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Clinical Pediatrics
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The Influence of Pacifier Sucking on Mesenteric Blood Flow in Infants

Ching-Feng Huang, MD

Ming-Chih Tsai, MD

Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei

Chia-Hsiang Chu, MS

Buddhist Tzu-Chi General Hospital, Hualien, Taiwan, ROC

Ming-Yung Lee, MS

Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei

Yu-Lueng Shih, MD

Department of Gastroenterology, Tri-Service General Hospital, National Defense Medical Center, Taipei

Shin-Nan Cheng, PhD

Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei

Thirty-six neonates were randomly assigned to 2 groups of 18 neonates each. In the pacifier group, infants were given a pacifier before milk feeding. Newborns in the control group were fed without preprandial use of a pacifier. Doppler measurement of peak systolic velocity, enddiastolic velocity, and Pourcelot resistance index in the superior mesenteric artery was performed in both groups. Peak systolic and end-diastolic velocities were significantly increased after pacifier sucking in the preprandial stage. The resistance index decreased significantly after milk feeding but not after pacifier sucking. The feeding volume was not affected by preprandial pacifier sucking.

Clinical Pediatrics, Vol. 42, No. 6, 543-546 (2003)
DOI: 10.1177/000992280304200609
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