Effect of Nonnutritive Sucking and Oral Stimulation on Feeding Performance in Preterm Infants

Zhang, Yuxia; Lyu, Tianchan; Hu, Xiaojing; Shi, P.E.N.G.; Cao, Yun; Latour, Jos M.

doi:10.1097/pcc.0000000000000182

Cited by 52 publications

(49 citation statements)

References 32 publications

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“…For example, in preterm infants receiving gavage feeds, oral motor intervention has been shown to increase non-nutritive sucking pressure and activity (Barlow, Finan, Lee, & Chu, 2008; Poore & Barlow, 2009). This resulted in decreased time to achieve full oral feeds (Lessen, 2011), higher milk transfer rates, and greater volume taken during oral feeds (Zhang et al, 2014). Data for reduction in length of stay has been mixed (Bache, Pizon, Jacobs, Vaillant, & Lecomte, 2014; Zhang et al, 2014), though a recent metaanalysis including these studies concluded that length of stay was reduced by a mean of 3.64 days (95% CI, −5.57 to −1.71) (Tian et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…This resulted in decreased time to achieve full oral feeds (Lessen, 2011), higher milk transfer rates, and greater volume taken during oral feeds (Zhang et al, 2014). Data for reduction in length of stay has been mixed (Bache, Pizon, Jacobs, Vaillant, & Lecomte, 2014; Zhang et al, 2014), though a recent metaanalysis including these studies concluded that length of stay was reduced by a mean of 3.64 days (95% CI, −5.57 to −1.71) (Tian et al, 2015). Our study was one of the first to employ oral motor intervention exercises in infants with complex CHD born at or beyond 37 weeks gestation.…”

Section: Discussionmentioning

confidence: 99%

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Identification of Risk Factors for Poor Feeding in Infants with Congenital Heart Disease and a Novel Approach to Improve Oral Feeding

Indramohan

Pedigo

Rostoker³

et al. 2017

Journal of Pediatric Nursing

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Many infants with complex congenital heart disease (CHD) do not develop the skills to feed orally and are discharged home on gastrostomy tube or nasogastric feeds. We aimed to identify risk factors for failure to achieve full oral feeding and evaluate the efficacy of oral motor intervention for increasing the rate of discharge on full oral feeds by performing a prospective study in the neonatal and cardiac intensive care units of a tertiary children’s hospital. 23 neonates born at ≥ 37 weeks gestation and diagnosed with single-ventricle physiology requiring a surgical shunt were prospectively enrolled and received oral motor intervention therapy. 40 historical controls were identified. Mean length of stay was 53.7 days for the control group and 40.9 days for the study group (p=0.668). 13/23 patients who received oral motor intervention therapy (56.5%) and 18/40 (45.0%) controls were on full oral feeds at discharge, a difference of 11.5% (95% CI −13.9% to 37.0%, p=0.378). Diagnosis of hypoplastic left heart syndrome, longer intubation and duration of withholding enteral feeds, and presence of gastroesophageal reflux disease were predictors of poor oral feeding on univariate analysis. Although we did not detect a statistically significant impact of oral motor intervention, we found clinically meaningful differences in hospital length of stay and feeding tube requirement. Further research should be undertaken to evaluate methods for improving oral feeding in these at-risk infants.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Identification of Risk Factors for Poor Feeding in Infants with Congenital Heart Disease and a Novel Approach to Improve Oral Feeding

Indramohan

Pedigo

Rostoker³

et al. 2017

Journal of Pediatric Nursing

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“…Zhang 2014 reported on the use of NNS, and NNS and oral stimulation 30 minutes prior to gavage feeding. Infants in the NNS group were allowed to suck on pacifiers for five minutes, 7 to 8 times a day (Zhang 2014). The pacifier was placed in the infant's mouth whether or not they made an attempt to suck; however, where necessary the nurse would manipulate the pacifier to encourage sucking.…”

Section: Nns Before Gavage Feedingmentioning

confidence: 99%

Non-nutritive sucking for increasing physiologic stability and nutrition in preterm infants

Foster

Psaila

Patterson

2016

Cochrane Database of Systematic Reviews

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“…The challenge for mothers and low-birth weight newborns, admitted at neonatal intensive care unit (NICU) and fed through orogastric tube is the establishment of breastfeeding, because the beginning of sucking feeding is directly related to lower hospitalization length 13,14 . The lower the breastfeeding time, the higher the possibility of introducing sucking habits 6,15,16 .…”

Section: Introductionmentioning

confidence: 99%

Fatores associados ao uso de chupeta por lactentes nascidos pré-termo

Dadalto

Rosa

2016

Rev. CEFAC

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Purpose: to investigate the evaluation of mothers of preterm newborns about the introduction and use of pacifiers and its relationship with socioeconomic variables, prematurity and breastfeeding, in the context of their children hospitalization in neonatal intensive care unit. Methods: in the initial stage, 62 preterm newborns' mothers participated in this study, 52 of them came back for follow-up within six months and 40 within 24 months. Data were tabulated using software SPSS version 18.0 and statistical analysis, chi-square, Fisher and Mann-Whitney tests.Results: the attempt to introduce a pacifier took place for 96.2% of preterm infants discharged from neonatal intensive care unit, and it was used by 50%. The use of pacifiers was high among family members (siblings -51.9%; cousins -76.9%), which reinforced cultural aspects. The following showed statistically significant association with higher use of pacifiers: prematurity assessed by weight/gestational age ratio (p=0.044), difficult to start or continue breastfeeding after discharge (p=0.012) and primiparity (p=0.02); relation with lower frequency of pacifier: exclusive breastfeeding ≥3 months (p=0.026) and breastfeeding length ≥6 months (p=0.004). Difficulty in breastfeeding after discharge was associated to higher hospital length (p=0.007) and higher length of orogastric tube (p=0.006). Conclusion: offering pacifiers to preterm infants discharged from neonatal intensive care unit showed strong cultural influence, but their acceptance occurred mainly due to mothers' difficulty to start or continue breastfeeding. Keywords: Pacifiers; Breastfeeding; Culture; Infant, Premature RESUMO Objetivo: investigar a avaliação de mães de recém-nascidos pré-termo acerca da introdução e uso de chupeta e sua relação com variáveis socioeconômicas, prematuridade e aleitamento materno, partindo--se do contexto da internação de seus filhos em unidade de terapia intensiva neonatal. Métodos: na etapa inicial, participaram 62 mães de recém-nascidos pré-termo, tendo comparecido 52 para acompanhamento aos seis meses de idade e 40 aos 24 meses. Os dados foram tabulados utilizando o programa SPSS versão 18.0 e análise estatística com testes Qui-quadrado, Fisher e Mann-Whitney. Resultados: a tentativa de introdução da chupeta ocorreu para 96,2% dos bebês nascidos pré-termo, egressos de unidade de terapia intensiva neonatal, e seu uso em 50%; o hábito de sucção de chupeta foi alto entre crianças da família (irmãos -51,9%; primos -76,9%), reforçando aspectos culturais. Apresentaram associação estatisticamente significante com maior uso de chupeta: prematuridade avaliada pela relação peso/idade-gestacional (p=0,044), dificuldade para estabelecer ou manter o aleitamento materno após a alta hospitalar (p=0,012) e primiparidade (p=0,02); relação com menor frequência de chupeta: aleitamento materno exclusivo ≥3 meses (p=0,026) e tempo de aleitamento materno ≥6 meses (p=0,004). A dificuldade para o aleitamento materno após a alta hospitalar foi associada com maior tempo de internação...

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Effect of Nonnutritive Sucking and Oral Stimulation on Feeding Performance in Preterm Infants

Abstract: The combined NNS + OS intervention reduced the transition time from introduction to independent oral feeding and enhanced the milk transfer rate. The combined intervention seems to have a beneficial effect on oral feeding proficiency in preterm infants.

Cited by 52 publications

References 32 publications

Identification of Risk Factors for Poor Feeding in Infants with Congenital Heart Disease and a Novel Approach to Improve Oral Feeding

Identification of Risk Factors for Poor Feeding in Infants with Congenital Heart Disease and a Novel Approach to Improve Oral Feeding

Non-nutritive sucking for increasing physiologic stability and nutrition in preterm infants

Fatores associados ao uso de chupeta por lactentes nascidos pré-termo

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