Effects of pre-feeding oral stimulation on oral feeding in preterm infants: A randomized clinical trial

Abstract Objectives This study was performed to evaluate the effect of oral stimulation with breast milk for preterm infants. Methods A total of 68 subjects form neonatal intensive care unit were randomly assigned into control group (n=20), premature infant oral motor intervention (PIOMI) group (n=25) and premature infant oral motor intervention with breast milk (BM-PIOMI) group (n=23). Results BM-PIOMI group had significant shorter initiation of oral feeding (IOF) time compared to PIOMI group (2.95 days, 95% CI [0.42–5.48]) or control group (9.79 days, 95% CI [7.07–12.51]). BM-PIOMI group had significant sooner transition time from IOF to full oral feeding (FOF) compared to control group (6.68 days, 95% CI [2.2–11.16]), but not to PIOMI group (2.09 days, 95% CI [−2.07 to 6.25]). Length of hospital stay (LOS) did not show statistical different between three groups (control 38.85 ± 14.40 vs. PIOMI 38.48 ± 11.76 vs. BM-PIOMI 38.04 ± 12.2). Growth mixture model identified improvement in non-nutritive sucking (NNS) score in BM-PIOMI group compared to control and PIOMI group (0.8293, p<0.0001, and 0.8296, p<0.0001, respectively). Conclusions Oral stimulation with breast milk can better promotes the oral feeding process of premature infants than the simple oral stimulation, by shorten IOF time and improve early NNS score, but does not shorten transition time from IOF to FOF and LOS. Trial registration The trial identification number is ChiCTR1800019134 (Chinese Clinical Trial Registry http://www.who.int/ictrp/network/chictr2/en/)

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The effects of premature infant oral motor intervention (PIOMI) on oral feeding of preterm infants: A randomized clinical trial

International Journal of Pediatric Otorhinolaryngology ◽

10.1016/j.ijporl.2019.02.005 ◽

2019 ◽

Vol 120 ◽

pp. 202-209 ◽

Cited By ~ 5

Author(s):

Hadiseh Ghomi ◽

Fariba Yadegari ◽

Farin Soleimani ◽

Brenda Lessen Knoll ◽

Mahdi Noroozi ◽

...

Keyword(s):

Clinical Trial ◽

Premature Infant ◽

Randomized Clinical Trial ◽

Preterm Infants ◽

Oral Feeding ◽

Oral Motor

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Effectiveness of Cue-Based Feeding Versus Scheduled Feeding in Preterm Infants Using Comprehensive Feeding Assessment Scales: A Randomized Clinical Trial

Iranian Journal of Pediatrics ◽

10.5812/ijp.107475 ◽

2020 ◽

Vol 30 (6) ◽

Author(s):

Farideh Kamran ◽

Ahmad Reza Khatoonabadi ◽

Mahshid Aghajanzadeh ◽

Abbas Ebadi ◽

Yaser Faryadras ◽

...

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Preterm Infants ◽

Neonatal Intensive Care ◽

Oral Feeding ◽

P Value ◽

Readiness Assessment ◽

Feeding Group ◽

Postmenstrual Age ◽

Duration Of Hospitalization

Background: One of the most critical criteria in making ready an infant for discharge from the neonatal intensive care unit (NICU) is full oral feeding attainment. Objectives: The present study aimed at investigating the effectiveness of cue-based feeding in preterm infants. Methods: A randomized clinical trial study was designed to compare 37 preterm infants at a gestational age of ≤ 34 weeks in the cue-based feeding group (n = 18) and the scheduled feeding group (n = 19). All participants were evaluated by the Preterm Infant Oral Feeding Readiness Assessment Scale (PIOFRAS) and Early Feeding Skill (EFS) scale in four different stages. Outcome measures were weight (grams per day), duration of full oral feeding achievement, duration of hospitalization, postmenstrual age (PMA), and the score of PIOFRAS and EFS. A P-value of less than 0.05 has been considered statistically significant. Results: The duration of full oral feeding achievement was shorter in the cue-based feeding group (3.55 ± 1.24 vs 6.68 ± 2.00, P < 0.001). Infants were discharged earlier in the cue-based feeding group (15.55 ± 5.38 vs 27.10 ± 7.90, P < 0.001). The mean score of PIOFRAS only on the day of discharge in the cue-based feeding group was more than the scheduled feeding group (32.61 ± 1.14 vs 31.90 ± 0.87, P = 0.03). The score of EFS in each dimension was inconsistent in each stage, and differences were observed between two groups in the full oral feeding stage. Conclusions: Although PIOFRAS and EFS demonstrated no difference significantly in most of the stages of achievement in oral feeding between the cue-based feeding group and the scheduled feeding, the process of attainment of oral feeding and discharge from the hospital was more rapid in the cue-based feeding group.

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