Cochrane · systematic review · CD013038

Exposure to the smell and taste of milk to accelerate feeding in preterm infants

Delgado Paramo, L, Bronnert, A, Lin, L, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library

Neonatal2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 2 · 28.6%Very low 2 · 28.6%Low 2 · 28.6%Moderate 1 · 14.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Exposure versus no exposure to the smell and taste of milk with tube feeds in preterm infants

Population: preterm infants
CD013038.PUB3 (current) · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Time to reach full sucking feeds (time to removal of the feeding tube)
Exposure vs no exposure to the smell and taste of milk with tube feeds
no estimate extracted3 studies · 662 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Adverse effects related to intervention
Exposure vs no exposure to the smell and taste of milk with tube feeds
no estimate extracted2 studies · 2 participantsUngraded
Duration of parenteral nutrition (time to removal of IV nutrition line)
Exposure vs no exposure to the smell and taste of milk with tube feeds
no estimate extracted3 studies · 977 participantsLow
Downgraded: risk of bias, imprecision
Time to reach full enteral feeds (150 mL/kg/day or as defined by the trialists)
Exposure vs no exposure to the smell and taste of milk with tube feeds
no estimate extracted4 studies · 736 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Feeding intolerance during hospitalisation (resulting in discontinuation of or reduction in enteral feeding)
Exposure vs no exposure to the smell and taste of milk with tube feeds
no estimate extracted0 studies · 0 participantsUngraded
Necrotising enterocolitis during hospitalisation (Bell's stage ≥ 2)
Exposure vs no exposure to the smell and taste of milk with tube feeds
RR 0.93 [0.47, 1.84]2 studies · 435 participantsLow
Downgraded: imprecision
Late infection during hospitalisation (bacterial or fungal infection confirmed by presence of blood or CSF infection, with initiation of symptoms > 48 hours after birth)
Exposure vs no exposure to the smell and taste of milk with tube feeds
RR 1.14 [0.74, 1.75]2 studies · 436 participantsModerate
Downgraded: imprecision

Exposure to the smell and taste of milk with tube feeds compared to no exposure in preterm infants

Population: preterm infants
CD013038.PUB2 · 7 questions
OutcomeEffectEvidenceStatus / GRADE
Time to reach full sucking feeds (days)
Exposure to the smell and taste of milk with tube feeds vs no exposure
no estimate extracted2 studies · 131 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Adverse effects related to intervention ‐ not reported
Exposure to the smell and taste of milk with tube feeds vs no exposure
no estimate extracted1 study · 51 participantsVery low
Downgraded: imprecision, indirectness
Time to reach full enteral feedings (days)
Exposure to the smell and taste of milk with tube feeds vs no exposure
no estimate extracted1 study · 51 participantsVery low
Downgraded: risk of bias, imprecision
Duration of parenteral nutrition (days)
Exposure to the smell and taste of milk with tube feeds vs no exposure
no estimate extracted1 study · 51 participantsVery low
Downgraded: risk of bias, imprecision
Necrotising enterocolitis
Exposure to the smell and taste of milk with tube feeds vs no exposure
RR 0.62 [0.15, 2.48]1 study · 51 participantsLow
Downgraded: imprecision
Late infection
Exposure to the smell and taste of milk with tube feeds vs no exposure
RR 2.46 [0.27, 22.13]1 study · 51 participantsLow
Downgraded: imprecision
Time to first discharge home (days)
Exposure to the smell and taste of milk with tube feeds vs no exposure
no estimate extracted2 studies · 131 participantsVery low
Downgraded: risk of bias, imprecision, indirectness