scholarly journals Impact of Oral Sensory Motor Stimulation on Feeding Performance, Length of Hospital Stay, and Weight Gain of Preterm Infants in NICU

2015 ◽  
Vol 17 (5) ◽  
Author(s):  
Sharife Younesian ◽  
Fariba Yadegari ◽  
Farin Soleimani
Keyword(s):  
Weight Gain ◽  
Hospital Stay ◽  
Preterm Infants ◽  
Length Of Hospital Stay ◽  
Feeding Performance ◽  
Oral Sensory ◽  
Sensory Motor

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.

scholarly journals Preterm newborn readiness for oral feeding: systematic review and meta-analysis

CoDAS ◽  
2015 ◽  
Vol 27 (1) ◽  
pp. 101-107 ◽  
Author(s):  
Ana Henriques Lima ◽  
Marcela Guimarães Côrtes ◽  
Maria Cândida Ferrarez Bouzada ◽  
Amélia Augusta de Lima Friche
Keyword(s):  
Hospital Stay ◽  
Preterm Infants ◽  
Rating Scales ◽  
Meta Analysis ◽  
Length Of Hospital Stay ◽  
Research Strategy ◽  
Oral Feeding ◽  
Transition Time ◽  
Sensory Motor ◽  
Stimulation Of

PURPOSE: To identify and systematize the main studies on the transition from enteral to oral feeding in preterm infants. RESEARCH STRATEGY: Articles that describe the transition from oral to enteral feeding in preterm infants were located in MEDLINE, LILACS, and SciELO databases. SELECTION CRITERIA: Original studies, with available abstract, published in the last 10 years were included. DATA ANALYSIS: Analysis of the methodology and the main results of the studies, and meta-analysis of the effects of sensory-motor-oral stimulation at the time of transition to full oral feeding and duration of hospitalization were conducted. RESULTS: Twenty-nine national and international publications were considered. Most studies were clinical trials (44.8%) and did not use rating scales to start the transition process (82.7%). In the meta-analysis, positive effect of stimulation of the sensory-motor-oral system was observed with respect to the transition time to oral diet (p=0.0000), but not in relation to the length of hospital stay (p=0.09). However, heterogeneity between studies was found both in the analysis of the transition time to full oral feeding (I2=93.98) and in the length of hospital stay (I2=82.30). CONCLUSION: The transition to oral feeding is an important moment, and various physical and clinical characteristics of preterm infants have been used to describe this process. Despite the impossibility of generalizing the results due to the heterogeneity of the studies, we have noted the importance of strategies for stimulation of sensory-motor-oral system to decrease the period of transition to full oral feeding system.

scholarly journals Comparative Effect of Massage Therapy versus Kangaroo Mother Care on Body Weight and Length of Hospital Stay in Low Birth Weight Preterm Infants

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Priya Singh Rangey ◽  
Megha Sheth
Keyword(s):  
Body Weight ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Hospital Stay ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Massage Therapy ◽  
Length Of Hospital Stay ◽  
Kangaroo Mother Care ◽  
Comparison Of Effectiveness

Background. Massage therapy (MT) and kangaroo mother care (KMC) are both effective in increasing the weight and reducing length of hospital stay in low birth weight preterm infants but they have not been compared.Aim. Comparison of effectiveness of MT and KMC on body weight and length of hospital stay in low birth weight preterm (LBWPT) infants.Method. 30 LBWPT infants using convenience sampling from Neonatal Intensive Care Unit, V.S. hospital, were randomly divided into 2 equal groups. Group 1 received MT and Group 2 received KMC for 15 minutes, thrice daily for 5 days. Medically stable babies with gestational age < 37 weeks and birth weight < 2500 g were included. Those on ventilators and with congenital, orthopedic, or genetic abnormality were excluded. Outcome measures, body weight and length of hospital stay, were taken before intervention day 1 and after intervention day 5. Level of significance was 5%.Result. Data was analyzed using SPSS16. Both MT and KMC were found to be effective in improving body weight (P= 0.001,P= 0.001). Both were found to be equally effective for improving body weight (P= 0.328) and reducing length of hospital stay (P= 0.868).Conclusion. MT and KMC were found to be equally effective in improving body weight and reducing length of hospital stay.Limitation. Long term follow-up was not taken.

scholarly journals Effect of tactile kinesthetic stimulation on preterm infants’ weight and length of hospital stay in Khartoum, Sudan

2015 ◽  
Vol 36 (2) ◽  
pp. 196-199 ◽  
Author(s):  
Ragaa Ahmed ◽  
Gaafer Suliman ◽  
Walyeldin Elfakey ◽  
Karimeldin Salih ◽  
Ehab El-Amin ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Preterm Infants ◽  
Length Of Hospital Stay

scholarly journals Effects of Lactobacillus reuteri DSM 17938 in preterm infants: a double-blinded randomized controlled study

2019 ◽  
Vol 45 (1) ◽  
Author(s):  
Xuewei Cui ◽  
Yongyan Shi ◽  
Siyang Gao ◽  
Xindong Xue ◽  
Jianhua Fu
Keyword(s):  
Adverse Effects ◽  
Hospital Stay ◽  
Preterm Infants ◽  
Lactobacillus Reuteri ◽  
Intervention Group ◽  
Length Of Hospital Stay ◽  
Daily Weight Gain ◽  
Control Group ◽  
Early Feeding ◽  
Feeding Tolerance

Abstract Background Preterm infants have immature gastrointestinal tracts and poor immunity. In this study, the effects of Lactobacillus reuteri DSM 17938 first on early feeding tolerance, growth, and second on infection prevention in preterm infants were evaluated. Methods One hundred fourteen formula-fed preterm infants with a gestational age between 30 weeks and 37 weeks, and a birth weight between 1500 and 2000 g were enrolled; 57 in the intervention and 57 in the control group:the intervention group was given a dose of 1 × 108 colony-forming units (5 drops) of L. reuteri DSM 17938 once daily, beginning with the first feeding until discharge. The control group did not receive probiotics. Early feeding tolerance (as time to full enterla feeding and number of reflux), growth, incidences of sepsis, localized infection, NEC, and adverse effects were recorded for both groups. Results The number of Daily reflux episodes (times/d) was lower (2.18 ± 0.83 vs. 3.77 ± 0.66, P < 0.01) and time to full enteral feedings (120 mL/kg/d) (9.95 ± 2.46 d vs. 13.80 ± 3.47 d, P < 0.05) was shorter in the intervention group. Average daily weight gain (14.55 ± 3.07 g/d vs. 10.12 ± 2.80 g/d), head circumference increas e(0.0760 ± 0.0157 cm/d vs. 0.0681 ± 0.0108 cm/d), and body length increase (0.1878 ± 0.0151 cm/d vs. 0.1756 ± 0.0166 cm/d) of the intervention group were higher (P < 0.01). There were no significant differences in the incidences of sepsis (4.44% vs. 8.33%), localized infection (6.67% vs. 8.33%), or NEC (2.22% vs. 10.42%) between the 2 groups (P > 0.05). The number of daily defecations (times/d) in the intervention group was higher (3.08 ± 0.33 vs. 2.29 ± 0.20, P < 0.01) and the length of hospital stay was shorter than that in the control group (20.60 ± 5.36 d vs. 23.75 ± 8.57 d, P < 0.05). No adverse effects were noted among the infants receiving L. reuteri. Conclusion L. reuteri may be an useful tool in improving early feeding tolerance in preterm infants, promoting growth, increasing the frequency of defecation, and shortening the length of hospital stay. Trial registration ChiCTR, ChiCTR1900025590. Registered 1 February 2019- Retrospectively registered, http://www.chictr.org.cn/listbycreater.aspx.

The effect of non-nutritive sucking combined with oral motor stimulation and oral support on feeding performance in premature infants: A single-blind randomized–clinical trial

2021 ◽  
Vol 14 (3) ◽  
pp. 379-387
Author(s):  
Alireza Alidad ◽  
Maryam Tarameshlu ◽  
Leila Ghelichi ◽  
Hamid Haghani
Keyword(s):  
Hospital Stay ◽  
Premature Infants ◽  
Length Of Hospital Stay ◽  
Oral Feeding ◽  
Feeding Problems ◽  
Feeding Performance ◽  
Oral Motor ◽  
Nutritive Sucking ◽  
Combined Intervention ◽  
Single Blind

PURPOSE: Feeding problems are common in premature infants (PIs) and may lead to negative consequences such as malnutrition, dehydration, excessive weight loss, as well as developmental and psychological deficits. Moreover, they are associated with increased length of hospital stay/cost. There is not enough evidence on how feeding problems should be treated in PIs. The goal of this study was to investigate the effects of non-nutritive sucking combined with oral motor stimulation and oral support on feeding performance in PIs. METHODS: A single-blind randomized clinical trial was performed on 44 PIs with feeding problems. Patients were randomly categorized into two groups: (1) combined intervention (CI) and (2) non-nutritive sucking (NNS). The CI group received NNS, oral motor stimulation and oral support simultaneously. Infants in both groups received 14 treatment sessions for 14 consecutive days. The Preterm Oral Feeding Readiness Assessment Scale (POFRAS) was used as the primary outcome measure. Weight, volume of milk intake, time to achieve full oral feeding, and length of hospital stay were secondary outcome measures. All measures were assessed before treatment, after the 7th session, after the 14th session, and after 7 days after the end of treatment. RESULTS: Both groups improved in all outcome measures across time (P < 0.001). The improvements in the POFRAS, volume of milk intake, and time to achieve full oral feeding were significantly greater in the CI group than the NNS group (P < 0.001). The improvements attained in weight and length of hospital stay were not significantly different between the CI and NNS groups (P > 0.05). Large effect sizes were found for POFRAS score in both CI (d = 3.98) and NNS (d = 2.19) groups. CONCLUSION: The current study showed that the combined intervention including NNS, oral motor stimulation, and oral support significantly improved the feeding performance in PIs.

scholarly journals Racial Disparities in Body Composition of Preterm Infants (P21-049-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Maggie Jerome ◽  
Paula Chandler-Laney ◽  
Ariel Salas
Keyword(s):  
Body Composition ◽  
Weight Gain ◽  
Racial Disparities ◽  
Hospital Discharge ◽  
Preterm Infants ◽  
Linear Regression Analysis ◽  
Length Of Hospital Stay ◽  
Racial Groups ◽  
Rapid Weight Gain ◽  
Black And White

Abstract Objectives At term-equivalent age, preterm infants have higher % body fat (%BF) than infants born at term. This difference in %BF is often the result of exposure to enriched postnatal diets prescribed to promote rapid weight gain among preterm infants. Because rapid weight gain during infancy and obesity are more prevalent among blacks than among whites, racial disparities in the development of adiposity expressed as %BF need to be explored. The purpose of this study was to compare %BF in two major racial groups using normative data as reference. Methods We analyzed data from a prospective study that assessed body composition in preterm infants using air displacement plethysmography (PeaPod®). After stratifying data according to race, we analyzed differences between mean %BF values of preterm infants at the time of hospital discharge and compared these differences to existing references of %BF in preterm infants. A linear regression analysis was performed to account for differences in baseline characteristics. Results We assessed body composition in 84 preterm infants, of which 47 were black and 37 were white. Mean birthweight was 1471 g and median gestational age was 30 weeks. In preterm infants assessed at the time of hospital discharge, mean %BF was 14.6 ± 3.6 (14.5 ± 2.9 in white infants and 14.6 ± 4.1 in black infants; P = 0.90). The measured %BF at the time of hospital discharge was higher than the expected %BF at equivalent postmenstrual age (mean difference: 4.7 ± 3.5; P &lt; 0.05). After adjustment for BW, GA, sex, and length of hospital stay, this difference between measured and expected %BF was not significantly higher among black infants compared to white infants (5.1 vs. 4.2; P = 0.28). Conclusions Black race is not associated with higher %BF at the time of hospital discharge in preterm infants. If racial disparities in body composition exist among former preterm infants, those differences may occur after hospital discharge. Both black and white preterm infants exposed to enriched postnatal diets develop higher than expected %BF by the time of hospital discharge. Funding Sources None.

How Rewarding Can a Pacifier Be? A Systematic Review of Nonnutritive Sucking in Preterm Infants

2000 ◽  
Vol 19 (8) ◽  
pp. 41-48 ◽  
Author(s):  
Janet Pinelli ◽  
Amanda Symington
Keyword(s):  
Systematic Review ◽  
Hospital Stay ◽  
Preterm Infants ◽  
Length Of Hospital Stay ◽  
Cochrane Collaboration ◽  
Outcome Variable ◽  
Intestinal Transit Time ◽  
Orogastric Tube ◽  
Nonnutritive Sucking ◽  
Quasi Experimental

Purpose: To determine whether nonnutritive sucking (NNS) in preterm infants influences selected outcome variables.Design: A systematic review, based on the Cochrane Collaboration format, of trials utilizing experimental or quasi-experimental designs in which NNS (by pacifier) was compared to no provision of NNS; related to naso/orogastric tube feedings, bottle feedings, or not assoicated with feeding.Sample: All infants born at <37 weeks gestation. This review consisted of 19 studies; 13 were randomized controlled trials. Sample sizes ranged from 10 to 59 infants and totaled 518 infants.Main Outcome Variable: Weight gain, energy intake, heart rate, oxygen saturation, length of hospital stay, intestinal transit time, and postconceptional age at full oral feedings.Results: NNS significantly decreased the length of hospital stay in preterm infants. The review did not reveal a consistent benefit of NNS with respect to other major clinical variables. No negative outcomes were reported in any of the studies.

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