SalivaryFOXP2expression and oral feeding success in premature infants: Table 1.

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

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Dysphagia and Oral Feeding Problems in the Premature Infant

Neonatal Network The Journal of Neonatal Nursing ◽

10.1891/0730-0832.21.2.51 ◽

2002 ◽

Vol 21 (2) ◽

pp. 51-57 ◽

Cited By ~ 15

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.

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109 RISK FACTORS FOR POOR ORAL FEEDING PROGRESSION IN PREMATURE INFANTS.

Journal of Investigative Medicine ◽

10.2310/6650.2005.x0004.108 ◽

2006 ◽

Vol 54 (1) ◽

pp. S98.4-S98

Author(s):

A. Kirk ◽

S. Alder ◽

J. King

Keyword(s):

Risk Factors ◽

Premature Infants ◽

Oral Feeding

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Timing of oral feeding changes in premature infants who underwent osteopathic manipulative treatment

Complementary Therapies in Medicine ◽

10.1016/j.ctim.2019.01.003 ◽

2019 ◽

Vol 43 ◽

pp. 49-52 ◽

Cited By ~ 1

Author(s):

L. Vismara ◽

A. Manzotti ◽

A.G. Tarantino ◽

G. Bianchi ◽

A. Nonis ◽

...

Keyword(s):

Premature Infants ◽

Oral Feeding ◽

Osteopathic Manipulative Treatment

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Quality Improvement for Neonatal Nurses, Part I: A Framework for Advancing the Quality and Safety of Care

Neonatal Network The Journal of Neonatal Nursing ◽

10.1891/0730-0832.31.2.81 ◽

2012 ◽

Vol 31 (2) ◽

pp. 81-88 ◽

Cited By ~ 2

Author(s):

Lenora Marcellus ◽

Adele Harrison

Keyword(s):

Patient Safety ◽

Quality Improvement ◽

Premature Infants ◽

Oral Feeding ◽

Quality And Safety ◽

Health Care Planning ◽

Neonatal Nurses ◽

Neonatal Nursing ◽

New Process ◽

To Come

Quality improvement (QI) and patient safety are becoming increasingly powerful drivers for health care planning and delivery. In this two-part series, the concept of QI will be introduced and implications for neonatal nursing care will be discussed. Part I reviews trends in the fields of QI and patient safety and introduces how neonatal practitioners are currently taking up QI and patient safety in their practice. Part II, to come, is titled “Using a Plan-Do-Study-Act Process to Introduce a Step-wise Framework for Establishing Oral Feeds in Premature Infants” will present the QI process “in action” by describing a QI project conducted in a Level III NICU on introducing and testing a new process for improving the transition from tube to oral feeding for preterm infants.

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DOZ047.34: Oral feeding attainment

Diseases of the Esophagus ◽

10.1093/dote/doz047.34 ◽

2019 ◽

Vol 32 (Supplement_1) ◽

Author(s):

K Hernandez ◽

K Davidson ◽

J Dargie ◽

R Jennings ◽

M Manfredi

Keyword(s):

Esophageal Atresia ◽

Genetic Diagnosis ◽

Tube Feeding ◽

Case Series ◽

Oral Feeding ◽

Retrospective Case ◽

Genetic Syndrome ◽

Feeding Success ◽

Therapeutic Services

Abstract Aim A primary goal of esophageal atresia repair is to establish esophageal continuity to allow for swallowing of secretions, liquid, and food boluses. The transition to oral feeding and acquisition of oral sensorimotor skills following repair of long-gap esophageal atresia (LGEA) can be challenging. The timing of attaining full PO status (F-PO), without need for enteral tube feeding support, can vary greatly. A retrospective study was performed to identify predictors of oral feeding success in children with LGEA. Methods A retrospective case series was conducted with chart review of patients with a diagnosis of LGEA who underwent Foker process for staged repair from 2012 to 2017. Children with previous failed attempts at esophageal repair or other significant surgeries were excluded. Comparison was made between patients who achieved full PO status (F-PO) within the study follow-up period (minimum of one year postrepair) and those who did not. Results Twenty-three patients were included: twelve male and eleven female. Eight patients (35%) had an accompanying genetic diagnosis. Thirteen patients (57%) were born prematurely. Six patients (26%) were F-PO at 6 month post-repair; four of which were on an age appropriate diet without restrictions/modifications. Thirteen patients (57%) achieved F-PO by end of the study follow-up period while 43% required supplemental nutrition. Gestational age ≥ 37 weeks (P = 0.03), younger age at first PO trial (P = 0.013), shorter time between Foker 2 and first PO trial (P = 0.011), consistent PO intake at 6 months post-repair (P = 0.02), and fewer total number of airway/esophageal procedures within 1 year post-repair (P = 0.018) were found to be significantly associated with achieving F-PO. Total number of esophageal dilations within 2 years of esophageal repair and presence of a genetic syndrome were not significantly different between groups. Conclusion A majority of patients (57%) who undergo repair of LGEA via Foker process will progress to oral feeding; however, the timing of this progression is variable. Predictors of oral feeding success can be used to guide prognosis and identify patients at greatest need of therapeutic services.

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