Effect of an early oral stimulation program on oral feeding in preterm neonates

2021 ◽  
Vol 34 (1) ◽  
pp. 226
Author(s):  
NadiaA Mekawy ◽  
GhadaM El Mashad ◽  
HananM El Saied
Keyword(s):  
Oral Feeding ◽  
Preterm Neonates ◽  
Oral Stimulation

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

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/)

scholarly journals The effect of early oral stimulation with breast milk on the feeding behavior of infants after congenital cardiac surgery

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Xian-Rong Yu ◽  
Shu-Ting Huang ◽  
Ning Xu ◽  
Li-Wen Wang ◽  
Zeng-Chun Wang ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Breast Milk ◽  
Hospital Stay ◽  
Physiological Saline ◽  
Oral Feeding ◽  
Control Group ◽  
Oral Nutrition ◽  
Congenital Cardiac Surgery ◽  
Oral Stimulation ◽  
Stimulation Group

Abstract Objective To investigate the effect of early oral stimulation with breast milk on the feeding behavior of infants after congenital cardiac surgery. Methods Infants with congenital heart disease were randomly divided into the breast milk oral stimulation group (n = 23), physiological saline oral stimulation group (n = 23) and control group (n = 23). Debra Beckman’s oral exercise program was used with breast milk and physiological saline in the breast milk oral stimulation group and the physiological saline oral stimulation group, respectively. The time oral feeding and total oral nutrition were started, the length of intensive care unit (ICU) stay and hospital stay, weight and the complications at discharge were recorded for each group and statistically analyzed. Results The time oral feeding and total oral nutrition were started and the length of ICU stay and hospital stay were significantly less in the breast milk oral stimulation group and physiological saline oral stimulation group than in the control group (P < 0.05). There were no significant differences in other indicators between the breast milk oral stimulation group and the physiological saline oral stimulation group, except for the time total oral nutrition began (P < 0.05). However, there were no significant differences in weight or complications at discharge among the three groups (P > 0.05). Conclusion Early oral stimulation exercises with breast milk can help infant patients quickly recover total oral nutrition and reduce the length of ICU and hospital stay after cardiac surgery.

Early Premature Infant Oral Motor Intervention Improved Oral Feeding and Prognosis by Promoting Neurodevelopment

2019 ◽  
Vol 37 (06) ◽  
pp. 626-632 ◽  
Author(s):  
Xiao-Li Li ◽  
Yun Liu ◽  
Miao Liu ◽  
Chun-Yan Yang ◽  
Qiao-Zhi Yang
Keyword(s):  
Premature Infant ◽  
Intervention Group ◽  
Oral Feeding ◽  
Control Group ◽  
Readiness Assessment ◽  
Oral Motor ◽  
Time Interaction ◽  
Nonnutritive Sucking ◽  
Oral Stimulation ◽  
Normal Score

Abstract Objective This study aimed to explore the clinical significance of early premature infant oral motor intervention (PIOMI) in the prognosis of premature infants. Study Design Infants were randomly divided into an intervention group (n = 78) and a control group (n = 73). PIOMI was given to the intervention group 15 to 30 minutes before feeding once a day for 14 days. The whole procedure lasted 15 minutes, including oral stimulation and nonnutritive sucking. Oral feeding ability and neuromotor development were evaluated using the Preterm Infant Oral Feeding Readiness Assessment (PIOFRA) scale and Infant Neurological International Battery (Infanib) scale. Results The PIOFRA score was higher in the intervention group and increased with time, showing a group–time interaction effect. The intervention group exhibited a higher feeding efficiency, a shorter transition time from assisted oral feeding to independent oral feeding, and lower body weight at achievement of independent oral feeding. The percentages of infants with a normal score on the Infanib scale were higher in the intervention group at 3 and 6 months of age, and an abnormal ratio was lower in the intervention group at 6 months (p < 0.01). Conclusion PIOMI promoted neuromotor coordination by improving neurodevelopment, thereby improving the oral feeding ability and prognosis of preterm infants.

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

2014 ◽  
Vol 90 (3) ◽  
pp. 125-129 ◽  
Author(s):  
Manon Bache ◽  
Emmanuelle Pizon ◽  
Julien Jacobs ◽  
Michel Vaillant ◽  
Aline Lecomte
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Preterm Infants ◽  
Oral Feeding ◽  
Oral Stimulation

scholarly journals The Effect of Non-nutritive Sucking by Mothers on Full Oral Feeding Attainment in Preterm Neonates

2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Fariba Noori ◽  
Shahin Nariman ◽  
Hanieh Rahmiaan ◽  
Akram Sadat Sadat-Hoseini ◽  
Aida Ravarian
Keyword(s):  
Oral Feeding ◽  
Preterm Neonates ◽  
Nutritive Sucking

Parent-Administered Oral Stimulation in Preterm Infants: A Randomized, Controlled, Open-Label Pilot Study

2021 ◽  
Author(s):  
Marta Majoli ◽  
Laura Costanza De Angelis ◽  
Monica Panella ◽  
Maria Grazia Calevo ◽  
Simona Serveli ◽  
...  
Keyword(s):  
Pilot Study ◽  
Preterm Infants ◽  
Length Of Hospital Stay ◽  
Oral Feeding ◽  
Transition Time ◽  
Open Label ◽  
Active Involvement ◽  
Randomized Controlled ◽  
Oral Stimulation ◽  
Significant Difference

Objective The study aimed to assess whether there was any difference in the transition time to full oral feedings between parent-administered and professional-administered premature infant oral motor intervention (PIOMI). The study also evaluated parental satisfaction with performing the intervention through an open-ended questionnaire. Study Design A single-center, randomized, controlled, open-label pilot study was carried on between March 2017 and May 2019. A total of 39 infants born ≤32 weeks' gestation were randomly assigned to either parent-performed or professionally performed oral stimulation. The oral stimulation was performed once a day for seven consecutive days between 31 and 32 weeks' postmenstrual age. Results There was no statistically significant difference in transition time, weight gain, or length of hospital stay between the two groups. No adverse events were observed. Parents' satisfaction was high, and their active involvement enhanced their perception of adequacy to care for their infant. Conclusion Following adequate training, a parent-administered PIOMI may be considered in preterm infants to reduce the transition time to full oral feeding and enhance the direct involvement of parents in neonatal care. Key Points

Oral stimulation accelerates the transition from tube to oral feeding in preterm infants

2002 ◽  
Vol 141 (2) ◽  
pp. 230-236 ◽  
Author(s):  
Sandra Fucile ◽  
Erika Gisel ◽  
Chantal Lau
Keyword(s):  
Preterm Infants ◽  
Oral Feeding ◽  
Oral Stimulation
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