. Non-oral feeding practices for infants in the neonatal intensive care unit. Advances in Neonatal Care. 2009;9(4):180-4.

Gregory KE, Connolly TC. Enteral feeding practices in the NICU: results from a 2009 Neonatal enteral feeding survey. Advances in Neonatal Care. 2012;12(1):46-55.

Stocks J. Effect of nasogastric tubes on nasal resistance during infancy. Arch Dis Childhood. 1980;55(1):17-21.

Greenspan JS, Wolfson MR, Holt WJ, Shaffer TH. Neonatal gastric intubation: differential respiratory effects between nasogastric and orogastric tubes. Pediatr Pulmonol. 1990;8(4):254-8.

Ellett ML, Maahs J, Forsee S. Prevalence of feeding tube placement errors and associated risk factors in children. Am J Maternal Child Nurs. 1998;23(5):234-9.

Edmond K, Bhal R. Optimal feeding of the low birth weight infants. Technical Review. World Health Organisation; 2006:1-130.

Hawes J, McEwan P, McGuire W. Nasal versus Oral route for placing feeding tubes in preterm or low birth weight infants. Cochrane Database Sys Rev. 2007;4:CD003952.

Bohnhorst B, Cech K, Peter C, Doerdelmann M. Oral versus nasal route for placing feeding tubes: no effect on hypoxemia and bradycardia in infants with apnoea of prematurity. Neonatol. 2010;98(2):143-9.

Dsilna A, Christensson K, Alfredsson L, Lagercrantz H, Blennow M. Continuous feeding promotes gastrointestinal tolerance and growth in very low birth weight infants. J Pediatr. 2005;147(1):43-9.






Original Research Articles