Premature: growth and its relation to oral skills

Vargas, Camila Lehnhart; Berwig, Luana Cristina; Steidl, Eduardo Matias dos Santos; Prade, Leila Sauer; Bolzan, Geovana de Paula; Keske‐Soares, Márcia; Weinmann, Ângela Regina Maciel

doi:10.1590/2317-1782/20152014179

Cited by 9 publications

(11 citation statements)

References 24 publications

(30 reference statements)

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“…The findings with the studied population at risk showed what has been treated by the specialized literature in the area, which points out that oral sensorimotor stimulation, performed by a qualified professional (28,29) , it is a positive measure for the development of risky NB, improving SSB coordination, accelerating the alimentary transition from enteral tube to OD, favoring early weight gain and breastfeeding (30) .…”

Section: Discussionsupporting

confidence: 61%

Impacto da intervenção fonoaudiológica na introdução de dieta via oral em recém-nascidos de risco

Medeiros

Almeida

Meneses

et al. 2020

Audiol., Commun. Res.

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RESUMO Objetivo comparar idade gestacional ao nascimento, peso e idade gestacional corrigida na introdução de dieta por via oral de recém-nascidos prematuros, que utilizaram, ou não, sonda enteral para alimentação, de acordo com a intervenção fonoaudiológica recebida. Métodos estudo retrospectivo, transversal do tipo analítico, realizado em uma maternidade pública de referência, no Nordeste do Brasil. Foram analisados 142 prontuários de recém-nascidos de risco. Os participantes foram divididos quanto ao uso, ou não, de sonda enteral (G1 e G2) e realização, ou não, de intervenção fonoaudiológica (GF e GC). Resultados houve diferença entre G1 e G2 quanto ao teste de Apgar, pesos (ao nascer e na alta) e idades gestacionais ao nascimento e corrigida para introdução de via oral (com valores sempre menores em G1); quanto ao tempo de internação e intervenção fonoaudiológica (maiores em G1). Em relação à intervenção fonoaudiológica, houve diferença entre GF e GC quanto aos pesos (ao nascer e na alta), idade gestacional ao nascimento e idade gestacional para introdução de via oral (com valores menores em GF), tempo de internação e uso de mamadeira (maiores em GF). Conclusão o uso de sonda enteral esteve relacionado ao aumento do tempo de internação, enquanto que a intervenção fonoaudiológica impactou a introdução de alimentação por via oral mais precocemente.

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Section: Discussionsupporting

confidence: 61%

Impacto da intervenção fonoaudiológica na introdução de dieta via oral em recém-nascidos de risco

Medeiros

Almeida

Meneses

et al. 2020

Audiol., Commun. Res.

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“…Association between the improvement in the readiness score for oral feeding and corrected gestational age Figure 2. Association between the improvement in the readiness score for commencement of oral feeding and the transition time from the gastric tube feeding to the total oral feeding was a higher occurrence of PTNBs classified as level 4 (most mature), when compared to previous studies, which presented a frequency between 16% and 31% of the sample population at this level (10,26,28) . This fact can be explained by the fact that the study sample of this study had a larger CGA (30-36 weeks) than that identified in the other studies (28-36 weeks) (10,26,28) .…”

Section: Discussionmentioning

confidence: 56%

“…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%

“…Oral feeding skills are measured by proficiency (PRO) and transfer rate (TR), which reflect, respectively, the minimum fatigue/ability to feed orally in the first five minutes of feeding and the resistance to OF of the prescribed volume. From these two variables (PRO and TR), four levels of oral feeding skills are defined (4,26,28,29) . Our findings were favorable to an adequate level of feeding skills, compared to those found in the literature.…”

Section: Discussionmentioning

confidence: 99%

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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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“…Sensory-motor-oral stimulation has been analyzed in the literature as a positive measure for the development of premature newborns, in order to improve the coordination of sucking, swallowing and breathing, to accelerate the food transition from probe to oral feeding, reduce hospitalization time and encourage early weight gain and breastfeeding (15) .…”

Section: Discussionmentioning

confidence: 99%

Habilidades de recém-nascidos prematuros para início da alimentação oral

Cavalcante¹,

Oliveira²,

Silva³

et al. 2018

Rev Rene

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Objective: to identify the scientific evidence about the abilities of premature neonates in Neonatal Intensive Care Unit, to oral feeding initiation. Methods: integrative review, held in the databases Scopus, Cinahl, Medline, Lilacs, Science Direct and Web of Science, not controlled and with no timeframe, using the key words: Recém-Nascido Prematuro/Premature, Infant; Comportamento Alimentar/Feeding Behavior and Aleitamento Materno/ Breast Feeding, crossing them with the AND operator. Inclusion criteria: full available in Portuguese, English and Spanish, without year limitation; and exclusion: articles that did not answer the research question, repeated and from other scientific sources. Results: the scientific productions revealed that the sensory-motor-oral stimulation, non-nutritious sucking and evaluation of hemodynamic parameters favor the transition from probe-oral to breastfeeding. Conclusion: we identified evidence that prove that the use of the stimulation and skills development facilitate, in less time, the beginning of oral feeding. Descriptors: Infant, Premature; Feeding Behavior; Breast Feeding; Neonatal Nursing.Objetivo: identificar as evidências científicas acerca das habilidades de recém-nascidos prematuros, em Unidade de Terapia Intensiva Neonatal, para início da alimentação oral. Métodos: revisão integrativa, realizada nas bases de dados Scopus, Cinahl, Medline, Lilacs, Science Direct e Web of Science, de forma não controlada e sem recorte temporal, utilizando os descritores: Recém-Nascido Prematuro/Premature, Infant; Comportamento Alimentar/ Feeding Behavior e Aleitamento Materno/Breast Feeding, cruzando-os com o operador AND. Critérios de inclusão: disponíveis na íntegra, em português, inglês e espanhol, sem limitação de ano; e os de exclusão: artigos que não responderam à questão de pesquisa, repetidos e provenientes de outras fontes científicas. Resultados: as produções científicas revelaram que a estimulação sensório-motora-oral, sucção não nutritiva e avaliação de parâmetros hemodinâmicos favorecem a transição sonda-oral para o aleitamento materno. Conclusão: foram identificadas evidências que comprovam que o uso da estimulação e o desenvolvimento das habilidades facilitam, em menor tempo, o início da alimentação oral.

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Premature: growth and its relation to oral skills

Cited by 9 publications

References 24 publications

Impacto da intervenção fonoaudiológica na introdução de dieta via oral em recém-nascidos de risco

Impacto da intervenção fonoaudiológica na introdução de dieta via oral em recém-nascidos de risco

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

Habilidades de recém-nascidos prematuros para início da alimentação oral

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