Oral feeding readiness and premature infant outcomes

Osman, Atiat

doi:10.1016/j.jnn.2018.11.005

Cited by 5 publications

(8 citation statements)

References 43 publications

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“…This is consistent with the findings by Lessen Knoll et al, 7 in which volume consumed revealed the same type of exponential increase the longer PIOMI was applied compared with the natural developmental trajectory of a control group. Similarly, Osman et al 28 conducted a dose-response study and found that the more days PIOMI was provided, ranging from 1 to 16 days, the better the outcomes (transition to full feedings and LOS). These authors conclude that when infants start PIOMI in the early prefeeding period before a bottle or breast is ever introduced, they start their first oral feeding with strengthened oral motor pathways, which build the scaffolding for more developed feeding skills.…”

Section: Discussionmentioning

confidence: 99%

“…26 However, there are no studies that have quantitatively tested PIOMI specifically on sucking capacity using pressure manometry. In addition, although most oral motor studies include the outcome of weight, results vary with some studies demonstrating increased weight gain with PIOMI 28,30,33 while others have not shown this effect. 26,38 No studies were found that measured PIOMI's effect on head circumference.…”

Section: E197mentioning

confidence: 99%

“…[18][19][20] Nonnutritive sucking alone and combined with oral stimulation has been found to mature the oral motor-sensory system and improve not only bottle feeding but also breast/chest feeding. 21 Many RCTs have shown PIOMI to improve oral feeding outcomes such as readiness to feed, [22][23][24][25][26][27][28] oral motor function, 24,[28][29][30][31] breast/chest feeding, 31,32 and a faster transition to full oral feeding. 7,12,24,[27][28][29][30][31][32][33][34][35][36][37][38] which often results in decreased LOS.…”

Section: E197mentioning

confidence: 99%

“…21 Many RCTs have shown PIOMI to improve oral feeding outcomes such as readiness to feed, [22][23][24][25][26][27][28] oral motor function, 24,[28][29][30][31] breast/chest feeding, 31,32 and a faster transition to full oral feeding. 7,12,24,[27][28][29][30][31][32][33][34][35][36][37][38] which often results in decreased LOS. Other RCTs have shown PIOMI's positive effect on NNS scores, 37 behavioral state, 30 and higher scores on the Infant Neurological International Battery (INFANIB) even sustained at 3 and 6 months after discharge.…”

Section: E197mentioning

confidence: 99%

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Effect of the Premature Infant Oral Motor Intervention on Sucking Capacity in Preterm Infants in Turkey

Güler¹,

Çiğdem²,

Knoll³

et al. 2022

Advances in Neonatal Care

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Background: Preterm infants have oral feeding difficulty that often delays discharge, indicating a need for evidence-based interventions for oral–motor development. Purpose: To test the Premature Infant Oral Motor Intervention (PIOMI) on the development of oral–motor function, feeding, and anthropometric outcomes using sucking manometry. Methods: A single-blind randomized experimental design was conducted with a sample of 60 preterm infants from 2 neonatal intensive care units between May 2019 and March 2020. The experimental group received PIOMI for 5 min/d for 14 consecutive days. Sucking capacity, anthropometrics (weight and head circumference), bottle feeding, breast/chest feeding initiation, and length of hospital stay were measured. The Yakut Sucking Manometer (PCT/TR2019/050678) was developed specifically for this study and tested for the first time. Results: The experimental group had a statistically significant percent increase over controls in sucking power (69%), continuous sucking before releasing the bottle (16%), sucking time (13%), and sucking amount (12%) with partial η2 values of interaction between the groups of 0.692, 0.164, 0.136, and 0.121, respectively. The experimental group had a higher increase in weight (89%) and head circumference (81%) over controls (F = 485.130, P < .001; F = 254.754, P < .001, respectively). The experimental group transitioned to oral feeding 9.9 days earlier than controls (t = −2.822; P = .007), started breast/chest feeding 10.8 days earlier (t = 3.016; P = .004), and were discharged 3.0 days earlier. Implications for Research/Practice: The PIOMI had a significant positive effect on anthropometrics, sucking capacity, readiness to initiate bottle and breast/chest feeding, and a 3-day reduction in length of hospital stay.

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Section: Discussionmentioning

confidence: 99%

Section: E197mentioning

confidence: 99%

Section: E197mentioning

confidence: 99%

Section: E197mentioning

confidence: 99%

See 2 more Smart Citations

Effect of the Premature Infant Oral Motor Intervention on Sucking Capacity in Preterm Infants in Turkey

Güler¹,

Çiğdem²,

Knoll³

et al. 2022

Advances in Neonatal Care

View full text Add to dashboard Cite

show abstract

“…Medical records and physical examination videos were used to obtain data on oral motor examination and postural tone. Infant feeding difficulty criteria are based on several components including (1) oral motor assessment using the neonatal oral–motor assessment scale (NOMAS), 14 (2) preterm infant morbidity severity using a neonatal medical index (NMI), 13 and (3) oral feeding readiness and ability score (OFRAS) based on the Luh Karunia Wahyuni (LKW) score. 15 …”

Section: Methodsmentioning

confidence: 99%