The Development of Oral Feeding Skills in Infants

Lau, Chantal; Geddes, Donna; Mizuno, Katsumi; Schaal, Benoı̂st

doi:10.1155/2012/572341

Cited by 19 publications

(20 citation statements)

References 11 publications

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“…This result reinforces what other authors have mentioned, that is, fatigue causes an impact on the PTI feeding performance in the same way as the presence of low skill for oral feeding (14,15) . Studies pointed out the effectiveness of the speech language pathology and audiology intervention with regard to previous stimulation of suction in PTI, provided that it is associated with better performance in oral feeding, hospital discharge, and global development of the NB.…”

Section: Discussionsupporting

confidence: 91%

Premature: growth and its relation to oral skills

Vargas

Berwig

Steidl

et al. 2015

CoDAS

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OBJECTIVE: To evaluate the influence of oral motor skills of premature infants on their oral feeding performance and growth, during neonatal hospitalization.METHODS: Fifty-one newborns hospitalized in the neonatal intensive care unit of a hospital in Southern Brazil, between July 2012 and March 2013, were evaluated. The evaluation of oral feeding skills, according to Lau and Smith, was applied after prescription for starting oral feeding. The oral feeding performance was analyzed using the following variables: days taken to start independent oral feeding and hospital discharge. Growth was measured by weight, length, and head circumference, using the curves of Fenton, at birth, first and independent oral feeding, and hospital discharge.RESULTS: At birth, 71% preterm infants were proper for gestational age, most of them were males (53%), with average of 33.6 (±1.5) weeks of gestational age. The gestational age in the assessment did not influence the oral feeding performance of the premature infant and did not differ between levels. Time of transition from tube feeding to oral feeding and hospital stay was shorter when the oral skills were higher. At birth, there was a tendency of low weight and low oral feeding performance. Level IV premature infants in the release of oral feeding presented higher weights.CONCLUSION: The level of oral skills of the premature infant interfered positively on time of feeding transition from tube to independent oral feeding and hospital stay. Growth, represented by weight gain, was not affected by the level of oral skill.

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Section: Discussionsupporting

confidence: 91%

Premature: growth and its relation to oral skills

Vargas

Berwig

Steidl

et al. 2015

CoDAS

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“…showing suitable oral skill and adequate feeding resistance, were considered able to feed. The achievement of this level at the first oral feeding was associated with a shorter time to reach independent oral feeding (15)(16)(17)(18)29) . In addition, both the ability and resistance for oral feeding seem to have similar importance in determining the success of oral feeding (11,13) .…”

Section: Discussionmentioning

confidence: 99%

“…The proficiency obtained in the first oral feeding was considered a gold standard to estimate global accuracy, specificity and sensitivity of POFRAS with bottle. A proficiency equal or superior to 30% corresponds to an adequate oral skill, while any value inferior to 30% corresponds to a low oral skill (11,15,16,20) . Following, the study proceeded to the construction of the ROC curve using the Stata 10 software.…”

Section: Methodsmentioning

confidence: 99%

“…Studies show that an appropriate quantitative indicator to assess the ability of preterm infants to feed orally is the proficiency parameter -defined by the percentual fraction of the volume prescribed ingested in the first five minutes of feeding (11) . By assessing only the first five minutes, this parameter allows a differentiation between the infant's oral ability and the adversities caused by the fatigue experienced with the lengthening of the feeding time (15)(16)(17) . A level of proficiency higher than 30% is associated with an adequate ability to feed orally (11,(15)(16)(17)(18) .…”

Section: Introductionmentioning

confidence: 99%

“…By assessing only the first five minutes, this parameter allows a differentiation between the infant's oral ability and the adversities caused by the fatigue experienced with the lengthening of the feeding time (15)(16)(17) . A level of proficiency higher than 30% is associated with an adequate ability to feed orally (11,(15)(16)(17)(18) . Based on the aforementioned evidence, we felt the need to reproduce the analysis regarding the accuracy of POFRAS considering the proficiency of the first oral feeding as the gold standard, since this parameter is more reliable than the one originally employed (14) .…”

Section: Introductionmentioning

confidence: 99%

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Avaliação para o início da alimentação oral de recém-nascidos pré-termo

Bolzan

Berwig

Prade

et al. 2016

CoDAS

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RESUMO Objetivo avaliar a acurácia do Preterm Oral Feeding Readiness Scale - POFRAS para iniciar a alimentação oral de recém-nascidos pré-termo e verificar a concordância entre este instrumento e o instrumento de avaliação do Nível de Habilidade Oral. Métodos Foram avaliados 82 recém-nascidos pré-termo quanto à prontidão para o início da alimentação oral através do POFRAS e da avaliação do Nível de Habilidade Oral, durante a primeira alimentação oral. A acurácia do POFRAS foi estimada em relação à variável proficiência, por meio da Curva ROC (Receiver Operating Characteristic Curve). Para a análise da concordância entre os instrumentos, foi utilizado o coeficiente Kappa. Resultados A acurácia global do POFRAS foi de 71,29%. O ponto de corte 29 foi o que apresentou melhor equilíbrio entre sensibilidade e especificidade. O coeficiente Kappa mostrou fraca concordância entre os instrumentos na identificação dos RN aptos e inaptos a mamar por via oral (k=0.281). Conclusão a acurácia do POFRAS para o início da alimentação oral, estimada por meio da variável proficiência, foi semelhante à obtida com a técnica de translactação. Observou-se fraca concordância entre os instrumentos avaliados. Sugere-se, portanto, que estes instrumentos de avaliação sejam usados de forma complementar na prática clínica, uma vez que ambos apresentam aspectos importantes do comportamento alimentar do prematuro, que ao serem analisados conjuntamente permitirão orientar a conduta necessária para propiciar uma transição alimentar mais breve e eficaz para essa população.

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Advances with Neonatal Aerodigestive Science in the Pursuit of Safe Swallowing in Infants: Invited Review

Jadcherla

2017

Dysphagia

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Feeding, swallowing and airway protection are three distinct entities. Feeding involves a process of sequential, neurosensory and neuromotor interactions of reflexes and behaviors facilitating ingestion. Swallowing involves anterograde bolus movement during oral-, pharyngeal- and esophageal phases of peristalsis into stomach. During these events, coordination with airway protection is vital for homeostasis in clearing any material away from airway vicinity. Neurological-airway-digestive inter-relationships are critical to the continuum of successful feeding patterns during infancy, either in health or disease. Neonatal feeding difficulties encompass a heterogeneous group of neurological, pulmonary and aerodigestive disorders that present with multiple signs posing as clinical conundrums. Significant research breakthroughs permitted understanding of vagal neural pathways and functional aerodigestive connectivity involved in regulating swallowing and aerodigestive functions either directly or indirectly by influencing the supra-nuclear regulatory centers and peripheral effector organs. These neurosensory and neuromotor pathways are influenced by pathologies during perinatal events, prematurity, inflammatory states and coexisting medical and surgical conditions. Approaches to clarify pathophysiologic mapping of aerodigestive interactions, as well as translating these discoveries into the development of personalized and simplified feeding strategies to advance child health are discussed in this review article.

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The Development of Oral Feeding Skills in Infants

Cited by 19 publications

References 11 publications

Premature: growth and its relation to oral skills

Premature: growth and its relation to oral skills

Avaliação para o início da alimentação oral de recém-nascidos pré-termo

Advances with Neonatal Aerodigestive Science in the Pursuit of Safe Swallowing in Infants: Invited Review

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