Evaluation of the Effect of the Oral Motor Interventions on Reducing Hospital Stay in Preterm Infants

Mahmoodi, Nasrin; Zareii, Kh.; Mohagheghi, Parisa; Eimani, M.; Rezaeipour, Mohammadreza

doi:10.18869/acadpub.aums.2.3.163

Cited by 8 publications

(9 citation statements)

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“…Findings of Younesian et al showed that oral-motor stimulations in preterm infants sped up oral feeding attainment, which had a significant effect on the reduction of gavage feeding problems. Mahmoodi et al showed that the mean duration of oral feeding attainment was 9.55 and 11.5 days in the intervention and control groups, respectively (P = 0.034) (9). This difference in duration of oral feeding attainment was because Mahmoudi investigated the initiation of oral feeding in preterm neonates; whereas, the current study explored the duration of full oral feeding attainment from the initiation of trophic feeding in the intervention and control groups.…”

Section: Discussionmentioning

confidence: 78%

“…The mean gestational age in this study was 30 weeks (7). Mahmoudi et al (2012) showed that the mean length of hospital stay was shorter in the intervention group than control group (16.50 days versus 19.4 days) (P = 0.027) (9). This difference in the length of hospital stay in Mahmoudi's study can be attributed to gestational age of subjects (28 to 32 weeks), which according to evidence need shorter hospital stay than the subjects with gestational age of 26 to 34 weeks in the current study.…”

Section: Discussionmentioning

confidence: 99%

“…Not just for survival, successful feeding also improves communication and speaking skills of neonates (8). Feeding difficulties in preterm neonates born prior to 37 weeks are due to poor muscle tone, weakness, and uncoordinated movements, poor vigilance, irritability, uncoordinated behavior, and body posture instability (7,9). Therefore, complications such as apnea, decreased arterial oxygen saturation, transient bradycardia, and aspiration rate, and bradypnea prolong preterm neonates' oral feeding readiness (9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

“…Feeding difficulties in preterm neonates born prior to 37 weeks are due to poor muscle tone, weakness, and uncoordinated movements, poor vigilance, irritability, uncoordinated behavior, and body posture instability (7,9). Therefore, complications such as apnea, decreased arterial oxygen saturation, transient bradycardia, and aspiration rate, and bradypnea prolong preterm neonates' oral feeding readiness (9)(10)(11). It is thus important to design an oral feeding initiation pattern that provides required energy for growth without adding complications and disrupting the development (7,9,12,13).…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, complications such as apnea, decreased arterial oxygen saturation, transient bradycardia, and aspiration rate, and bradypnea prolong preterm neonates' oral feeding readiness (9)(10)(11). It is thus important to design an oral feeding initiation pattern that provides required energy for growth without adding complications and disrupting the development (7,9,12,13). The initiation of full oral feeding in preterm neonates hospitalized in the NICU is always a challenge to doctors, parents, and nurses.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2018

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Objectives: Effective interventions such as non-nutritive sucking (NNS) improve neonatal development. The current study aimed at assessing the effect of NNS intervention by mothers on physiological factors, duration of full oral feeding attainment, and the length of hospital stay. Methods: The current clinical trial was conducted in the neonatal care unit (NICU) of Arash hospital affiliated to Tehran University of Medical Sciences, Tehran, Iran. The study was conducted on 2 groups of 38 preterm neonates. Neonates had gestational age of 26-34 weeks and received gavage feeding. They did not have assisted ventilation. Control neonates received routine care, whereas the intervention neonates received 3 NNS sessions done by mothers during the first 10 minutes of tube feeding per day. Data collection instrument included a mother-infant demographic form and an observation checklist of infant's physiological features. The date of full feeding and length of hospitalization were recorded. Results: Findings did not show any statistically significant correlation between groups in physiological features. Duration of full oral feeding attainment in the intervention and control groups were 22 ± 14.51 and 30.05 ± 18.58 days, respectively. The length of hospital stay in the intervention and control groups were 31.26 ± 16.89 and 41.82 ± 23.07 days, respectively. Then, non-nutritive sucking by mother's finger sped up the duration of full oral feeding attainment and reduced the hospitalization. Conclusions: Since NNS does not require skill and expertise, participation of mother is recommended. Then, infants benefit from not only the positive effects of NNS, but also mother-infant interaction.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2018

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The effectiveness of oral motor interventions on the weight gain, independent oral feeding, and length of hospital stay in hospitalized preterm infants: A systematic review and meta‐analysis

Mahmoodabadi,

Bavali‐Gazik,

Mouhebati

et al. 2024

Health Science Reports

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Background and AimsOral feeding for preterm infants has been a challenging issue globally. In an effort to enhance the effectiveness of oral feeding in preterm infants, oral motor intervention (OMI) was developed. Present systematic review and meta‐analysis study aims to examine the impact of various OMI techniques on key outcomes, including body weight at the time of discharge, the duration required to achieve independent oral feeding, and the length of hospital stay for preterm infants.MethodsA systematic search of the literature was performed across various databases such as PubMed, Scopus, and Web of Science and Google Scholar up to September 28, 2023. Quality assessment was conducted using the Joanna Briggs Institute (JBI) checklist. The overall effect measure was calculated using a random‐effects model and was presented as the standard difference of the mean (SDM), accompanied by the standard error and a 95% confidence interval (CI). We used I2 statistic for investigating the heterogeneity between studies. Data analysis was performed by CMA software (Version 2).ResultsFinally, 22 articles included in this review. The overall effect for body weight at discharge was found to be statistically significant in the prefeeding oral stimulation (PFOS) (SDM = 7.91, 95% CI: 5.62, 10.2, p = 0.000, I2 = 86.31) and Premature Infant OMI (PIOMI) (SDM = 3.71, 95% CI: 0.72, 6.69, p = 0.01, I2 = 96.64) groups versus control group. The overall effect of independent oral feeding was significant for PFOS‐only (SDM = −0.64, 95% CI: −1.1, −0.17, p = 0.007, I2 = 75.45), PIOMI only (SDM = −1.48, 95% CI: −2.49, −0.46, p = 0.004, I2 = 93.73) and nonnutritive sucking (NNS) only (SDM = −0.53, 95% CI: −0.76, −0.30, p = 0.001, I2 = 0) groups versus control groups. The overall effect of length of hospital stay was significant for NNS group (SDM = −0.45, 95% CI: −0.67, −0.23, p = 0.067, I2 = 0) and PIOMI group (SDM = −0.42, 95% CI: −0.69, −0.15, p = 0.002, I2 = 20.18) versus control group.ConclusionAmong OMIs, the PIOMI approach generally exhibited a more favorable impact on body weight gain at discharge, the duration required to achieve independent oral feeding, and the length of hospital stay.

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The effects of premature infant oral motor intervention (PIOMI) on oral feeding of preterm infants: A randomized clinical trial

Ghomi

Yadegari

Soleimani

et al. 2019

International Journal of Pediatric Otorhinolaryngology

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Evaluation of the Effect of the Oral Motor Interventions on Reducing Hospital Stay in Preterm Infants

Cited by 8 publications

References 0 publications

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

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

The effectiveness of oral motor interventions on the weight gain, independent oral feeding, and length of hospital stay in hospitalized preterm infants: A systematic review and meta‐analysis

The effects of premature infant oral motor intervention (PIOMI) on oral feeding of preterm infants: A randomized clinical trial

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