Physiologic sequelae of prematurity: The nurse practitioner's role. Part V. Feeding difficulties and growth failure (Pathophysiology, cause, and data collection)

Gardner, Sandra; Hagedorn, Mary I.

doi:10.1016/0891-5245(91)90022-i

Cited by 17 publications

(4 citation statements)

References 13 publications

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“…In newborns before 34 weeks of gestational age it is necessary to use a feeding tube, which deprives the newborn of sensory stimuli, impairing its motor-oral development, possibly altering the sucking-swallowing-respiration coordination and thus impairing oral feeding even more (1)(2)(3). A delay in the acquisition of oral feeding implies a poorer feeding performance, which in turn may influence the duration of hospitalization in the neonatal unit.…”

Section: Introductionmentioning

confidence: 99%

The oral motor capacity and feeding performance of preterm newborns at the time of transition to oral feeding

Bauer

Prade

Keske‐Soares

et al. 2008

Braz J Med Biol Res

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The objective of the present study was to determine the oral motor capacity and the feeding performance of preterm newborn infants when they were permitted to start oral feeding. This was an observational and prospective study conducted on 43 preterm newborns admitted to the Neonatal Intensive Care Unit of UFSM, RS, Brazil. Exclusion criteria were the presence of head and neck malformations, genetic disease, neonatal asphyxia, intracranial hemorrhage, and kernicterus. When the infants were permitted to start oral feeding, non-nutritive sucking was evaluated by a speech therapist regarding force (strong vs weak), rhythm (rapid vs slow), presence of adaptive oral reflexes (searching, sucking and swallowing) and coordination between sucking, swallowing and respiration. Feeding performance was evaluated on the basis of competence (defined by rate of milk intake, mL/min) and overall transfer (percent ingested volume/total volume ordered). The speech therapist's evaluation showed that 33% of the newborns presented weak sucking, 23% slow rhythm, 30% absence of at least one adaptive oral reflex, and 14% with no coordination between sucking, swallowing and respiration. Mean feeding competence was greater in infants with strong sucking fast rhythm. The presence of sucking-swallowing-respiration coordination decreased the days for an overall transfer of 100%. Evaluation by a speech therapist proved to be a useful tool for the safe indication of the beginning of oral feeding for premature infants.

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Section: Introductionmentioning

confidence: 99%

The oral motor capacity and feeding performance of preterm newborns at the time of transition to oral feeding

Bauer

Prade

Keske‐Soares

et al. 2008

Braz J Med Biol Res

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“…The subject of this study showed dysphagia and decreased oxygen saturation while feeding since the early neonatal period, and dysphagia treatment was initiated on the sixth day after birth. In particular, reduced oxygen saturation while feeding can cause instability in the cardiovascular system, respiratory system, and central nervous system, formation of an immature oral structure, and other problems [ 15 ]. An uncoordinated suck-swallow-breath pattern hinders safe and successful oral feeding.…”

Section: Discussionmentioning

confidence: 99%

Effects of Oral Stimulation Intervention in Newborn Babies with Cri du Chat Syndrome: Single-Subject Research Design

Kim

2018

Occupational Therapy International

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The purpose of this study is to treat dysphagia in a newborn baby with cri du chat syndrome using an oral stimulation intervention and to examine its effects. The subject of this study was a baby born 2 weeks prematurely. Since birth, his oxygen saturation (SaO2) decreased while feeding, and he had difficulty with mouth feeding. Thus, an NG feeding tube was inserted, and dysphagia treatment was initiated on the sixth day after birth. A baseline phase and an intervention phase were performed using an AB design. The oral stimulation intervention was not performed in the baseline phase, as only nonnutritive sucking training using a rubber pacifier was used during the baseline phase. During the intervention phase, nonnutritive sucking training and oral stimulation intervention were simultaneously conducted. After the intervention period, daily oral milk intake and intake per feeding of the subject noticeably increased. The oxygen saturation while feeding rose over 90% on average, and the baby did not present with hypoxia. The oral stimulation intervention provided prior to feeding resulted in highly positive effects, including induced normal development of the baby, stimulation of his transition from the NG feeding tube to bottle feeding, increased oxygen saturation, and a shortened hospital stay.

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“…Feeding may also be further complicated by physiological instability of the infant, with bradycardic and desaturation events, which have been associated with an increased risk of aspiration during feeding [9,13]. These early feeding challenges can result in an extended stay in the NICU [14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Preterm infant feeding performance at term equivalent age differs from that of full-term infants

et al. 2020

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Objective To identify differences in feeding skill performance among preterm infants at term equivalent age compared with full-term infants. Study design Ninety-two infants (44 preterm infants born ≤32 weeks gestation at term equivalent age and 48 full-term infants within 4 days of birth) had a standardized oral feeding assessment. Result Preterm infants at term equivalent age had lower Neonatal Eating Outcome Assessment scores (67.8 ± 13.6 compared with 82.2 ± 8.1; p < 0.001) and were more likely to have poor arousal (p = 0.04), poor tongue positioning (p = 0.04), suck-swallow-breathe discoordination (p < 0.001), inadequate sucking bursts (p = 0.01), tonal abnormalities (p < 0.001), discoordination of the jaw and tongue during sucking (p < 0.001), lack of positive engagement with the feeder and/or discomfort (p < 0.001), signs of aspiration (p < 0.001), difficulty regulating breathing (p < 0.001), and have an inability to maintain an appropriate state (p < 0.001), and complete the feeding (<0.001). Conclusion A broad range of feeding-related difficulties appear to remain evident in preterm infants at term equivalent age.

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Physiologic sequelae of prematurity: The nurse practitioner's role. Part V. Feeding difficulties and growth failure (Pathophysiology, cause, and data collection)

Cited by 17 publications

References 13 publications

The oral motor capacity and feeding performance of preterm newborns at the time of transition to oral feeding

The oral motor capacity and feeding performance of preterm newborns at the time of transition to oral feeding

Effects of Oral Stimulation Intervention in Newborn Babies with Cri du Chat Syndrome: Single-Subject Research Design

Preterm infant feeding performance at term equivalent age differs from that of full-term infants

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