Document Detail


Nonnutritive sucking in high-risk infants: benign intervention or legitimate therapy?
MedLine Citation:
PMID:  12353738     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To review the available research evidence on the effects of nonnutritive sucking (NNS) in high-risk full-term and preterm infants in neonatal nurseries. DATA SOURCES: Electronic searches of MEDLINE (1976-2001) and CINAHL (1982-2001) databases, as well as the Cochrane Library. Reference lists of all relevant articles were also reviewed. STUDY SELECTION: Experimental and quasi-experimental studies that included hospitalized full-term and preterm infants, where NNS by pacifier was compared to no pacifier. DATA EXTRACTION: Results of studies were reviewed by two of the authors. DATA SYNTHESIS: As an intervention to promote behavioral outcomes and gastrointestinal function or feeding, there is little evidence to support the use of NNS in preterm and high-risk full-term infants. NNS has been linked to reduced length of hospital stay and improved pain management. CONCLUSIONS: Although harmful effects have not been specifically studied, NNS in preterm and high-risk full-term infants does not appear to have any short-term negative effects. No long-term data on the effects of NNS in high-risk full-term and preterm infants are presently available. Based on the results of this review, it would seem reasonable for nurses to utilize pacifiers for pain management in high-risk full-term and preterm infants.
Authors:
Janet Pinelli; Amanda Symington; Donna Ciliska
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  31     ISSN:  0884-2175     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2002 Sep-Oct
Date Detail:
Created Date:  2002-09-30     Completed Date:  2002-10-22     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  582-91     Citation Subset:  IM; N    
Affiliation:
Department of Pediatrics, School of Nursing, McMaster University, Hamilton, Ontario, Canada. pinellij@mcmaster.ca
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MeSH Terms
Descriptor/Qualifier:
Evidence-Based Medicine*
Female
Humans
Infant Care / standards*
Infant, Newborn
Infant, Premature* / physiology,  psychology
Neonatal Nursing / methods*,  standards
Nursing Evaluation Research
Practice Guidelines as Topic
Pregnancy
Pregnancy, High-Risk
Research Design
Risk Factors
Sucking Behavior* / physiology

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


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