Influência do estado comportamental nos padrões de sucção de recém-nascidos pré-termo

Prade, Leila Sauer; Bolzan, Geovana de Paula; Weinmann, Ângela Regina Maciel

doi:10.1590/s2317-64312014000300005

Cited by 11 publications

(11 citation statements)

References 25 publications

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“…All these contribute to lower energy consumption. Giving the infant five (5) minutes of NNS before a feed is, furthermore, associated with increased alertness during feeds, leading to greater feeding [20]. The treatment plan of infants struggling with poor suck, swallow and breathe coordination can also include NNS, since it aids in neurobehavioral organization and maturation [4].…”

Section: Discussionmentioning

confidence: 99%

When is the use of pacifiers justifiable in the baby-friendly hospital initiative context? A clinician’s guide

Lubbe

Ham-Baloyi

2017

BMC Pregnancy Childbirth

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BackgroundThe use of pacifiers is an ancient practice, but often becomes a point of debate when parents and professionals aim to protect and promote breastfeeding as most appropriately for nurturing infants. We discuss the current literature available on pacifier use to enable critical decision-making regarding justifiable use of pacifiers, especially in the Baby-Friendly Hospital Initiative context, and we provide practical guidelines for clinicians.DiscussionSuck-swallow-breathe coordination is an important skill that every newborn must acquire for feeding success. In most cases the development and maintenance of the sucking reflex is not a problem, but sometimes the skill may be compromised due to factors such as mother–infant separation or medical conditions. In such situations the use of pacifiers can be considered therapeutic and even provide medical benefits to infants, including reducing the risk of sudden infant death syndrome. The argument opposing pacifier use, however, is based on potential risks such as nipple confusion and early cessation of breastfeeding. The Ten Steps to Successful Breastfeeding as embedded in the Baby-Friendly Hospital Initiative initially prohibited the use of pacifiers in a breastfeeding friendly environment to prevent potential associated risks. This article provides a summary of the evidence on the benefits of non-nutritive sucking, risks associated with pacifier use, an identification of the implications regarded as ‘justifiable’ in the clinical use of pacifiers and a comprehensive discussion to support the recommendations for safe pacifier use in healthy, full-term, and ill and preterm infants.SummaryThe use of pacifiers is justifiable in certain situations and will support breastfeeding rather than interfere with it. Justifiable conditions have been identified as: low-birth weight and premature infants; infants at risk for hypoglyceamia; infants in need of oral stimulation to develop, maintain and mature the sucking reflex in preterm infants; and the achievement of neurobehavioural organisation. Medical benefits associated with the use of pacifiers include providing comfort, contributing towards neurobehavioural organisation, and reducing the risk of sudden infant death syndrome. Guidelines are presented for assessing and guiding safe pacifier use, for specific design to ensure safety, and for cessation of use to ensure normal childhood development.

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Section: Discussionmentioning

confidence: 99%

When is the use of pacifiers justifiable in the baby-friendly hospital initiative context? A clinician’s guide

Lubbe

Ham-Baloyi

2017

BMC Pregnancy Childbirth

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“…However, healthy NBs sleep, on average, 90% of the time, in the first days of life (12) and that sleep tends to decrease with the physiological maturation of the infant (19) . It is important that the infants are oriented about this aspect, because in some cases, the maintenance of sleep without the breastfeeding effectiveness can be associated with hypoglycemia, interfering, also, in the maintenance of the rhythm and sustentation of the suction force, making it ineffective (13) . No significant differences were found for suctioning between the ages (<or ≥ 24h) and in the study moments, which was somewhat expected, since both groups still had a similar suction pattern, due to the ages at which they were accompanied.…”

Section: Discussionmentioning

confidence: 99%

“…The breastfeeding evaluation allows the health professional to identify anatomical and physiological aspects of the mother--NB that lead to failure of breastfeeding, such as nipple trauma, ineffective sucking pattern, inadequate grasp, and incoordination of suction-swallowing-breathing movements (3,11) . Sleep can also negatively interfere with breastfeeding readiness, rhythm maintenance and suction force support, since healthy newborns sleep on average 90% of the time in the first days of life (12,13) . The influence of each subject's beliefs regarding the difficulty in breastfeeding can also trigger feelings of guilt, frustration, insecurity and anxiety (14,15) .…”

Section: Introductionmentioning

confidence: 99%

Acompanhamento fonoaudiológico do aleitamento materno em recém-nascidos nas primeiras horas de vida

Medeiros

Santos

et al. 2017

Audiol., Commun. Res.

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Introduction: Speech therapy has assumed an important role with breastfeeding. Purpose: To verify the breastfeeding situation, considering aspects of the mother-newborn dyad, according to newborn's lifetime through speech-language intervention. Methods: Study conducted from May 2015 to September 2016, with 166 mothernewborn dyads during the breastfeeding situation, in a high-risk public maternity hospital in the state of Sergipe. A specific protocol was used registering anatomical aspects of nipples and breasts, newborn's behavioral status, newborn suckling and breast-latch pattern and dyads posture to describe the breastfeeding situation at different times: Moment 1 (Baseline); Moment 2 (Speech-Language Intervention); Moment 3 (Accompaniment). The results were described using simple and percentage frequencies, Mantel-Haenzsel Test (M-H) and the Likelihood Ratio Test (LRT), adopting significance level of 5%. Results: Regarding the effect of the speech-language intervention, there was a significant difference in the maternal parameters for the breasts situation (regorgement); While in the parameters involving the newborns there were significant differences, with improvement in breast-latch patterns aspects such as: do not only pick up the beak, snatch part of the areola, breast-latcheffectively and manage to keep breast-latchpattern. Regarding the dyad postural aspects, there were significant differences regarding newborn's raised andaligned head and body contact (bellyto-belly). Conclusion: Speech-language intervention with the mothernewborn dyads in the first hours after delivery showed an improvement in the parameters considered fundamental on a successful breastfeeding glimpsing a health education practice among the puerperal women.

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“…In the present study, regarding the performance of oral feeding, the OT average was 27.7%; nine PTNBs presented TR ≥1.5 ml and seven obtained PRO ≥30%. Some studies have used similar parameters for OF performance evaluation (10,20,25,26,27) . One study published results with a significant increase in OT and TR, within the SG and the CG, from the introduction of OF to the first successful OF (p≤0,03) (25) .…”

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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Influência do estado comportamental nos padrões de sucção de recém-nascidos pré-termo

Cited by 11 publications

References 25 publications

When is the use of pacifiers justifiable in the baby-friendly hospital initiative context? A clinician’s guide

When is the use of pacifiers justifiable in the baby-friendly hospital initiative context? A clinician’s guide

Acompanhamento fonoaudiológico do aleitamento materno em recém-nascidos nas primeiras horas de vida

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

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