Swallowing and Feeding in Hypoxic-Ischemic Encephalopathy (HIE)

April 13, 2023 12:15 pm

Presentation Summary

Swallowing and feeding abilities of neonates with hypoxic-ischemic encephalopathy (HIE) were described during hospitalization, using clinical assessments and video-fluoroscopic swallow studies. Most neonates displayed oropharyngeal dysphagia, regardless of HIE severity. Significantly less oropharyngeal dysphagia occurred at discharge compared to initial assessment (p=0.004). Findings may be valuable to neonatal feeding teams.

Learning Objective

Describe and compare swallowing and feeding of neonates with HIE initially and at hospital discharge.


  • Roxanne Malan

    Roxanne Malan PhD

    Roxanne Malan is a registered speech-language pathologist and PhD candidate at the University of Pretoria in South Africa. Her interests include pediatric dysphagia and early intervention. She is currently working on a research project investigating the feeding, swallowing, developmental outcomes and associated factors of infants with hypoxic-ischemic encephalopathy.

    Read more Show less
  • Jeanie Van Der Linde

    Jeannie Van Der Linde PhD

    Jeannie van der Linde is the Head of the Department of Speech-Language Pathology and Audiology at the University of Pretoria. In 2019, she was rated as a National Research Foundation (NRF) South Africa Y2 scholar. Her use of an interdisciplinary approach to improve early detection of developmental delays in underserved contexts has helped her forge partnerships with Vanderbilt University (US), University of Gavle (Sweden), and with NGOs such as Future Families and The Reach Trust. Through this research, she is also helping to develop custom smartphone applications to detect and prevent developmental delays in vulnerable children.

    Read more Show less
  • Alta Kritzinger

    Alta Kritzinger PhD

    Alta Kritzinger is an emeritus professor in the Department of Speech-Language Pathology and Audiology, University of Pretoria. Her research and clinical interests are neonatal swallowing and breastfeeding, and early communication intervention. Since her retirement in 2018, she particularly focuses on coaching parents of infants and young children with low birth weight and preterm birth, Down syndrome, clefts, autism and late language emergence. She remains a registered speech-language therapist. Alta continues to supervise postgraduate research, publishes, reviews manuscripts for journals and participates in scientific conferences. Among other topics, she supervised ten masters and four PhD studies in Dysphagia. She volunteers as a consultant in swallowing and breastfeeding intervention at the Kangaroo Mother Care ward at Kalafong hospital. She develops evidence-based material and holds workshops for parents and professionals.

    Read more Show less
  • Marien Graham

    Marien Graham PhD

    Marien A. Graham is a specialist in the areas of assessment and quality assurance, nonparametric statistics and statistical quality control. She is an Associate Professor in the Department of Science, Mathematics and Technology Education at the University of Pretoria. She has made contributions to many disciplines, including education, healthcare, social issues, and agroforestry. She is a Y1-rated researcher with the National Research Foundation (NRF), South Africa, as well as the co-author of Nonparametric Statistical Process Control, published by John Wiley & Sons (2019). Marien furthermore serves on the editorial advisory board of Scientific Studies and Research, Series Mathematics and Informatics, and has published in several accredited international peer-reviewed journals. She regularly presents her research at national and international conferences.

    Read more Show less
  • Esedra Kruger

    Esedra Kruger PhD

    Esedra Kruger is a speech-language therapist, currently working as a senior lecturer and researcher in the Department of Speech-Language Pathology and Audiology at the University of Pretoria. Her special interests include early intervention with infants and young children who have difficulties communicating, neonatal intervention with high-risk infants who have swallowing and feeding difficulties including breastfeeding management, as well as management of infants and toddlers with craniofacial disorders. Esedra is currently the head of the Clinic for High-Risk Babies at the Department of Speech-Language Pathology and Audiology. Her undergraduate and postgraduate training was completed at the University of Pretoria. She completed a PhD in Speech-Language Pathology in 2019. Esedra is also the proud wife of Christo Kr├╝ger, a financial advisor, and the mother of Isabella and Olivia.

    Read more Show less