Nifty Cup Versus Bottles: A Comparative Study of Feeding Methods in Newborns

Abstract

Background: Feeding alternatives for neonates temporarily unable to breastfeed are critical to ensure optimal nutrition and support early breastfeeding transition. While bottle feeding is commonly used, it may interfere with breastfeeding behavior and carries infection risks, especially in low-resource settings. The Nifty Cup, a WHO-endorsed silicone feeding device, offers a hygienic and ergonomically designed alternative, yet comparative clinical data remain limited. Objective: To compare the effectiveness and safety of the Nifty Cup versus standard bottle feeding in terms of feeding performance, weight gain, breastfeeding transition, and maternal satisfaction among newborns unable to breastfeed directly. Methods: A comparative observational study was conducted over six months at the Neonatology Unit, CMH Multan. A total of 120 full-term or late preterm newborns were randomized into two groups (n=60 each): one fed via the Nifty Cup, the other with standard bottles. Feeding parameters, weight gain by Day 5, successful transition to direct breastfeeding, and maternal satisfaction were measured. Data were analyzed using SPSS v25, with significance set at p ≤ 0.05. Results: The Nifty Cup group exhibited longer feeding times (16.4 ± 2.5 vs. 13.1 ± 2.8 minutes; p < 0.001), significantly greater weight gain by Day 5 (110 ± 25 vs. 98 ± 27 grams; p = 0.014), and higher breastfeeding transition rates (86.7% vs. 71.7%; p = 0.047). Maternal satisfaction was similar across groups (p = 0.296). Conclusion: The Nifty Cup is a clinically effective and safe alternative to bottle feeding, promoting improved early weight gain and higher breastfeeding success without compromising caregiver satisfaction.