Abstract
Objective
To investigate the effects of a prefeeding oral stimulation program on the feeding performance of preterm infants.
Methods
A crossover design was used. Nineteen preterm infants who were in the transitional time to full oral feeding served as their own controls. A 5-min oral stimulation program was applied to infants prior to feeding in two of 4 feedings on two consecutive days. Feeding, behavioral state, and physiological parameters of infants in the intervention and control feeding conditions were compared using SPSS software.
Results
There were two significant findings: (1) Compared to the control condition, infants in the intervention condition achieved a greater intake rate in the initial 5 min of the feeding (P = 0.021). (2) After receiving oral stimulation, a higher percentage of infants moved to the drowsy or quiet alert state from sleep or restlessness before feeding, both on Day 1 (P= 0.016) as well as Day 2 (P = 0.016). No significant differences were found in other feeding parameters, feeding-induced physiological changes (peripheral oxygen saturation levels and pulse rate) and behavioral states between two feeding conditions.
Conclusions
Oral stimulation had a modulating effect on the prefeeding behavioral states and short-lived beneficial effects on the feeding efficiency of preterm infants.
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References
Bu’Lock F, Woolridge MW, Baum JD. Development of coordination of sucking, swallowing and breathing: ultrasound study of term and preterm infants. Dev Med Child Neurol 1990;32: 669–678.
Case-Smith J, Cooper P, Scala V. Feeding efficiency of premature neonates. Am J Occup Ther 1989; 43: 245–250.
McGrath JM, Braescu AV. State of the science: feeding readiness in the preterm infant. J Perinat Neonatal Nurs 2004; 18: 353–368.
Lau C, Alagugurusamy R, Schanler RJ, Smith EO, Shulman RJ. Characterization of the developmental stages of sucking in preterm infants during bottle feeding. Acta Paediatr 2000; 89: 846–852.
Pickler RH, Best AM, Reyna BA, Wetzel PA, Gutcher GR. Prediction of feeding performance in preterm infants. Newborn Infant Nurs Rev 2005; 5: 116–123.
Pickler RH, Reyna BA. A descriptive study of bottle-feeding opportunities in preterm infants. Adv Neonatal Care 2003; 3: 139–146.
Pickler RH, Best A, Crosson D. The effect of feeding experience on clinical outcomes in preterm infants. J Perinatol 2009; 29: 124–129.
Boiron M, Da Nobrega L, Roux S, Henrot A, Saliba E. Effects of oral stimulation and oral support on non-nutritive sucking and feeding performance in preterm infants. Dev Med Child Neurol 2007; 49: 439–444.
Fucile S, Gisel E, Lau C. Oral stimulation accelerates the transition from tube to oral feeding in preterm infants. J Pediatr 2002; 141: 230–236.
Fucile S, Gisel EG, Lau C. Effect of an oral stimulation program on sucking skill maturation of preterm infants. Dev Med Child Neurol 2005; 47: 158–162.
Rocha AD, Moreira ME, Pimenta HP, Ramos JR, Lucena SL. A randomized study of the efficacy of sensory-motor-oral stimulation and non-nutritive sucking in very low birthweight infant. Early Hum Dev 2007; 83: 385–388.
Brazelton B, Nugent K. The neonatal behavioral assessment scale, 2nd ed. London; Mac Keith Press, 1995.
Shaker CS. Behavioral state activity during nipple feedings for preterm infants. Neonatal Netw 1997; 16: 38.
Portney LG, Watkins MP. Foundations of Clinical Research, 2nd ed. New Jersey, NJ; Prentice-Hall, 2000.
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Hwang, YS., Vergara, E., Lin, CH. et al. Effects of prefeeding oral stimulation on feeding performance of preterm infants. Indian J Pediatr 77, 869–873 (2010). https://doi.org/10.1007/s12098-010-0001-9
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DOI: https://doi.org/10.1007/s12098-010-0001-9