The Effectiveness of an Oral Sensorimotor Stimulation Protocol for the Early Achievement of Exclusive Oral Feeding in Premature Infants. A Randomized, Controlled Trial

Aguilar‐Rodríguez, Marta; León-Castro, Juan Carlos; Álvarez-Cerezo, María; Aledón-Andújar, Nuria; Escrig-Fernández, Raquel; Dios-Benlloch, J.L. Rodríguez de; Hervás‐Marín, David; Vento-Torres, Máximo

doi:10.1080/01942638.2019.1698688

Cited by 17 publications

(25 citation statements)

References 27 publications

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“…Gastrointestinal dysfunction and swallowing dysfunction prevent the early establishment of total oral nutrition, which may affect the postoperative recovery of patients. Studies have shown that early oral stimulation of infants with gastrointestinal dysfunction has a significant effect on the recovery of gastrointestinal function [4,5]. According to the literature review, no article has focused on the use of oral stimulation with breast milk in infants after cardiac surgery.…”

Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: The effect of early oral stimulation with breast milk on the feeding behavior of infants after congenital cardiac surgery

Huang

et al. 2020

J Cardiothorac Surg

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Objective To investigate the effect of early oral stimulation with breast milk on the feeding behavior of infants after congenital cardiac surgery. Methods Infants with congenital heart disease were randomly divided into the breast milk oral stimulation group (n = 23), physiological saline oral stimulation group (n = 23) and control group (n = 23). Debra Beckman’s oral exercise program was used with breast milk and physiological saline in the breast milk oral stimulation group and the physiological saline oral stimulation group, respectively. The time oral feeding and total oral nutrition were started, the length of intensive care unit (ICU) stay and hospital stay, weight and the complications at discharge were recorded for each group and statistically analyzed. Results The time oral feeding and total oral nutrition were started and the length of ICU stay and hospital stay were significantly less in the breast milk oral stimulation group and physiological saline oral stimulation group than in the control group (P < 0.05). There were no significant differences in other indicators between the breast milk oral stimulation group and the physiological saline oral stimulation group, except for the time total oral nutrition began (P < 0.05). However, there were no significant differences in weight or complications at discharge among the three groups (P > 0.05). Conclusion Early oral stimulation exercises with breast milk can help infant patients quickly recover total oral nutrition and reduce the length of ICU and hospital stay after cardiac surgery.

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Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: The effect of early oral stimulation with breast milk on the feeding behavior of infants after congenital cardiac surgery

Huang

et al. 2020

J Cardiothorac Surg

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“…To achieve independent feeding, different aspects were assessed: Overall intake (volume ingested/volume administered) and volume of milk taken during the first 5 min, volume of milk consumed in relation to session duration (mL/min) and volume of milk lost during feeding to assess feeding competence; [ 42 ] this ability was assessed by measuring the total volume of milk per spoon [ 39 ]. Other studies decided to establish two measures: the number of days it took for infants to achieve 30% independent oral feeding for the first 5 min, and the number of days it took to achieve 100% independent feeding, which they quantified as the oral milk intake (150 mL/kg/day) for three consecutive days [ 44 ]. Finally, the percentage of the prescribed volume ingested, mean volume ingested per suck (mL/suck) and time to complete feeding in minutes were measured [ 37 ].…”

Section: Resultsmentioning

confidence: 99%

“…The effects on the number of days of hospital stay of infants in the NICU before discharge were also widely considered [ 36 , 38 , 43 , 44 , 46 ].…”

Section: Resultsmentioning

confidence: 99%

“…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%

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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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“…We were unable to measure the quantitative parameters of the milk suction rate transfer, or the quantity of milk ingested during the rst ve minutes, on the total milk consumption or even the nutritional e ciency. Studies having analyzed the sucking measurement parameters [30][31][32], note an improvement with oral stimulation, in particular the rate of milk transfer (quantity of milk ingested/duration of feeding in millilitres per minute) as well as the sucking frequency. This appears especially true since the quantity of milk ingested during rst autonomous feed is at the limit of signi cance in multivariate analysis.…”

Section: Discussionmentioning

confidence: 99%

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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The Effectiveness of an Oral Sensorimotor Stimulation Protocol for the Early Achievement of Exclusive Oral Feeding in Premature Infants. A Randomized, Controlled Trial

Cited by 17 publications

References 27 publications

RETRACTED ARTICLE: The effect of early oral stimulation with breast milk on the feeding behavior of infants after congenital cardiac surgery

RETRACTED ARTICLE: The effect of early oral stimulation with breast milk on the feeding behavior of infants after congenital cardiac surgery

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

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

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