The Impacts of Feeding and Swallowing on Infants and Toddlers with Hypoxic Ischemic Encephalopathy: A Scoping Review of the Literature

Abstract

Hypoxic ischemic encephalopathy (HIE) is when the brain is deprived of oxygen leading to brain damage. There are two stages- the acute phase and the latent phase. The acute phase is when an initial lack of oxygen to the brain occurs. The latent phase occurs when oxygenated blood flow resumes in the brain, this is known as reperfusion injury. Symptoms can present directly after birth, or later in a child’s development, during the early childhood years. It is one of the most common causes of neonatal encephalopathy. It is a prevalent source of morbidity and mortality for infants throughout the world. In the United States alone, there is an estimated incidence of HIE in 2-3 cases per 1000 live births. HIE causes vary, but include placental issues such as abruption, cord accidents, shoulder dystocia, meconium aspiration, and sepsis at the time of delivery. It is well established that infants with HIE are at an increased risk for developmental delays, including feeding acquisition and swallowing safety. The purpose of this literature review is to identify short-term and long-term effects of feeding and swallowing in infants and toddlers with HIE. This will include feeding milestones for the first 3 years of life, oropharyngeal dysphagia prevalence, and safe swallow practices. By capturing this data, the hope is to identify common themes to support caregivers and medical providers knowledge on developmental differences that could impact quality of life, caregiver burden, and functional independence. As such, this scoping review could support future research projects on the role of early intervention for speech, occupational, and physical therapy, as well as frequency and intensity of skilled rehabilitative services.

Faculty Sponsors

Dr. Raquel Garcia

Project Type

Event

Location

Alvin Sherman Library

Start Date

4-3-2024 12:30 PM

End Date

4-4-2024 1:30 PM

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Apr 3rd, 12:30 PM Apr 4th, 1:30 PM

The Impacts of Feeding and Swallowing on Infants and Toddlers with Hypoxic Ischemic Encephalopathy: A Scoping Review of the Literature

Alvin Sherman Library

Hypoxic ischemic encephalopathy (HIE) is when the brain is deprived of oxygen leading to brain damage. There are two stages- the acute phase and the latent phase. The acute phase is when an initial lack of oxygen to the brain occurs. The latent phase occurs when oxygenated blood flow resumes in the brain, this is known as reperfusion injury. Symptoms can present directly after birth, or later in a child’s development, during the early childhood years. It is one of the most common causes of neonatal encephalopathy. It is a prevalent source of morbidity and mortality for infants throughout the world. In the United States alone, there is an estimated incidence of HIE in 2-3 cases per 1000 live births. HIE causes vary, but include placental issues such as abruption, cord accidents, shoulder dystocia, meconium aspiration, and sepsis at the time of delivery. It is well established that infants with HIE are at an increased risk for developmental delays, including feeding acquisition and swallowing safety. The purpose of this literature review is to identify short-term and long-term effects of feeding and swallowing in infants and toddlers with HIE. This will include feeding milestones for the first 3 years of life, oropharyngeal dysphagia prevalence, and safe swallow practices. By capturing this data, the hope is to identify common themes to support caregivers and medical providers knowledge on developmental differences that could impact quality of life, caregiver burden, and functional independence. As such, this scoping review could support future research projects on the role of early intervention for speech, occupational, and physical therapy, as well as frequency and intensity of skilled rehabilitative services.