Prefeeding Oromotor Stimulation Program for Improving Oromotor Function in Preterm Infants — A Randomized Controlled Trial

Abstract

Objective

To determine effect of Premature Infant Oral Motor Intervention program on oro-motor function and time to full independent wati spoon feeds in preterm infants.

Methods

30 preterm infants between 28–32 weeks of gestation on full gavage feeds of 150 mL/kg/day were randomized to receive either pre-feed oro-motor stimulation using Premature Infant Oral Motor Intervention (structured stimulation) or sham intervention (unstructured stimulation).

Results

Improvement in mean (SD) Neonatal Oro-Motor Assessment Scale (NOMAS) over 7 days from baseline was significantly higher in the study group infants as compared to control group (9.25 (1.73) vs 4.79 (1.52), P=0.001). Infants in the study group reached full independent wati spoon feeds significantly earlier than the infants in control group (4.0 (0.8) d; vs 6.64 (1.0) d; P=0.001). There was significant increase in weight gain after enrolment in infants in study group compared to those in control group.

Conclusions

Oral stimulation program improves the oro-motor skills and growth velocity in 28–32 week preterm infants. There is decreased transition time from gavage to full independent feeds by mouth.

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References

  1. 1.

    McGrath JM, Braescu AV. Feeding readiness in the preterm infant. J Perinat Neonatal Nurs. 2004;18:353–68.

    Article  PubMed  Google Scholar 

  2. 2.

    Lee JH, Chang YS, Yoo HS, Ahn AY, Seo HJ, Choi SH, et al. Swallowing dysfunction in very low birth weight infants with oral feeding desaturation. World J Pediatr. 2011;7:337–43.

    Article  PubMed  Google Scholar 

  3. 3.

    Zimmerman EA, Barlow SM. The complexity of transitioning to oral feeds in preterm infants. Perspect Speech Sci Orofac Disord. 2009;19:52–4.

    Article  Google Scholar 

  4. 4.

    Beckman D. Oral motor assessment and intervention. In: Oral Motor Assessment and Intervention. Easter Seal Society, Dallas (TX); 1998.

    Google Scholar 

  5. 5.

    Lessen BS. Effect of the premature infant oral motor intervention on feeding progression and length of stay in preterm infants. Adv Neonatal Care. 2011;11:129–39.

    Article  PubMed  Google Scholar 

  6. 6.

    Palmer MM, Crawley K, Blanco IA. Neonatal oral–motor assessment scale: A reliability study. J Perinatol. 1993;13:28–35.

    PubMed  CAS  Google Scholar 

  7. 7.

    DaCosta SP, Schans CP. The relaiabilty of the NOMAS scale. Acta Pediatr. 2008; 97:21–6.

    Article  Google Scholar 

  8. 8.

    Fucile S, Gisel E, Lau C. Oral stimulation accelerates the transition from tube to oral feeding in preterm infants. J Pediatr. 2002;141:230–6.

    Article  PubMed  Google Scholar 

  9. 9.

    Gaebler CP, Hanzlik JR. The effects of a prefeeding stimulation program on preterm infants. Am J Occup Ther. 1996;50:184–92.

    Article  PubMed  CAS  Google Scholar 

  10. 10.

    Rocha AD, Moreira ME, Pimenta HP, Ramos JR, Lucena SL. A randomized study of the efficacy of sensory–motororal stimulation and non–nutritive sucking in very low birthweight infant. Early Hum Dev. 2007;83:385–8.

    Article  PubMed  Google Scholar 

  11. 11.

    Bala P, Kaur R, Mukhopadhyay K, Kaur S. Oromotor stimulation for transition from gavage to full oral feeding in preterm neonates: A Randomized controlled trial. Indian Pediatr. 2016;53:36–8.

    Article  PubMed  Google Scholar 

  12. 12.

    Leonard EL, Trykowski BE, Kirkpatrick BV. Nutritive sucking in high risk neonates after perioral stimulation. Phys Ther. 1980;60:299–302.

    Article  PubMed  CAS  Google Scholar 

  13. 13.

    Einarsson LM, Deitz J, Price R, Glass R, Hays R. The effect of oral support on sucking efficiency in preterm infants. Am J Occup Ther. 1993;48:490–8.

    Article  Google Scholar 

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Correspondence to Sorabh Goel.

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Arora, K., Goel, S., Manerkar, S. et al. Prefeeding Oromotor Stimulation Program for Improving Oromotor Function in Preterm Infants — A Randomized Controlled Trial. Indian Pediatr 55, 675–678 (2018). https://doi.org/10.1007/s13312-018-1357-6

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Keywords

  • Breestfeeding
  • Neonate
  • Prematurity
  • Stimulation