Oromotor stimulation for transition from gavage to full oral feeding in preterm neonates: A Randomized controlled trial

Bala, Poonam; Kaur, Rupinder; Mukhopadhyay, Kanya; Kaur, Sukhwinder

doi:10.1007/s13312-016-0786-3

Cited by 47 publications

(33 citation statements)

References 9 publications

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“…On the other hand, our results concerning food autonomy are not consistent with most of the literature. Numerous studies suggested that the duration between the transition from enteral feeding to autonomous oral feeding was reduced through oral stimulation [17][18][19][20][21][22]. Our study showed a greater quantity of milk ingested during the rst feeding which remained within the limits of signi cance.…”

Section: Discussionsupporting

confidence: 56%

Cardio-Respiratory Events and Food Autonomy Responses to Early Uni-Modal Orofacial Stimulation in Very Premature Babies : A Randomized, Controlled Study

Meziane¹,

Brévaut-Malaty²,

Garbi³

et al. 2020

Preprint

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BackgroundThe Uni-modal OroFacial Stimulation (OFS) for preventing very preterm infants’ oral disorders is highly controversial. Our study sought to demonstrate that OFS reduced cardio-respiratory events and improved food autonomy in a population of very preterm infants.MethodsRandomized, controlled, prospective, and unicentric study. Preterm included were born between 26-29 week‘s gestational age (GA) and with a corrected postnatal age <33 week’s GA. They were randomized in two groups: experimental group underwent an OFS according to a protocol established over 10 consecutive days, and the control group underwent no OFS. The primary outcome were the number of cardiorespiratory events: apnea-bradycardia (with or without desaturations) or number of isolated desaturations which were evaluated at four separate times. The measurement occurred during a first, four and eight independent feedings. Results17 patients in the experimental group and 18 in the control group were included. The number of cardiorespiratory events for all independent- feedings time was significantly reduced in the OFS group (p = 0.003) in the univariate analysis but not in multivariable analysis. There were no signs of poor tolerance noted in the protocol. The quantity of milk ingested during the first autonomous feeding was higher in the experimental group. The acquisition of food autonomy and the duration of the hospitalization stay were similar in the two groups.ConclusionsWhile our study does not affirm that an early unimodal OFS improves the premature infants’ cardiorespiratory evolution and/or the acquisition of food autonomy, it does indicate an improved food efficiency during their first autonomous feedings.The ClinicalTrials.gov identifier is NCT01116765, on May 2010.

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Section: Discussionsupporting

confidence: 56%

Cardio-Respiratory Events and Food Autonomy Responses to Early Uni-Modal Orofacial Stimulation in Very Premature Babies : A Randomized, Controlled Study

Meziane¹,

Brévaut-Malaty²,

Garbi³

et al. 2020

Preprint

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“…On the one hand, the main ones have been length of hospital stay, [36,38,43,44,46] transition time from tube feeding to independent feeding, [36,38,39,43,44,46] sucking skills, [37,40,42,45] oral feeding skills, [37,39,42,44] motor function [38,43] and growth [37,38,43]. On the other hand, some of them considered assessing the influence on breastfeeding skills, [46] infants' alertness [37] and their physiological constants [37].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Oral Sensory-Motor Stimulation in Premature Infants in the Neonatal Intensive Care Unit (NICU) Systematic Review

Gonzalez¹,

Pérez-Cabezas

Chamorro-Moriana

et al. 2021

Children

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The aim of this study was to identify and to assess the best evidence currently available on the effectiveness of oral sensory-motor stimulation in preterm infants in the neonatal intensive care unit. We performed a systematic review following the Preferred Reporting Items for Systematic Reviews (PRISMA) statements. The search was conducted using the Pubmed, Web of Science (WOS), PEDro and Scopus databases. Clinical trials were reviewed and PEDro rating scale was used to assess the methodological quality of these studies. Results: 1267 studies were found and 11 were relevant and included in this review. Improvements were obtained in achieving independent feeding, maturation of the sucking pattern, transition to full feeding, motor function and length of hospital stay in most studies. Conclusions: there is evidence to support the benefits of the use of oral sensorimotor stimulation to achieve independent oral feeding in preterm infants, thereby reducing their stay in the Neonatal Intensive Care Unit.

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“…[8] A study conducted by Bala P, Kaur R, Mukhopadhyay K et al revealed that non-nutritive sucking for 5 to 10 minutes before oral feeds appears to improve feeding performance, physiological stability during feeds and volume consumed during feeds. [9] They concluded that Premature Infant Oral Motor Intervention (PIOMI) found as a useful method for preterm neonates and PIOMI should be integrated in feeding rehabilitation programs of the preterm neonates born with gestational age of 26-29 weeks. [10] Oromotor stimulation found to be effective in improving the sucking frequency, latch scores and fastens the transition time from spoon feeding to breast feeding.…”

Section: Introductionmentioning

confidence: 99%

Effect of Oromotor Stimulation on Sucking and Feeding Performance of Preterm Neonates Admitted in Neonatal Care Unit of Selected Hospital, West Bengal

Roy¹,

Jana

2021

Int J Res Rev

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Feeding problem remains a common problem among preterm neonates. An experimental study was undertaken to assess the effect of oromotor stimulation on feeding and sucking performance of preterm neonates admitted in selected hospital, west Bengal. Quasi experimental time series design was adopted. From the population of preterm neonates 60 samples (30 in experimental group and 30 in control group) were selected by non-probability purposive sampling. After selection, initially the baseline data was collected using a record analysis proforma. On the 1st day sucking and feeding performance scoring was done before giving the oromotor stimulation to ascertain the homogeneity of the experimental and control group. After that in two consecutive feeding, oromotor stimulation was given to the neonates in experimental group before 15 minutes of the feeding. The intervention was given to the neonates in experimental group for the next two days, twice only in two consecutive feeding. Neonates in control group received routine care. Sucking and feeding performance scoring was done in both groups using a standardized non-nutritive sucking scoring scale and a validated and reliable early feeding performance scale. The result showed that there is significant difference in sucking performance (t=3.60, p<0.05) and feeding performance (t=3.78, p<0.05) among experimental and control group in final observation. It can be concluded that oromotor stimulation is effective to improve the feeding and sucking abilities of preterm neonates. In the neonatal care units, nurses can provide oromotor stimulation to improve feeding and sucking abilities of the preterm neonates. Keywords: Feeding, Sucking, Performance, Preterm, Oromotor stimulation, Neonates, Preterm neonates.

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Oromotor stimulation for transition from gavage to full oral feeding in preterm neonates: A Randomized controlled trial

Abstract: Oromotor stimulation along with routine care reduces the duration of gavage feeding in preterm neonates.

Cited by 47 publications

References 9 publications

Cardio-Respiratory Events and Food Autonomy Responses to Early Uni-Modal Orofacial Stimulation in Very Premature Babies : A Randomized, Controlled Study

Cardio-Respiratory Events and Food Autonomy Responses to Early Uni-Modal Orofacial Stimulation in Very Premature Babies : A Randomized, Controlled Study

Effectiveness of Oral Sensory-Motor Stimulation in Premature Infants in the Neonatal Intensive Care Unit (NICU) Systematic Review

Effect of Oromotor Stimulation on Sucking and Feeding Performance of Preterm Neonates Admitted in Neonatal Care Unit of Selected Hospital, West Bengal

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