| Prospective study of non-nutritive sucking and feeding skills in premature infants. | |
| | |
MedLine Citation:
|
PMID: 19948525 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: The aim of the present work was to assess the value of non-nutritive sucking (NNS) measures as predictors of oral feeding performance in comparison to other putative predictors of feeding skills: respiratory support, post-menstrual age (PMA) at birth and the neonatal oral motor assessment score (NOMAS). METHODS: This was a prospective, observational study. Cox proportional hazards and non-parametric rank sum tests were used to assess the relationship between NNS and feeding outcome measures. The setting was neonatal intensive care units (NICU) in rural/academic, urban/tertiary centres in the USA. In all, 51 premature infants born between 25 and 34 weeks' PMA, birth weight 1512.3+/-499.4 g, were included in this study. Interventions were measurement of NNS, standardised feeding advance schedule, performance of NOMAS, and standardised, permissive, oral feeding advance schedule. MAIN OUTCOME MEASURES: were transition time from first to full oral feeding (FOF) and gestational age at FOF. RESULTS: Higher NNS organisation scores predicted shorter transition to FOF (p<0.05): infants with a more organised suck pattern reached independent oral feeding 3 days earlier (16 vs 13 day transition) than infants with more chaotic patterns of suck bursts. Consistency of the suck waves also corresponded with feeding milestones: infants with more regular suck wave pressure deflections became competent oral feeders approximately 3 days earlier than those with irregular suck pressure waves. PMA at birth was inversely associated with PMA at FOF. NOMAS measures were not associated with outcome measures. CONCLUSIONS: Measures of NNS organisation and suck consistency constitute useful candidate predictors of feeding performance by premature infants. The results accord with previous findings linking PMA at birth with age at independent feeding. |
| | |
Authors:
|
Peter M Bingham; Taka Ashikaga; Soraya Abbasi |
Related Documents
:
|
16105795 - Strategies for prevention of feed intolerance in preterm neonates: a systematic review. 3961305 - Consumption pattern of infant foods by turkish immigrants. 7575835 - Effect of body position on the blood gases and ventilation volume of infants with chron... 18843685 - Avoidance of bottles during the establishment of breast feeds in preterm infants. 7476585 - A novel role for surfactant in the lung with implications for the sudden infant death s... 8445815 - Temporal and geographic trends in the autopsy frequency of blunt and penetrating trauma... |
Publication Detail:
|
Type: Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S. Date: 2009-11-29 |
Journal Detail:
|
Title: Archives of disease in childhood. Fetal and neonatal edition Volume: 95 ISSN: 1468-2052 ISO Abbreviation: Arch. Dis. Child. Fetal Neonatal Ed. Publication Date: 2010 May |
Date Detail:
|
Created Date: 2010-05-06 Completed Date: 2010-07-01 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9501297 Medline TA: Arch Dis Child Fetal Neonatal Ed Country: England |
Other Details:
|
Languages: eng Pagination: F194-200 Citation Subset: AIM; IM |
Affiliation:
|
Fletcher Allen Health Care/University of Vermont, 1 South Prospect, Burlington, VT 05401, USA. Peter.Bingham@vtmednet.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Age Factors Birth Weight / physiology Enteral Nutrition Feeding Behavior / physiology* Female Gestational Age Humans Infant Nutritional Physiological Phenomena / physiology* Infant, Newborn Infant, Premature / physiology, psychology* Intensive Care Units, Neonatal Male Prognosis Prospective Studies Sucking Behavior / physiology* |
| Grant Support | |
ID/Acronym/Agency:
|
R01 NR 010166/NR/NINR NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Regional tissue oxygenation in association with duration of hypoxemia and hemodynamic variability in...
Next Document: Is ethnicity a risk factor for severe retinopathy of prematurity?