Clinical validation of the Preterm Oral Feeding Readiness Assessment Scale

Fujinaga, Cristina Ide; Moraes, Suzana Alves de; Zamberlan-Amorim, Nelma Ellen; Castral, Thaíla Corrêa; Silva, Andreara de Almeida e; Scochi, Carmen Gracinda Silvan

doi:10.1590/s0104-11692013000700018

Cited by 54 publications

(66 citation statements)

References 21 publications

(42 reference statements)

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“…It should be mentioned that some items did not change in the different behavioral states, being corrected age, global posture, sucking reflex, bite reflex, vomit reflex, suction by pause and maintenance of the alert state. The data of the present study are different from other studies, despite the methodological similarity used 11,13 , regarding the item suction force.…”

Section: Resultscontrasting

confidence: 99%

“…Regarding tongue posture, it was verified in this study that the majority of the 62.75% of the babies presented flat tongue in the two behavioral states. This index was higher when compared with other studies with similar methodology 11,13 .…”

Section: Resultscontrasting

confidence: 63%

“…In the mentioned study, 60 preterm infants with mean gestational age of 32 weeks and 3 days and corrected age of 34 weeks were evaluated. The results showed that 55% of the infants had a reflex of missing demand and only 6.7% a present one 11 . This difference in results is quite controversial, including, due to the difference in the corrected gestational age of the samples, being higher in the present study.…”

Section: Discussionmentioning

confidence: 90%

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Behavioral state and the premature’s readiness performance to begin oral feeding

Fujinaga

Maltauro²,

Stadler

et al. 2018

Rev. CEFAC

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Objective: to evaluate the influence of behavioral states on the readiness of the premature infant to initiate breastfeeding. Methods: the study was transversal, observational and descriptive with 51 premature infants, attended at the Neonatal Intensive Care Unit (NICU), from a Baby-Friendly Hospital. The infants were evaluated using the «Preterm Oral Feeding Readiness Assessment Scale». The evaluation occurred close to the feeding time and was performed in preterm infants in two behavioral states, in deep sleep and alertness. Thus, preterm infants were self-controlled. For the data analysis, the T-Test and the McNemar Test were applied, with a significance level of 0.05. Results: there was a statistically significant difference in the behavior of premature infants in alert behavior and deep sleep. In the alert state, preterm infants showed greater readiness for oral feeding in the breast. The results highlight the importance of the behavioral state of prematurity for professionals working in NICUs. Conclusion: the behavioral state influences the beginning of premature infant feeding. The alertness behavioral status of premature infants is essential during neonatal speech therapy assistence.

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Section: Resultscontrasting

confidence: 99%

Section: Resultscontrasting

confidence: 63%

Section: Discussionmentioning

confidence: 90%

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Behavioral state and the premature’s readiness performance to begin oral feeding

Fujinaga

Maltauro²,

Stadler

et al. 2018

Rev. CEFAC

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“…The Preterm Oral Feeding Readiness Scale (POFRAS) 9,10 , an instrument for assessing the preterm infant's readiness to begin the supply of feeding through oral route, constitutes a proposal drafted and validated for the demand of prematures in Brazil, created with the aim of assisting professionals working directly with the feeding aspects to predict the beginning of oral feeding without risk for the preterm born infants. It consists of an ample evaluation, approaching several factors such as maturity, state of consciousness, oral motor skills, and also nonnutritive sucking characteristics 10 .…”

Section: Introductionmentioning

confidence: 99%

“…It consists of an ample evaluation, approaching several factors such as maturity, state of consciousness, oral motor skills, and also nonnutritive sucking characteristics 10 .…”

Section: Introductionmentioning

confidence: 99%

Readiness for oral feeding and oral motor function in preterm infants

et al. 2017

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Objective: this study aimed at investigating the Schedule Oral Motor Assessment (SOMA) tool to be used with preterm infants and to compare its results with the Preterm Oral Feeding Readiness Assessment Scale (POFRAS) to start oral feeding. Methods: a cross-sectional and quantitative study, consisting in a sample of 45 healthy and clinically stable preterm infants, assessed at their first oral feeding with two tools: the Schedule Oral Motor Assessment and Preterm Oral Feeding Readiness Assessment Scale. Stata 10.0 software was used for data analysis. Results: 10 preterm infants with readiness for oral feeding showed normal oral motor function, and 16, presented with oral motor dysfunction, did not show readiness for feeding (p <0.05). The time of transition for full oral feeding was 13.5 (± 8.1) days for preterm infants with better results in both assessment tools, and 17.7 (± 10.9) days for those who did not show readiness for oral feeding and had oral motor dysfunction to initiate oral feeding, resulting in a given clinical relevance, even showing no significance (p> 0.05). Conclusion: these results suggest that the Schedule Oral Motor Assessment can be an adjunctive method for evaluation of the oral motor function at the first oral feeding in preterm infants. Keywords: Infant, Premature; Sucking Behavior; Aptitude; Feeding Behavior RESUMO Objetivo: investigar o Schedule Oral Motor Assessment (SOMA) para utilização com recém-nascidos pré--termo, e comparar seus resultados com o Preterm Oral Feeding Readiness Scale (POFRAS) na liberação da alimentação por via oral. Métodos: trabalho de caráter transversal e quantitativo. Estudo composto por uma amostra de 45 recém--nascidos pré-termo, saudáveis e clinicamente estáveis, avaliados no momento da liberação da alimentação por via oral. Neste momento foi realizada a avaliação do POFRAS e do SOMA. Para a análise dos dados foi utilizado o software Stata 10.0. Resultados: todos 10 recém-nascidos pré-termo que apresentaram prontidão para alimentação por via oral tinham função motora oral normal, e, os 16 que apresentaram disfunção motora oral, esses não apresentavam prontidão para a mamada (p<0,05). O tempo de transição de alimentação por via oral foi de 13,5 (±8,1) dias nos recém-nascidos pré-termo, com melhores resultados nas duas avaliações, e de 17,7 (±10,9) dias aos que não apresentaram prontidão para a alimentação oral e tiveram disfunção motora oral no momento da liberação da via oral, resultando em um dado com relevância clínica mesmo não apresentando significância (p>0,05). Conclusão: estes resultados sugerem que o SOMA pode ser um método complementar para avaliação da função oral-motora no momento da liberação da via oral de recém-nascido pré-termo.

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Instruments for assessing readiness to commence suck feeds in preterm infants: effects on time to establish full oral feeding and duration of hospitalisation

Crowe

Chang

Wallace

2016

Cochrane Database of Systematic Reviews

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Clinical validation of the Preterm Oral Feeding Readiness Assessment Scale

Abstract: The Preterm Oral Feeding Readiness Assessment Scale is considered valid to assist health professionals to initiate preterm feeding in view of promoting safe and objective breastfeeding.

Cited by 54 publications

References 21 publications

Behavioral state and the premature’s readiness performance to begin oral feeding

Behavioral state and the premature’s readiness performance to begin oral feeding

Readiness for oral feeding and oral motor function in preterm infants

Instruments for assessing readiness to commence suck feeds in preterm infants: effects on time to establish full oral feeding and duration of hospitalisation

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