A pilot study of non-nutritive suck measures immediately pre- and post-frenotomy in full term infants with problematic feeding

Hill, Rebecca R.; Hines, Morgan; Martens, Alaina; Pados, Britt Frisk; Zimmerman, Emily

doi:10.1016/j.jnn.2021.10.009

Cited by 8 publications

(11 citation statements)

References 35 publications

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“…Given the need for a large sample for this analysis, data from multiple studies that used the NeoEAT were combined. 4,[15][16][17][18][19][20][21][22]24 Information about each of the samples in terms of recruitment/data collection sites, inclusion criteria, and institutional review board approval sites are provided on Table 1. Institutional review board approval was obtained for all studies prior to study commencement.…”

Section: Methodsmentioning

confidence: 99%

“…Advances in Neonatal Care • Vol. 24, No. 1 intervention of feeding difficulties may result in earlier cessation of human milk feedings 7 and persistent feeding problems, which are associated with developmental delays recognized between 18 and 30 months of age.…”

Section: E3mentioning

confidence: 99%

“…[18][19][20] The NeoEAT has been used in multiple research studies to date, with a variety of infant populations. 1,[21][22][23][24][25][26][27] Use of the NeoEAT in both clinical practice and research, however, has identified some limitations. Most importantly, the NeoEAT has 3 versions: breastfeeding, for infants who are exclusively breastfeeding; bottle-feeding, for infants who are exclusively bottle-feeding; and mixed breastfeeding and bottle-feeding, for infants who are doing a combination of breastfeeding and bottle-feeding.…”

Section: E3mentioning

confidence: 99%

“…Reference values are also available for the NeoEAT to guide interpretation of scores 18–20. The NeoEAT has been used in multiple research studies to date, with a variety of infant populations 1,21–27…”

mentioning

confidence: 99%

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Development, Psychometric Testing, and Reference Values of the Infant Eating Assessment Tool (InfantEAT)

Pados,

Hill

2024

Advances in Neonatal Care

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Background: Problematic feeding is common in infancy, particularly in infants with a history of premature birth or medical complexity. A concise, valid, and reliable measure of feeding that can be used across feeding methods is needed for clinical practice and research. Purpose: The purpose of this study was to create an assessment tool to evaluate symptoms of problematic feeding in infants that can be used across all feeding methods (breastfeeding, bottle-feeding, and mixed feeding), then test its psychometric properties and establish reference values. Methods: Item response theory (IRT) was used to identify the most important items on the Neonatal Eating Assessment Tool (NeoEAT) related to symptoms of problematic feeding in infants (N = 1054) to create the Infant Eating Assessment Tool (InfantEAT). Reliability of the InfantEAT was tested using Cronbach's α and interitem correlations. Reference values of the InfantEAT were determined from a sample of healthy, full-term infants (n = 561). Percent agreement in identifying problematic feeding between the NeoEAT and the InfantEAT was calculated. Results: The InfantEAT is comprised of 31 items in 9 subscales. The InfantEAT has evidence of acceptable reliability (α = 0.88). There was 74% agreement between the NeoEAT and the InfantEAT, with the InfantEAT being more sensitive to identifying problematic feeding. References values are presented for infants 0 to 2, 2 to 4, 4 to 6, and 6 to 7 months. Implications Practice and Research: The InfantEAT is a reliable and sensitive tool to evaluate symptoms of problematic feeding across feeding methods for infants younger than 7 months in both practice and research.

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Section: Methodsmentioning

confidence: 99%

Section: E3mentioning

confidence: 99%

Section: E3mentioning

confidence: 99%

mentioning

confidence: 99%

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Development, Psychometric Testing, and Reference Values of the Infant Eating Assessment Tool (InfantEAT)

Pados,

Hill

2024

Advances in Neonatal Care

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“…These values are used to establish the threshold of the peak-valley detection algorithm. A burst is defined as two or more consecutive suck cycles with a minimum rest period of one second between bursts [41]. From the NNS profile, other characteristics can be extracted.…”

Section: System Software Design and Signal Processingmentioning

confidence: 99%

Non-Nutritive Suckling System for Real-Time Characterization of Intraoral Vacuum Profile in Full Term Neonates

Truong

Walsh

Scott

et al. 2023

IEEE J. Transl. Eng. Health Med.

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Infant breastfeeding diagnostics remain subjective due to the absence of instrumentation to objectively measure and understand infant oral motor skills and suckling characteristics. Qualitative diagnostic exams, such as the digital suck assessment which relies upon a clinician's gloved finger inserted into the infant's mouth, produce a diversity of diagnoses and intervention pathways due to their subjective nature. In this paper, we report on the design of a non-nutritive suckling (NNS) system which quantifies and analyzes quantitative intraoral vacuum and sucking patterns of full-term neonates in real time. In our study, we evaluate thirty neonate suckling profiles to demonstrate the technical and clinical feasibility of the system. We successfully extract the mean suck vacuum, maximum suck vacuum, frequency, burst duration, number of sucks per burst, number of sucks per minute, and number of bursts per minute. In addition, we highlight the discovery of three intraoral vacuum profile shapes that are found to be correlated to different levels of suckling characteristics. These results establish a framework for future studies to evaluate oromotor dysfunction that affect the appearance of these signals based on established normal profiles. Ultimately, with the ability to easily and quickly capture intraoral vacuum data, clinicians can more accurately perform suckling assessments to provide timely intervention and assist mothers and infants towards successful breastfeeding outcomes.

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Quantitative impact of frenotomy on breastfeeding: a systematic review and meta-analysis

Cordray,

Raol,

Mahendran

et al. 2023

Pediatr Res

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How effective is frenotomy (surgical intervention to clip a tongue-tie) in improving breastfeeding outcomes for infants with ankyloglossia? Findings: This systematic review and meta-analysis showed that breastfeeding self-efficacy, maternal pain, infant latch, and infant gastroesophageal reflux significantly improve after frenotomy in mother-infant dyads with breastfeeding difficulties and ankyloglossia.Meaning: Providers should offer frenotomy to improve breastfeeding outcomes in symptomatic mother-infant dyads who face challenges associated with ankyloglossia.

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A pilot study of non-nutritive suck measures immediately pre- and post-frenotomy in full term infants with problematic feeding

Cited by 8 publications

References 35 publications

Development, Psychometric Testing, and Reference Values of the Infant Eating Assessment Tool (InfantEAT)

Development, Psychometric Testing, and Reference Values of the Infant Eating Assessment Tool (InfantEAT)

Non-Nutritive Suckling System for Real-Time Characterization of Intraoral Vacuum Profile in Full Term Neonates

Quantitative impact of frenotomy on breastfeeding: a systematic review and meta-analysis

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