Oral motor intervention accelerates time to full oral feeding and discharge

 
 
 
  • Abstract
  • Keywords
  • References
  • PDF
  • Abstract


    Background: A Survival rate in early preterm infants has increased over the last 30 years, but many of these infants have medical and developmental problems. Difficulty with feeding and poor nutrition complications are common, which contribute to their readmission and morbidity.

    Objective: To purpose of this study was to assess whether an oral motor stimulation intervention can decrease the time to achieve full oral feeding and shorten the length of hospitalization in preterm infants.

    Design and Methods: Seventy-five preterm infants born at 30 to ≤ 32 weeks gestational age were randomly assigned to three groups to assess intervention effects. Two groups received the intervention once per day with varying different intervention doses across time, while the control group received a sham intervention.

    Results: The time needed to reach full oral feeding was significantly different among groups (P <0.0001). Infants who received the intervention from initiation of tube feedings until full oral feeding (high dose)  gained full oral feedings and were discharged from the hospital earlier than the low dose and control groups (P = 0.0001). Infants in the high dose group were discharged 6 days earlier than controls and 4 days earlier than the low dose group.

    Conclusion: Oral motor stimulation intervention accelerated the time to full oral feeding and decreased the length of hospital stay.


  • Keywords


    : Premature Infants; Oral Feeding; PIMO; Oral Stimulation; Length of Hospital Stay.

  • References


      [1] Alexander, G. R., J. H. Himes, R. B. Kaufman, J. Mor and M. Kogan (1996). "A United States national reference for fetal growth." Obstet Gynecol 87(2): 163-168. http://dx.doi.org/10.1016/0029-7844(95)00386-X.

      [2] American Academy of Pediatrics (2008). "Hospital Discharge of the High-Risk Neonate." Pediatrics 122(5): 1119-1126. http://dx.doi.org/10.1542/peds.2008-2174.

      [3] Arvedson, J., H. Clark, C. Lazarus, T. Schooling and T. Frymark (2010). "Evidence-Based Systematic Review: Effects of Oral Motor Interventions on Feeding and Swallowing in Preterm Infants." American Journal of Speech-Language Pathology 19(4): 321-340. http://dx.doi.org/10.1044/1058-0360(2010/09-0067).

      [4] Ballard, J. L., J. C. Khoury, K. Wedig, L. Wang, B. L. Eilers-Walsman and R. Lipp (1991). "New Ballard Score expanded to include extremely premature infants." J Pediatr 119(3): 417-423. http://dx.doi.org/10.1016/S0022-3476(05)82056-6.

      [5] Beckman, D. (2006). "Oral motor assessment and intervention, from." http://www.beckmanoralmotor.com/.

      [6] Bier, J. A., A. Ferguson, C. Cho, W. Oh and B. R. Vohr (1993). "The oral motor development of low-birth-weight infants who underwent orotracheal intubation during the neonatal period." Am J Dis Child 147(8): 858-862? http://dx.doi.org/10.1001/archpedi.1993.02160320060020.

      [7] Boiron, M., L. Da Nobrega, S. Roux, A. Henrot and E. Saliba (2007). "Effects of oral stimulation and oral support on non-nutritive sucking and feeding performance in preterm infants." Dev Med Child Neurol 49(6): 439-444. http://dx.doi.org/10.1111/j.1469-8749.2007.00439.x.

      [8] Bragelien, R., W. Rokke and T. Markestad (2007). "Stimulation of sucking and swallowing to promote oral feeding in premature infants." Acta Paediatr 96(10): 1430-1432. http://dx.doi.org/10.1111/j.1651-2227.2007.00448.x.

      [9] Davies, D. P., V. Haxby, S. Herbert and A. S. McNeish (1979). "When should pre-term babies be sent home from neonatal units?" Lancet 1(8122): 914-915. http://dx.doi.org/10.1016/S0140-6736(79)91386-2.

      [10] Delaney, A. L. and J. C. Arvedson (2008). "Development of swallowing and feeding: Prenatal through first year of life." Developmental Disabilities Research Reviews 14(2): 105-117. http://dx.doi.org/10.1002/ddrr.16.

      [11] Dodrill, P., S. McMahon, E. Ward, K. Weir, T. Donovan and B. Riddle (2004). "Long-term oral sensitivity and feeding skills of low-risk pre-term infants." Early Hum Dev 76(1): 23-37. http://dx.doi.org/10.1016/j.earlhumdev.2003.10.001.

      [12] Field, T., E. Ignatoff, S. Stringer, J. Brennan, R. Greenberg, S. Widmayer and G. C. Anderson (1982). "Nonnutritive sucking during tube feedings: effects on preterm neonates in an intensive care unit." Pediatrics 70(3): 381-384.

      [13] Fucile, S., E. Gisel and C. Lau (2002). "Oral stimulation accelerates the transition from tube to oral feeding in preterm infants." J Pediatr 141(2): 230-236. http://dx.doi.org/10.1067/mpd.2002.125731.

      [14] Fucile, S., E. G. Gisel and C. Lau (2005). "Effect of an oral stimulation program on sucking skill maturation of preterm infants." Dev Med Child Neurol 47(3): 158-162. http://dx.doi.org/10.1017/S0012162205000290.

      [15] Fucile, S., E. G. Gisel, D. H. McFarland and C. Lau (2011). "Oral and non-oral sensorimotor interventions enhance oral feeding performance in preterm infants." Dev Med Child Neurol 53(9): 829-835. http://dx.doi.org/10.1111/j.1469-8749.2011.04023.x.

      [16] Garber, J. (2013). "Oral-motor function and feeding intervention." Phys Occup Ther Pediatr 33(1): 111-138. http://dx.doi.org/10.3109/01942638.2012.750864.

      [17] Goebel, C. A. (2010). "Reliability measurement of the premature infant oral motor intervention." Retrieved October 22, 2015, from http://digitalcommons.iwu.edu/nursing_honproj/39.

      [18] Hwang, Y. S., E. Vergara, C. H. Lin, W. J. Coster, R. Bigsby and W. H. Tsai (2010). "Effects of prefeeding oral stimulation on feeding performance of preterm infants." Indian J Pediatr 77(8): 869-873. http://dx.doi.org/10.1007/s12098-010-0001-9.

      [19] Jadcherla, S. R. and R. Shaker (2001). "Esophageal and upper esophageal sphincter motor function in babies." Am J Med 111 Suppl 8A: 64s-68s? http://dx.doi.org/10.1016/S0002-9343(01)00848-8.

      [20] Kelly, M. M. (2006). "The medically complex premature infant in primary care." J Pediatr Health Care 20(6): 367-373. http://dx.doi.org/10.1016/j.pedhc.2006.01.003.

      [21] Kramer, M. S., K. Demissie, H. Yang, R. W. Platt, R. Sauve and R. Liston (2000). "The contribution of mild and moderate preterm birth to infant mortality. Fetal and Infant Health Study Group of the Canadian Perinatal Surveillance System." Jama 284(7): 843-849. http://dx.doi.org/10.1001/jama.284.7.843.

      [22] Lau, C., R. Alagugurusamy, R. J. Schanler, E. O. Smith and R. J. Shulman (2000). "Characterization of the developmental stages of sucking in preterm infants during bottle feeding." Acta Paediatr 89. http://dx.doi.org/10.1111/j.1651-2227.2000.tb00393.x.

      [23] Lau, C., S. Fucile and E. G. Gisel (2012). "Impact of nonnutritive oral motor stimulation and infant message therapy on oral fedding skills of preterm infants." Journal of Neonatal -perinatal medicine 5(4): 311-317.

      [24] Lau, C., H. R. Sheena, R. J. Shulman and R. J. Schanler (1997). "Oral feeding in low birth weight infants." The Journal of Pediatrics 130(4): 561-569. http://dx.doi.org/10.1016/S0022-3476(97)70240-3.

      [25] Lessen, B. S. (2011). "Effect of the premature infant oral motor intervention on feeding progression and length of stay in preterm infants." Adv Neonatal Care 11(2): 129-139. http://dx.doi.org/10.1097/ANC.0b013e3182115a2a.

      [26] Lyu, T.-c., Y.-x. Zhang, X.-j. Hu, Y. Cao, P. Ren and Y.-j. Wang (2014). "The effect of an early oral stimulation program on oral feeding of preterm infants." International Journal of Nursing Sciences 1(1): 42-47. http://dx.doi.org/10.1016/j.ijnss.2014.02.010.

      [27] Martin, J. A., B. E. Hamilton and P. D. Sutton (2003). "Births: Final Data for 2002." Centers for Disease Control and Prevention,.

      [28] Measel, C. P. and G. C. Anderson (1979). "Nonnutritive sucking during tube feedings: effect on clinical course in premature infants." JOGN Nurs 8(5): 265-272. http://dx.doi.org/10.1111/j.1552-6909.1979.tb00960.x.

      [29] Pimenta, H. P., M. E. L. Moreira, A. D. Rocha, S. C. G. Junior, L. W. Pinto and S. L. Lucena (2008). "Effects of non-nutritive sucking and oral stimulation on breastfeeding rates for preterm, low birth weight infants: a randomized clinical trial." Jornal de Pediatria 84(5): 423-427. http://dx.doi.org/10.2223/JPED.1839.

      [30] Pinelli, J. and A. Symington (2005). "Non-nutritive sucking for promoting physiologic stability and nutrition in preterm infants." Cochrane Database Syst Rev (4): Cd001071. http://dx.doi.org/10.1002/14651858.cd001071.pub2.

      [31] Resch, B., A. Pasnocht, W. Gusenleitner and W. Muller (2005). "Rehospitalisations for respiratory disease and respiratory syncytial virus infection in preterm infants of 29-36 weeks gestational age." J Infect 50(5): 397-403. http://dx.doi.org/10.1016/j.jinf.2004.06.015.

      [32] Sehgal, S. K., O. Prakash, A. Gupta, M. Mohan and N. K. Anand (1990). "Evaluation of beneficial effects of nonnutritive sucking in preterm infants." Indian Pediatr 27(3): 263-266.

      [33] Simpson, C., R. J. Schanler and C. Lau (2002). "Early introduction of oral feeding in preterm infants." Pediatr 110. http://dx.doi.org/10.1542/peds.110.3.517.

      [34] Tian, X., L.-J. Yi, L. Zhang, J.-G. Zhou, L. Ma, Y.-X. Ou, T. Shuai, Z. Zeng and G.-M. Song (2015). "Oral Motor Intervention Improved the Oral Feeding in Preterm Infants: Evidence Based on a Meta-Analysis With Trial Sequential Analysis." Medicine 94(31): e1310. http://dx.doi.org/10.1097/MD.0000000000001310.

      [35] Wolff, P. H. (1968). "The serial organization of sucking in the young infant." Pediatrics 42(6): 943-956.

      [36] Yildiz, A. and D. Arikan (2012). "The effects of giving pacifiers to premature infants and making them listen to lullabies on their transition period for total oral feeding and sucking success." J Clin Nurs 21(5-6): 644-656. http://dx.doi.org/10.1111/j.1365-2702.2010.03634.x.

      [37] Younesian, S., F. Yadegari and F. Soleimani (2015). "Impact of Oral Sensory Motor Stimulation on Feeding Performance, Length of Hospital Stay, and Weight Gain of Preterm Infants in NICU." Iranian Red Crescent Medical Journal 17(7): e13515. http://dx.doi.org/10.5812/ircmj.17(5)2015.13515.


 

View

Download

Article ID: 6797
 
DOI: 10.14419/ijans.v5i2.6797




Copyright © 2012-2015 Science Publishing Corporation Inc. All rights reserved.