The study is about premature infants and the importance of achieving independent oral nutrition and weight gain.. ????????? ?? ?? ????? ???? ????? ?????? ?? ??? ?? ???? ???? ????? ????
Conditions
Interventions
Intervention 1: Intervention group: Oral stimulation group with PIOMI method: "Oral stimulation before feeding" program is a five-minute oral-motor intervention. In this program, stimuli are applied t
Sponsors
Mashhad University of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Be born between 28 and 32 weeks of gestation.2. Receive nutrition through the tube3. Their birth weight is between 1000-2000 grams4. Have physiological stability (stability in spo2, Hr, RR) at the beginning of nutritional stimulation.5. Oral stimulation and the onset of feeding in these infants do not alter the autonomic system [skin color, heart rate, or respiration rate].6. Apgar score above 6 in 5 minutes7. Newborns without congenital anomalies and obvious chromosomal abnormalities8. No oral lesions such as candidiasis9. No lip and mouth abnormalities such as cleft lip and palate
Exclusion criteria
Exclusion criteria: 1. NPO of the baby in case of symptoms such as fever, respiratory distress, muscle stiffness, frequent vomiting for one day and more2. Diagnosis of cases such as intraventricular hemorrhage, necrotizing enterocolitis, open arterial duct, sepsis, acute lung disease or severe anemia by a physician during the days of interventions3. The need for surgery during the days of interventions4. Transfer the baby to other centers5. Infant death6. Lack of cooperation of the mother in performing the interventions7. Maternal addiction8. Physiological instability (spo2, Hr, RR) during a day and night so that he can not receive one pumice massage or two field massage.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The timing of the onset of oral feeding in infants in the intervention and control groups will be assessed. Timepoint: When to start oral feeding for the first time. Method of measurement: Record the age of the infant at the time of starting oral feeding in a questionnaire.;The time of reach to independent oral feedings in the infants of the intervention and control groups will be evaluated. Timepoint: Time to reach 8 times independent oral feeding. Method of measurement: Record the age of the infant at the time of reaching 8 times of independent oral feeding in a questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| The weight of the newborns will be assessed on a daily basis and the average will be compared in the intervention and control groups. Timepoint: The weight during the study on a daily. Method of measurement: Weight will measure with scales.;The age of hospital discharge in infants in the intervention and control groups will be compared. Timepoint: The time of discharge. Method of measurement: Record the age of the infant at the time of discharge in a questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr Naghme Razaghi
Mashhad University of Medical Sciences
Outcome results
None listed