Randomized trial of earlier versus later oral feeding in very premature infants

2018 ◽  
Vol 38 (6) ◽  
pp. 687-692 ◽  
Author(s):  
Ann Gerges ◽  
Polina Gelfer ◽  
Kathleen Kennedy
Keyword(s):  
Randomized Trial ◽  
Premature Infants ◽  
Oral Feeding ◽  
Very Premature Infants

Can Mozart Improve Weight Gain and Development of Feeding Skills in Premature Infants? A Randomized Trial

2021 ◽  
Author(s):  
Margaret A. Lafferty ◽  
Amy Mackley ◽  
Pam Green ◽  
Deborah Ottenthal ◽  
Robert Locke ◽  
...  
Keyword(s):  
Birth Weight ◽  
Premature Infants ◽  
Randomized Study ◽  
Oral Feeding ◽  
Secondary Outcome ◽  
Piano Sonata ◽  
Speech Language Pathologist ◽  
Physiologic Effect ◽  
Feeding Skills ◽  
Very Premature Infants

Objective The study aimed to assess in a prospective randomized study the effect of Mozart's music on time to regain birth weight (BW) and development of oral feeding skills in babies born between 280/7 and 316/7 weeks of gestation. Study Design Healthy premature infants born between 280/7 and 316/7 completed weeks of gestation were randomized within 3 days of birth to either music or no music exposure. Infants in the music group were exposed to Mozart's double piano sonata twice per day for 14 days. The primary outcome was time to regain birth weight. The secondary outcome was development of oral feeding skills as evaluated by a speech/language pathologist blinded to the intervention. We hypothesized that exposure to Mozart's double piano sonata would decrease time to regain BW and improve feeding skills. A total of 32 newborns were needed to detect a 3-day difference in time to regain BW. Results Forty infants were enrolled and randomized. There were no significant differences between the two groups regarding the time to regain BW (p = 0.181) and the time to achievement of full oral feeds (p = 0.809). Conclusion Exposure to Mozart's double piano sonata for 14 days after birth did not significantly improve time to regain BW or time to achieve full oral feedings in very premature infants. It is possible that Mozart's music has no effect or that the duration of music exposure was not sufficient to have a physiologic effect on growth and oral feeding skills. Key Points

Comparison of Two Strategies for Surfactant Prophylaxis in Very Premature Infants: A Multicenter Randomized Trial

PEDIATRICS ◽  
1998 ◽  
Vol 101 (6) ◽  
pp. 1006-1012 ◽  
Author(s):  
J. W. Kendig ◽  
R. M. Ryan ◽  
R. A. Sinkin ◽  
W. M. Maniscalco ◽  
R. H. Notter ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Premature Infants ◽  
Multicenter Randomized Trial ◽  
Very Premature Infants

Maturation of the rectoanal inhibitory reflex in very premature infants

2003 ◽  
Vol 143 (5) ◽  
pp. 630-633 ◽  
Author(s):  
Fleur de Lorijn ◽  
T.I Omari ◽  
J.H Kok ◽  
J.A.J.M Taminiau ◽  
M.A Benninga
Keyword(s):  
Premature Infants ◽  
Rectoanal Inhibitory Reflex ◽  
Very Premature Infants ◽  
Inhibitory Reflex

Dysphagia and Oral Feeding Problems in the Premature Infant

2002 ◽  
Vol 21 (2) ◽  
pp. 51-57 ◽  
Author(s):  
Martha Wilson Jones ◽  
Elaine Morgan ◽  
Jean Shelton
Keyword(s):  
Premature Infant ◽  
Premature Infants ◽  
Gestational Age ◽  
Term Infant ◽  
Oral Feeding ◽  
Feeding Disorders ◽  
Feeding Problems ◽  
The Past ◽  
Common Problems

FEEDING DISORDERS AND dysphagia are common problems seen in premature infants following their discharge from the NICU. A major factor in the growing incidence of these problems is the number of infants born and surviving between 23 and 25 weeks gestational age, which has increased dramatically over the past decade. These infants experience both a lengthier exposure to noxious oral stimuli and a longer time until they develop the suck/swallow coordination that makes oral feeding safe.1 Oral feeding is generally not offered before 32–34 weeks gestational age, when the preterm infant’s sucking pattern begins to resemble that of a term infant.2,3 Therefore, there may be an 8- to 9-week lag between birth and oral feedings in a 23- or 24-week gestational age infant.

THE SHIFT FROM UNDER- TO OVER-TREATMENT

PEDIATRICS ◽  
1994 ◽  
Vol 93 (1) ◽  
pp. A52-A52
Keyword(s):  
Survival Rate ◽  
Premature Infants ◽  
Handicapped Children ◽  
Very Premature Infants

...from therapeutic nihilism based on the prevailing belief that any measures taken to increase the survival rate [of very premature infants] would result in increasing numbers of handicapped children who would be a burden to their families, to overzealous intervention which suggests it is mothers not infants whose interests should be ignored.

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