scholarly journals Effect of a Delayed Start to Oral Feeding on Feeding Performance and Physiological Responses in Preterm Infants

2018 ◽  
Vol 26 (5) ◽  
pp. 324-331
Author(s):  
Yu-Wen WANG ◽  
Hsiao-Ying HUNG ◽  
Chyi-Her LIN ◽  
Chi-Jane WANG ◽  
Yuh-Jyh LIN ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Physiological Responses ◽  
Oral Feeding ◽  
Feeding Performance

scholarly journals A New Bottle Design Decreases Hypoxemic Episodes during Feeding in Preterm Infants

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Alejandro Jenik ◽  
Carlos Fustiñana ◽  
Maritza Marquez ◽  
David Mage ◽  
Gloria Fernandez ◽  
...  
Keyword(s):  
Oxygen Saturation ◽  
Preterm Infants ◽  
Bottle Feeding ◽  
Oral Feeding ◽  
Milk Intake ◽  
The Other ◽  
Intake Rate ◽  
Feeding Performance ◽  
Time Of Feeding ◽  
Efficiency Rate

Oxygen saturation is lower during bottle feeding than during breastfeeding in preterm infants. Our objective was to compare two different bottle systems in healthy preterm infants before discharge in terms of SpO2and oral feeding efficiency (rate of milk intake). Infants without supplement oxygen needs were evaluated twice on the same day during two consecutive feeds, by the same nurse. Infants served as their own controls for comparison of two systems of bottles, the order of which was randomized. The new bottle's nipple design mimics mom's breast in shape and feel, and the bottle vents to air when the child sucks on the nipple. The other system was the hospital's standard plastic bottle with silicone nipple. The rate of milk intake was calculated as the total volume transferred minus volume lost divided by time of feeding, mL/min. Thirty-four infants (BW:1,163±479.1 g) were studied at35.4±1.3weeks after-conception. SpO2was significantly higher in infants fed with the new bottle design. Milk intake rate was significantly higher with the new bottle than with the standard bottle design. The new bottle design improves oral feeding performance in preterm infants near to discharge when compared to that of a standard bottle.

Oral Feeding in Preterm Infants: A Conceptual Model for Health Care Practitioners

2019 ◽  
Vol 38 (6) ◽  
pp. 348-356
Author(s):  
Sandra Fucile ◽  
Anna Caulfield ◽  
Sarah Geleynse
Keyword(s):  
Health Care ◽  
Conceptual Model ◽  
Preterm Infants ◽  
Oral Feeding ◽  
Extrinsic Factors ◽  
Factors Affecting ◽  
Feeding Performance ◽  
Reference Guide ◽  
Health Care Practitioners ◽  
Intrinsic And Extrinsic Factors

Oral feeding competence is a critical milestone needed for proper growth and development in preterm infants. Commonly, the oral feeding process is conceptualized as an infant's ability to coordinate suck–swallow–breathe. However, oral feeding is a highly complex multisystem process. In this article, an oral feeding model is presented that takes into consideration the intrinsic and extrinsic factors that influence oral feeding performances. The intrinsic neurophysiologic factors include the musculoskeletal, gastrointestinal, respiratory, cardiovascular, behavioral, and neurologic systems. The extrinsic environmental factors include the physical surroundings, NICU policies, parental attributes, health care practitioners, and feeding equipment. The objectives of this article are to (1) describe the intrinsic and extrinsic factors affecting oral feeding performance of preterm infants in the NICU, (2) introduce a conceptual model of oral feeding that displays the relationship between these factors, and (3) provide a reference guide for health care practitioners to refer to when evaluating an infant's oral feeding performance.

scholarly journals Oral and non-oral sensorimotor interventions enhance oral feeding performance in preterm infants

2011 ◽  
Vol 53 (9) ◽  
pp. 829-835 ◽  
Author(s):  
SANDRA FUCILE ◽  
ERIKA G GISEL ◽  
DAVID H MCFARLAND ◽  
CHANTAL LAU
Keyword(s):  
Preterm Infants ◽  
Oral Feeding ◽  
Feeding Performance

Olfactory Stimulation of Preterm Infants with Breast Milk

2021 ◽  
pp. 105477382110189
Author(s):  
Woon Ae Lee ◽  
Jin Suk Ra
Keyword(s):  
Breast Milk ◽  
Preterm Infants ◽  
Repeated Measures ◽  
Physiological Responses ◽  
Nursing Intervention ◽  
Olfactory Stimulation ◽  
Control Group ◽  
Repeated Measures Analysis ◽  
Equivalent Control ◽  
Experimental Group

Maintaining stable physiological responses may be important for the growth and development of preterm infants. The purpose of our study was to evaluate the effects of olfactory stimulation with maternal breast milk on the occurrence of abnormal physiological responses in preterm infants. With a non-equivalent control group pretest-posttest design, 13 preterm infants in the experimental group and 18 preterm infants in the control group completed the intervention. The intervention was implemented three times a day for 5 days in a row with 2 hours of administration per intervention. The frequency of abnormal physiological responses was assessed over 6 days (one day before intervention administration and 5 days during intervention administration). With repeated-measures analysis of variance, the experimental group showed a significantly lower frequency of apnea than the control group ( p = .021). Olfactory stimulation with maternal breast milk may be an effective nursing intervention for reducing apnea episodes in preterm infants.

The Effect of Individualized Developmental Care Practices in Preterm Infants

2019 ◽  
Vol 27 (2) ◽  
pp. 97-104
Author(s):  
Dilek Küçük Alemdar ◽  
Sevil İnal
Keyword(s):  
Breast Milk ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Controlled Trial ◽  
Oral Feeding ◽  
Control Group ◽  
Developmental Care ◽  
Significant Difference ◽  
Care Practices ◽  
Maternal Voice

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.

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

2001 ◽  
Vol 139 (3) ◽  
pp. 374-379 ◽  
Author(s):  
Gail C. McCain ◽  
Peter S. Gartside ◽  
James M. Greenberg ◽  
Judy Wright Lott
Keyword(s):  
Preterm Infants ◽  
Oral Feeding ◽  
Feeding Protocol

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

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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