Development of infant oral feeding skills: what do we know?

Lau, Chantal

doi:10.3945/ajcn.115.109603

Cited by 157 publications

(119 citation statements)

References 58 publications

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“…A possible explanation for our findings might be that early breast milk contains too little calcium and phosphorus to enable near optimum intrauterine accretion rates for those minerals in PTI [Schanler and Abrams, 1995;Aine et al, 2000;Gidrewicz and Fenton, 2014], causing disturbances in the formation of enamel. However, weight gain as one of the primary aims of caregivers induces a higher frequency of oral feeding ultimately resulting in a higher risk of dental caries [Lau, 2016].…”

Section: Risk Factorsmentioning

confidence: 99%

Dental Caries and Developmental Defects of Enamel in the Primary Dentition of Preterm Infants: Case-Control Observational Study

Schüler

Haberstroh²,

Dawczynski³

et al. 2017

Caries Res

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Aim: Assessment of dental health in the primary dentition of preterm infants (PTI) including investigation of mother- and infant-related risk factors in a case-control study design. Material and Methods: One hundred twenty-eight infants aged 3-4 years were included. Sixty-four PTI (27 males) were randomly selected from the preterm registry of the Jena University Hospital. As a control group served 64 full-term infants (FTI) recruited from the Department of Paediatric Dentistry, matched for age and sex. Dental examinations were provided by one dentist under standard clinical conditions. Caries was scored using the International Caries Detection and Assessment System (ICDAS II) and the DMFT, gingival health using the Periodontal Screening Index, and developmental defects of enamel using the DDE index. Mother- and infant-related factors were collected via a questionnaire and from medical records. Results: The caries prevalence was 50.0% (ICDAS II >0) in PTI and 12.5% (ICDAS II >0) in FTI. The caries experience was higher in PTI (DMFT 1.0 ± 3.1) than in FTI (DMFT 0.3 ± 1.0). PTI had a higher risk of caries (OR 7.0), initial lesions (OR 6.2), DDE (OR 7.5), and gingivitis (OR 6.5) than FTI. The highest risk occurred in PTI with an extremely low birth weight (<1,000 g). A higher risk of DDE was present when mothers suffered from illness during pregnancy (OR 3.9). A higher risk of caries was revealed in infants with respiratory syndrome (OR 6.2) or when their mothers had a lower socioeconomic status (OR 6.3). Conclusions: PTI had less healthy teeth than FTI and are at a higher risk for DDE, caries, and gingivitis. The poorer dental health in PTI is associated with a low birth weight, a low socioeconomic status, and mothers' illness during pregnancy.

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Section: Risk Factorsmentioning

confidence: 99%

Dental Caries and Developmental Defects of Enamel in the Primary Dentition of Preterm Infants: Case-Control Observational Study

Schüler

Haberstroh²,

Dawczynski³

et al. 2017

Caries Res

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“…In the current study, the PTNB presented weight gain when comparing the evaluation and reevaluation phases, confirming findings from the literature and showing that stimulation does not negatively interfere in this parameter, until total OF is reached (14,20) . The term "oral feeding readiness" is best related to the ability of the PTNB to coordinate suctioning, swallowing and breathing, in a safe and efficient way (21) . The protocol for assessing the readiness of PTIs is a validated instrument to verify the readiness for the transition from tube to OF, the cut-off point being defined at 28 points (15) .…”

Section: Discussionmentioning

confidence: 99%

Desempenho da alimentação oral em recém-nascidos prematuros estimulados pela técnica treino de deglutição

Otto

Almeida

2017

Audiol., Commun. Res.

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Introduction: Prematurity can affect proper development of a newborn. Purpose: To evaluate performance of oral feeding in preterm infants stimulated by the swallowing training technique. Methods: The study was conducted in a neonatal intensive care unit from March to August 2015. The study was developed as a Times Series Quasi Experiment with 14 preterm newborns (PTNB) with corrected gestational age between 30-36 weeks. The readiness to feed orally protocol for preterm infants (pre and post-swallowing training) was applied. Swallowing exercises were conducted once a day and on average for six consecutive days. Results: Improvement post-stimulation was observed, comparing the preintervention and post-intervention protocol data. Regarding oral feeding skills, 50% of preterm infants were classified as level 4. Oral feeding commenced, on average, 1 day after the end of swallowing training; the gastric tube was removed approximately 7 days after beginning oral feeding. There was a borderline inverse relationship between improvement in the readiness score and transition time from tube to full oral feeding and an inverse relationship between improvement in the readiness score and corrected gestational age. Conclusion: The intervention with swallowing training made it possible to improve feeding skills in 50% of the sample population, starting oral feeding and obtaining exclusive oral feeding in a short period of time, with oral readiness at early gestational ages.

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“…One of the most important aspects of the care in premature infants is nutrition (1). Inability to oral feeding on the breast of the mothers with preterm delivery causes nutritional constraints in these high-risk babies (2). However by the gavage method, enteral feeding eliminates the nutritional needs of them, but the immaturity of the gastrointestinal tract(GI tract)can make the baby susceptible to some disorders such as necrotizing enterocolitis (NEC), dysmotility syndrome and feeding intolerance concurrent with sepsis, hypoxic-ischemic encephalopathy (HIE) or other common neonatal problems (3).NEC is a devastating complication of prematurity with a high rate of mortality and morbidities such as short bowel syndrome, failure to thrive, cholestasis, neurodevelopmental delay (4,5).…”

Section: Introductionmentioning

confidence: 99%

Packed Cell Transfusion and Feeding Tolerance in Well Preterm Infants: A Randomized Clinical Trial

Kazemian

Fallahi

Kashani

et al. 2020

Preprint

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Background: The correlation between necrotizing enteroculitis (NEC) and packed cell transfusion (PCT) has recently been identified. Based on some research, 25–35% of NEC has been linked to transfusion, we planned this study to determine, the association between PCT and feeding tolerance in well preterm newborns.Method: Our study was a clinical trial study in preterm infants admitted to NICU of Mofid Children's Hospital from April 2017 to May 2018.Seventy well premature babies with a birth weight of <1500 grams and gestational age <32 weeks with enteral feeding, who need PCT were enrolled. The eligible patients divided by simple randomization to two groups, in the intervention group (35 patients) the baby's breastfeeding withholding just during the time of PCT and continue as usual after that, but in control groups (35 patients) feeding of neonates is given as usual regardless of PCT. The feeding tolerance during the first 72 hours after transfusion was compared between the two groups. Sick neonates exclude from the study. Data analysis was performed in SPSS version 20.Results: The mean gestational age, birth weights, and postnatal age in the intervention group were 30.13 weeks, 1245.71grams, and 17 days respectively and in the control group were 29.97weeks, 1169.43grams and 15.46 days respectively without any statistically significant difference between them. Except for hemoglobin and hematocrit pre-transfusion, other characteristics of patients were similar. In the evaluation of feeding tolerance after transfusion during 24, 48 and 72 hours, 32(91.2%), 33(94.73%), 34(97.1%) of both groups, had feeding tolerance with no significant difference There were no statistically significant differences between neonates with and without the feeding tolerance in the patients of each group.Conclusion: Our research showed that in well preterm neonates with a good general condition, during PCT, withholding of feeding, isn’t necessary and continued breastfeeding seems to be safe.Trial registration: All ethical considerations of the study were approved by the institutional review board and the research ethics committee at Shahid Beheshti University of Medical Sciences, Tehran, Iran (IR. SBMU.RETECH.1395.1010) and granted ethical approval and the Iranian Registry of Clinical Trial code are IRCT20200419047136N1.Approved by Iranian Registry of Clinical TrialsTrial Id: 47347IRCT Id: IRCT20200419047136N1Registration date: 2020-05-04, 1399/02/15(The link directly for trial registration: https://en.irct.ir/trial/47347)Approved by Research Ethics Committee: IR. SBMU.RETECH.1395.1010

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Development of infant oral feeding skills: what do we know?

Cited by 157 publications

References 58 publications

Dental Caries and Developmental Defects of Enamel in the Primary Dentition of Preterm Infants: Case-Control Observational Study

Dental Caries and Developmental Defects of Enamel in the Primary Dentition of Preterm Infants: Case-Control Observational Study

Desempenho da alimentação oral em recém-nascidos prematuros estimulados pela técnica treino de deglutição

Packed Cell Transfusion and Feeding Tolerance in Well Preterm Infants: A Randomized Clinical Trial

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