Suckling and Non-Nutritive Sucking Habit: What Should We Know?

Feștilă, Dana; Ghergie, Mircea; Muntean, Alexandrina; Matiz, D; A, Şerb Nescu

doi:10.15386/cjm.2014.8872.871.df1mg2

Cited by 20 publications

(19 citation statements)

References 15 publications

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“…Nutritive sucking is a highly coordinated activity between sucking, swallowing, and respiration ( 37 , 46 , 47 ). Sucking and swallowing skills develop in utero as the fetus regulates amniotic fluid levels ( 14 , 16 , 48 , 49 ) and must be further developed ex utero to incorporate breathing. For both NS and NNS sucking, two skills are required, suction and expression/compression ( 1 , 3 , 6 , 47 , 50 ).…”

Section: Development Of Normal Sucking Activitymentioning

confidence: 99%

Abnormal Nutritive Sucking as an Indicator of Neonatal Brain Injury

et al. 2021

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A term neonate is born with the ability to suck; this neuronal network is already formed and functional by 28 weeks gestational age and continues to evolve into adulthood. Because of the necessity of acquiring nutrition, the complexity of the neuronal network needed to suck, and neuroplasticity in infancy, the skill of sucking has the unique ability to give insight into areas of the brain that may be damaged either during or before birth. Interpretation of the behaviors during sucking shows promise in guiding therapies and how to potentially repair the damage early in life, when neuroplasticity is high. Sucking requires coordinated suck-swallow-breathe actions and is classified into two basic types, nutritive and non-nutritive. Each type of suck has particular characteristics that can be measured and used to learn about the infant's neuronal circuitry. Basic sucking and swallowing are present in embryos and further develop to incorporate breathing ex utero. Due to the rhythmic nature of the suck-swallow-breathe process, these motor functions are controlled by central pattern generators. The coordination of swallowing, breathing, and sucking is an enormously complex sensorimotor process. Because of this complexity, brain injury before birth can have an effect on these sucking patterns. Clinical assessments allow evaluators to score the oral-motor pattern, however, they remain ultimately subjective. Thus, clinicians are in need of objective measures to identify the specific area of deficit in the sucking pattern of each infant to tailor therapies to their specific needs. Therapeutic approaches involve pacifiers, cheek/chin support, tactile, oral kinesthetic, auditory, vestibular, and/or visual sensorimotor inputs. These therapies are performed to train the infant to suck appropriately using these subjective assessments along with the experience of the therapist (usually a speech therapist), but newer, more objective measures are coming along. Recent studies have correlated pathological sucking patterns with neuroimaging data to get a map of the affected brain regions to better inform therapies. The purpose of this review is to provide a broad scope synopsis of the research field of infant nutritive and non-nutritive feeding, their underlying neurophysiology, and relationship of abnormal activity with brain injury in preterm and term infants.

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Section: Development Of Normal Sucking Activitymentioning

confidence: 99%

Abnormal Nutritive Sucking as an Indicator of Neonatal Brain Injury

et al. 2021

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“…Besleyici emmenin fizyolojisi, besinin bebeğe sunum şekline bağlı olarak farklılıklar gösterse de çoğu işlem sırasında bebek stabil kardiyovasküler ve solunum sistemi belirtilerine ek olarak, baskı uygulama emme ve yutma hareketleriyle homojen bir davranış sergilemektedir. 5,24,25 Altı aydan küçük preterm bebeklerin vücut yüzey alanına oranla büyük baş oranına sahip olması ve olgunlaşmamış nörolojik sistemleri sebebiyle boyuna pozisyon vererek başı tutuşu zor olmaktadır. Ağız yutak mesafesinin de kısa olması pretermlerde aspirasyon riskini artıran bir faktördür.…”

Section: İpucu Temelli̇ Beslenme (Cue-based Feedi̇ng)unclassified

“…İpucu temelli beslenme modelinin uygulanabilmesi için klinikte beslenme siklusları sırasında ebeveynlerin gözlemci olarak beslenmeye katılımı sağlanarak, pratikler yapmaları sağlanması etkili bir öğrenme yöntemi olacaktır. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] Ebeveynlere beslenmenin gözlemlenmesinden sonra uygulama aşamasında da rehberlik etmek çok önemlidir. "Klinikte ya da evde bebeğin beslenmeye hazır olduğunu nasıl anlarız?…”

Section: İpucu Temelli̇ Beslenme (Cue-based Feedi̇ng)unclassified

“…5,[22][23][24][25][26][27][28][29][30] Beslenme ipuçlarının takibiyle başlayacak kanguru bakımıyla entegre devam edecek bir beslenmede, bebek stres belirtileri verdiğinde beslenmeden ve kanguru pozisyonundan ayrılmadan bebeğin dinlenmesine olanak sağlanmalı, beslenmeye hazır oluş ipuçlarını verdiğinde beslenmeye devam tekrar edilmelidir. Kanguru bakımının emzirmeyi olumlu yönde destek-lediği, annenin emzirme isteğini ve becerisini geliştirdiği, anne sütü alımını ve total emzirme süresini artırdığı bilinmektedir.…”

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Cue Based Feeding

Sezer¹,

Küçükoğlu²

2020

Turkiye Klinikleri J Pediatr

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ÖZET Preterm bebeklerde emme, yutma, nefes alma döngüsünün birbiriyle eş zamanlı çalışamaması ve bu çoklu sistemlerin kontrol edilememesi, yutma ve solunum işlevlerinin ortak alanda bulunması gibi nedenlerle beslenme güçlüğü, yetersiz kalori alımı, gelişim geriliği, taburculuk süresinin uzaması ve bakım yükü ile birlikte maliyetin artması olarak karşımıza çıkmaktadır. Erken doğan bebeklerde yeterli besin ve kalori açığının kapanması, hem büyüme geriliğini ve pretermliğe bağlı ölümleri önemli ölçüde azaltmakta hem de yatış süresini kısaltmaktadır. Geçmişte yenidoğanların beslenmesi, stres kaynakları göz önünde bulundurulmadan sadece alınan besin miktarı ile değerlendirilirken; günümüzde, bebeğin beslenme sırasında verdiği ipuçlarını takip ederek davranışsal tepkilerini yorumlama ve bebeğin beslenme becerilerini geliştirmeye odaklı ipucu temelli beslenme yaklaşımı benimsenmektedir. Bu çalışmada, preterm bebeklerin kanıta dayalı oral beslenme yöntemlerden birisi olan ipucu temelli beslenme modeli sunulmuştur. Anah tar Ke li me ler: Besleme; ipuçları; prematüre; yenidoğan hemşireliği ABS TRACT The problems such as feeding difficulties, insufficient caloric intake, developmental delay, prolonged discharge time, the care burden and increased costs in preterm infants arise because of the non-simultaneous sucking, swallowing and breathing cycle, inability to control these multiple systems and the presence of swallowing and respiratory function in the common area. To ensure adequate nutrient and calorie deficit in premature babies reduce both growth retardation and mortality caused from prematurity and also shorten the time of hospitalization. In the past, the feeding of newborns was evaluated only by the amount of nutrients taken, without considering the sources of stress; today, however, a cue-based feeding approach is adopted, focusing on improving the feeding skills of the baby by interpreting the behavioral responses of the baby and following the cues given by the baby during the feeding. In this review article presents a cue-based feeding model, which is one of the evidence-based oral feeding methods in preterm infants.

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“…Digit sucking is a normal behavior for young children because they are born with a natural sucking instinct [ 3 ]. For most infants, this instinct can last up to the sixth month of life, while for some sucking the habit can continue beyond the sixth month of life when it becomes a soothing and comforting behavior for scared, hungry, sleepy, bored or anxious children [ 3 ]. When the habit persists beyond 4 years of age, it can represent untreated anxiety or other emotional problems [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

General anxiety, dental anxiety, digit sucking, caries and oral hygiene status of children resident in a semi-urban population in Nigeria

et al. 2018

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BackgroundDigit sucking can represent untreated anxiety or other emotional problems. The aim of this study was to determine if digit sucking is a predictor of general anxiety and dental anxiety; and if general and dental anxiety are associated with caries and oral hygiene status of children resident in sub-urban Nigeria.MethodsThis was a secondary data analysis of a household survey conducted in Ile-Ife, Nigeria. The level of general anxiety and dental anxiety of 450 6 to12 year old children were measured using the Revised Child Manifest Anxiety Scale and Dental Subscale of the Child Fear Survey Schedule respectively. Presence of digit sucking habit, caries and oral hygiene status were determined. General anxiety and dental anxiety scores were dichotomized into low and high levels respectively. Logistic regression was conducted to determine if digit sucking was a predictor of general anxiety and dental anxiety; and if general anxiety and dental anxiety were predictors caries and good oral hygiene status. Adjustments were made for age and sex.ResultsDigit sucking is not a significant predictor of dental anxiety (p = 0.99) and general anxiety (p = 0.79). Children with high general anxiety (AOR: 5.02; 95% CI: 2.9–9.74; p < 0.001) and high dental anxiety (AOR: 1.74; 95% CI: 1.15–2.65; p = 0.009) had higher odds of having caries and good oral hygiene respectively.ConclusionDigit sucking was not a significant predictor of general anxiety and dental anxiety. General and dental anxiety however, had effects on the likelihood of having caries and good oral hygiene.Electronic supplementary materialThe online version of this article (10.1186/s12903-018-0529-z) contains supplementary material, which is available to authorized users.

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Suckling and Non-Nutritive Sucking Habit: What Should We Know?

Cited by 20 publications

References 15 publications

Abnormal Nutritive Sucking as an Indicator of Neonatal Brain Injury

Abnormal Nutritive Sucking as an Indicator of Neonatal Brain Injury

Cue Based Feeding

General anxiety, dental anxiety, digit sucking, caries and oral hygiene status of children resident in a semi-urban population in Nigeria

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