Document Detail

Development of sucking in premature infants from 1 to 7 days post birth.
MedLine Citation:
PMID:  518974     Owner:  NLM     Status:  MEDLINE    
An ongoing research program to document the development of the sucking response in low- and high-risk newborns is described. Goals are (a) to facilitate early oral feedings, and (b) ultimately to determine whether varying levels of self-regulatory mother-young interaction, uninterrupted by birth, differentially affect life span development. In pilot research, finger sucking opportunities were given twice daily to 2 female and 8 male critically ill premature newborns. A clinical scoring system (range 0--12) measured quality of the sucking response beginning as early as 1 hour of life. The sucking response was present in all 10 newborns. The mean sucking score and standard error of the mean on the first day of life were 6.0 +/- 0.8. Sucking scores did not correlate with birth weight or gestational age, but correlated positively with pH (r = +0.52, p less than .01) and negatively with pCO2 (r = 0.47, p less than .05). Sucking scores generally increased with age and with closely time-related sucking opportunities. Sucking scores were negatively correlated with serum bilirubin levels. Sucking opportunities seemed to facilitate neuromuscular coordination, alert activity, alert inactivity, and deep sleep. A description is given also of a portable electronic suckometer and research nipple developed to quantitatively measure the sucking response of low- and high-risk newborns. The pilot research with this instrument is summarized, as are 3 current studies, 2 of which begin at birth. Sucking is a major component of mother-newborn interaction. Perhaps the isolated transitional newborn is in a nonphysiologic state.
G C Anderson; D Vidyasagar
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Birth defects original article series     Volume:  15     ISSN:  0547-6844     ISO Abbreviation:  Birth Defects Orig. Artic. Ser.     Publication Date:  1979  
Date Detail:
Created Date:  1980-03-17     Completed Date:  1980-03-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0003403     Medline TA:  Birth Defects Orig Artic Ser     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  145-71     Citation Subset:  IM    
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MeSH Terms
Infant, Newborn
Infant, Premature*
Mother-Child Relations
Sucking Behavior / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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