Ultrasound Imaging of Infant Swallowing During Breast-Feeding
Ultrasound Imaging of Infant Swallowing During Breast-Feeding
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DOI:
10.1007/s00455-009-9241-0
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发表时间:
2010-09-01
期刊:
影响因子:
2.6
通讯作者:
Hartmann, Peter E.
中科院分区:
文献类型:
--
作者:
Geddes, Donna T.;Chadwick, Lynda M.;Hartmann, Peter E.
Coordination of infants' suck-swallow-breathing patterns is integral to safe and efficient feeding. However, assessment of these patterns is difficult and often invasive, particularly in breast-fed infants less than 4 months of age. The aims of this study were to develop an ultrasound approach to visualize swallowing in term breast-feeding infants and to determine the accuracy of ultrasound imaging of swallowing compared to respiratory inductive plethysmography (RIP). On ultrasound, the breast milk bolus was observed as a predominantly echogenic area moving inferiorly. Of the 388 swallows detected with ultrasound, 379 correlated with the swallow apneas detected by RIP (R (2) = 0.98). The mean duration of the swallow was 0.63 +/- A 0.06 s. Ultrasound imaging is a noninvasive accurate method for detection of swallowing by visualization of movement of the milk bolus through the pharyngeal area of a breast-feeding infant. These techniques may potentially provide useful information for infants experiencing breast-feeding difficulties.