Readiness for oral feeding and oral motor function in preterm infants

Yamamoto, Raquel Coube de Carvalho; Prade, Leila Sauer; Bolzan, Geovana de Paula; Weinmann, Ângela Regina Maciel; Keske‐Soares, Márcia

doi:10.1590/1982-0216201719411616

Cited by 14 publications

(22 citation statements)

References 14 publications

(17 reference statements)

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“…During this process of transition to oral way, some factors can interfere due to global immaturity 10 . Even if the criterion of gestational age is preconized in the liberation to the beginning of the oral way, this factor alone cannot be decisive 11 .…”

Section: Discussionmentioning

confidence: 99%

Food transition in premature newborn children: interfering factors

Amoris

Nascimento

2020

Rev. CEFAC

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Purpose: to check the variables which interfere in the transition from the alternative way of feeding to the beginning of proper oral mode. Methods: 30 preterm newborns from a Neonatal Intensive Care Unit (NICU) participated, with initial weight of 1,500 grams, interned between May and July 2018. The study of the medical records of babies was performed in relation to comorbidities such as length of stay, weight, gestational age, use of mechanical ventilation, as well as quantitative and correlational analysis of the data. Results: among the participants, 27 newborns began being fed in an orogastric manner and three, in a nasogastric way, and in some cases, artificial nipples were used. The average of gestational age coincided with the possibility of the proper via oral feeding. The longest time of transition was exactly with the newborns who had had clinical complications. Conclusion: the clinical complication interfered in the time and prevalence of the alternative way of feeding during the process of food transition which, associated with the use of artificial nipples, may have interfered in the early weaning and in the failure of exclusive breastfeeding.

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Section: Discussionmentioning

confidence: 99%

Food transition in premature newborn children: interfering factors

Amoris

Nascimento

2020

Rev. CEFAC

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“…Prematurity and low weight, especially when less than 1500 g, are considered risk factors for the newborn (NB) and may interfere with the acceptance of a full oral diet (OD), leading to the need to use alternative routes feeding, such as the enteral tube (1)(2)(3) .…”

Section: Introductionmentioning

confidence: 99%

“…The preterm newborn (PTNB) may present conditions that interfere with oral motor skills, such as physiological and neurological immaturity, respiratory disorders, muscle hypotonia and minimized oral reflexes (1,6) . Thus, to establish a safe OD satisfactory clinical conditions and the adequacy of the organs of the stomatognathic system must be considered (2,3) , with coordination of suction, swallowing and breathing (SSB) functions (1,3,(6)(7)(8) .…”

Section: Introductionmentioning

confidence: 99%

“…It is considered important to promote the adequacy of the stomatognathic system of the PTNB (2,8,9) , with establishing SBB coordination (1,3,(6)(7)(8) . This coordination occurs in the 34th week of corrected gestational age (CGA), or even earlier, from the 32nd week onwards, if the alertness behavioral state for breastfeeding readiness is present, being important the Speech Therapy intervention (3,6,8,10) .…”

Section: Introductionmentioning

confidence: 99%

“…The speech therapist seeks to improve mobility and tone of the orofacial muscles, favoring the development of stomatognathic functions (11,12) . Since breastfeeding is recommended because of the benefits that offers to the NB and his mother, this professional works for the introduction and full establishment of OD occur without risk to the newborn, contributing to the transition from the enteral tube to the breast (13) effective, including to enable early hospital discharge (3,10,14) .…”

Section: Introductionmentioning

confidence: 99%

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Impacto da intervenção fonoaudiológica na introdução de dieta via oral em recém-nascidos de risco

Medeiros

Almeida

Meneses

et al. 2020

Audiol., Commun. Res.

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RESUMO Objetivo comparar idade gestacional ao nascimento, peso e idade gestacional corrigida na introdução de dieta por via oral de recém-nascidos prematuros, que utilizaram, ou não, sonda enteral para alimentação, de acordo com a intervenção fonoaudiológica recebida. Métodos estudo retrospectivo, transversal do tipo analítico, realizado em uma maternidade pública de referência, no Nordeste do Brasil. Foram analisados 142 prontuários de recém-nascidos de risco. Os participantes foram divididos quanto ao uso, ou não, de sonda enteral (G1 e G2) e realização, ou não, de intervenção fonoaudiológica (GF e GC). Resultados houve diferença entre G1 e G2 quanto ao teste de Apgar, pesos (ao nascer e na alta) e idades gestacionais ao nascimento e corrigida para introdução de via oral (com valores sempre menores em G1); quanto ao tempo de internação e intervenção fonoaudiológica (maiores em G1). Em relação à intervenção fonoaudiológica, houve diferença entre GF e GC quanto aos pesos (ao nascer e na alta), idade gestacional ao nascimento e idade gestacional para introdução de via oral (com valores menores em GF), tempo de internação e uso de mamadeira (maiores em GF). Conclusão o uso de sonda enteral esteve relacionado ao aumento do tempo de internação, enquanto que a intervenção fonoaudiológica impactou a introdução de alimentação por via oral mais precocemente.

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