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A preliminary report on the efficacy of the “Multicare AR-Bed®” in 3 weeks - 3 month old infants on regurgitation, associated symptoms and acid reflux.
  1. Yvan Vandenplas (yvan.vandenplas{at}uzbrussel.be)
  1. UZ Brussel Kinderen, Belgium
    1. Jean De Schepper
    1. UZ Brussel Kinderen, Belgium
      1. Stephanie Verheyden
      1. Onze Lieve Vrouwziekenhuis Aalst, Campus Asse, Belgium
        1. Johan Franckx
        1. Onze Lieve Vrouwziekenhuis Aalst, Campus Asse, Belgium
          1. Thierry Devreker
          1. UZ Brussel Kinderen, Belgium
            1. Marianne Peelman
            1. UZ Brussel Kinderen, Belgium
              1. Etienne Denayer
              1. UZ Brussel Kinderen, Belgium
                1. Bruno Hauser
                1. UZ Brussel Kinderen, Belgium

                  Abstract

                  Objectives: The aim of this preliminary study was to evaluate the efficacy of a 40° supine body-position on infant regurgitation, reflux-associated symptoms and acid reflux.

                  Intervention: Thirty of fifty-two consecutive infants presenting with frequent regurgitation and reflux-associated symptoms occurring mainly during feeding were evaluated in the “Multicare AR-Bed®” (Peos, Belgium). The Infant Gastroesophageal Reflux Questionnaire-Revised (I-GERQ-R) and an oesophageal pH monitoring were performed at inclusion and after one week.

                  Results: Eight out of 30 (27%) infants did not tolerate the 40° positioning, and had to be taken out of the study within the first 2 days. However, in 22/30 (73%) infants the I-GERQ-R and acid reflux decreased significantly with the “Multicare AR-Bed®”. The mean duration of use of the “Multicare AR-Bed®” was 3.2 months.

                  Conclusion: The results of this pilot-study suggest that a specially made bed that nurses the infant at 40 degree supine body position reduces regurgitation, acid reflux and reflux-associated symptoms. However, the intervention was open, the sample size small and the withdrawal rate was substantial. Larger trials are needed.

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