p Effect of Left and Right Semi-Elevated Side-Lying Positions on Feeding Performance of Preterm Infants

Aktas E., Girgin B. A., GÖZEN D., Ergun K., Pekyig A., Cetinkaya M.

JOGNN-JOURNAL OF OBSTETRIC GYNECOLOGIC AND NEONATAL NURSING, vol.51, no.1, pp.65-72, 2022 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 51 Issue: 1
  • Publication Date: 2022
  • Doi Number: 10.1016/j.jogn.2021.09.006
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CAB Abstracts, Child Development & Adolescent Studies, CINAHL, EMBASE, Gender Studies Database, MEDLINE, Psycinfo, Veterinary Science Database, DIALNET
  • Page Numbers: pp.65-72
  • Keywords: feeding, feeding performance, left side-lying position, preterm infant, right side-lying position, SKILLS ASSESSMENT
  • Istanbul University Affiliated: No


Objective: To determine the effect of right and left semi-elevated side-lying positions on the feeding performance and skills of bottle-fed preterm infants. Design: A single-group, crossover experimental study. Settings: Level 3 NICU of a training and research hospital in Istanbul. Participants: A total of 60 preterm infants born at 24 to 36 6/7 weeks gestation. Methods: We collected data using an infant information form, feeding observation form, and the Turkish version of the Early Feeding Skills Assessment (EFS-Turkish). For each infant, we collected data for two feeds: one in the right and one in the left semi-elevated side-lying position. Results: We found no difference between the right and left semi-elevated side-lying positions in the volume or percentage of food taken (p = .582 and p = .625, respectively), feeding duration (p = .901), or feeding efficiency (p = .423). We observed no significant differences between feedings in the left and right semi-elevated side-lying positions in mean EFS-Turkish total score (p = .251) or subscale scores (p > .05). Conclusion: Neonatal nurses can feed preterm infants in both directions of the semi-elevated side-lying position when following evidence-based feeding guidelines.