The effect of training on neonatal nurses' knowledge about transitioning preterm infants to oral feeding

Background: Preterm infants are vulnerable humans requiring much care and attention. They may be exposed to irregular noise, light, and odor in the neonatal intensive care unit for a period of several weeks or months. This study was carried out to determine the effect of individualized developmental care on physiological parameters, growth, and transition to oral feeding in preterm infants. Methods: The study was a randomized controlled trial. The sample comprised premature infants meeting the inclusion criteria. They were randomly assigned to four groups: the maternal voice group, the breast milk odor (BMO) group, the incubator cover (IC) group, and the control group. Results: No statistically significant difference was found between the groups in terms of weight, height, and head circumference at time of discharge. Mean SO2 values were statistically higher in the IC group than the other groups; however, the heart rate and respiratory rate were not statistically different in a significant sense between the groups. The briefest duration of transition to total oral feeding was seen in the BMO group. Conclusion: Individualized developmental care practices based on the results of these interventions are likely to support the care of preterm infants. Breast milk odor may ease the transition to breastfeeding.

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A feeding protocol for healthy preterm infants that shortens time to oral feeding

The Journal of Pediatrics ◽

10.1067/mpd.2001.117077 ◽

2001 ◽

Vol 139 (3) ◽

pp. 374-379 ◽

Cited By ~ 96

Author(s):

Gail C. McCain ◽

Peter S. Gartside ◽

James M. Greenberg ◽

Judy Wright Lott

Keyword(s):

Preterm Infants ◽

Oral Feeding ◽

Feeding Protocol

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Effect of Oral Motor Intervention on Oral Feeding in Preterm Infants: A Systematic Review and Meta-Analysis

American Journal of Speech-Language Pathology ◽

10.1044/2021_ajslp-20-00322 ◽

2021 ◽

pp. 1-11

Author(s):

Danna Chen ◽

Zhen Yang ◽

Chujie Chen ◽

Pu Wang

Keyword(s):

Weight Gain ◽

Hospital Stay ◽

Preterm Infants ◽

Meta Analysis ◽

Length Of Hospital Stay ◽

Oral Feeding ◽

Transition Time ◽

Cochrane Library ◽

Oral Motor ◽

Feeding Efficiency

Objective This review article aimed to explore the effect of oral motor intervention on oral feeding in preterm infants through a meta-analysis. Method Eligible studies were retrieved from four databases (PubMed, Embase, Cochrane Library, and Web of Science) up to July 2020 and screened based on established selection criteria. Thereafter, relevant data were extracted and heterogeneity tests were conducted to select appropriate effect models according to the chi-square test and I 2 statistics. Assessment of risk of bias was performed among the included studies. Finally, a meta-analysis was carried out to evaluate the effect of oral motor intervention in preterm infants according to four clinical indicators: transition time for oral feeding, length of hospital stay, feeding efficiency, and weight gain. Results Eighteen randomized controlled trials with 848 participants were selected to evaluate the effect of oral motor intervention on preterm infants. The meta-analysis results revealed that oral motor intervention could effectively reduce the transition time to full oral feeds and the length of hospital stay as well as increase feeding efficiency and weight gain. Conclusions Oral motor intervention was an effective way to improve oral feeding in preterm infants. It is worthy to be used widely in hospitals to improve the clinical outcomes of preterm infants and reduce the economic burdens of families and society. Future studies should seek to identify detailed intervention processes and intervention durations for clinical application.

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Effects of oral stimulation with breast milk in preterm infants oral feeding: a randomized clinical trial

Journal of Perinatal Medicine ◽

10.1515/jpm-2020-0282 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Qiong Le ◽

Sheng-hua Zheng ◽

Lan Zhang ◽

Li-fen Wu ◽

Feng-juan Zhou ◽

...

Keyword(s):

Clinical Trial ◽

Breast Milk ◽

Premature Infant ◽

Preterm Infants ◽

Oral Feeding ◽

Transition Time ◽

Control Group ◽

Oral Motor ◽

Oral Stimulation ◽

Nutritive Sucking

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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