Oral motor intervention accelerates time to full oral feeding and discharge

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.

Effect of Prefeeding Oromotor Stimulation on Oral Feeding Performance of Preterm Neonates during Hospitalization and at Corrected One Month of Age at a Tertiary Neonatal Care Unit of India: A Randomized Controlled Trial

“…However, another study that used 15 min of Fucile's method of oromotor stimulation reported no difference in PIBBS score, although they assessed the score at 3 months and 6 months. 46 In comparison to the control group, independent oral feeding was achieved by the intervention group at significantly lower body weight, which was also reported by Li Xl et al 28 Two of the existing Indian RCTs have reported a significant difference in weight gain in the intervention group, which contrasts with our study. 27,33 This difference in the findings could be due to the longer duration of intervention, as the former research provided treatment thrice daily for consecutively 7 days and the latter one provided treatment twice a day until preterms achieved independent oral feeding.…”

“…However, another study that used 15 min of Fucile’s method of oromotor stimulation reported no difference in PIBBS score, although they assessed the score at 3 months and 6 months. 46…”

Effect of premature infant oral motor intervention(PIOMI) combined with music therapy on feeding progression of premature infants: a randomized control trial

“…Because the premature infants have little control on oral movement, which is associated with lower muscle tone around the mouth, less sensation, and lower tongue strength, PIOMI was selected as oral stimulation in this study because it designed speci cally for premature infants and has demonstrated overwhelming evidence of effectiveness (22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32).…”

“…Lessen (2011) who used PIOMI versus controls in a pilot study, found the intervention group achieved 8 independent feedings 5 days earlier and was discharged 3 days earlier(3). Osman (2016) conducted a doseresponse study on PIOMI and found that the more days PIOMI was given, the more positive impact on feeding transition and reduced hospital stay (30). Arora (2018) gave PIOMI at 32 weeks and still found a decreased transition time to full oral feeds and shorter length of stay over controls (22).…”

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

“…Because the attainment of full oral feedings is often one of the final benchmarks for discharge from the neonatal intensive care unit (NICU), a delayed transition can result in a prolonged length of hospital stay (LOS). The extended separation of mother and infant can interfere with breast/chest feeding and lead to both short and long-term sequela in the infant 2–4. A prolonged LOS also results in significant increases in cost for additional inpatient hospital care 4…”