Nutrition Disorders, Premature, Sucking Behavior
Conditions
Keywords
Sucking, Oral stimulation, Premature baby
Brief summary
This study, it was aimed to compare the effects of oral stimulation and non-nutritive sucking practices on the transition to full oral feeding in babies with a gestational age of 26-32 weeks. Non-oral feeding methods are frequently used in babies born prematurely since sucking and sucking-swallowing coordination have not yet developed. While some premature babies gain the sucking and swallowing reflexes faster, some of them cannot develop this reflex for a long time, so the length of hospital stay is prolonged. All infants who can be fed completely enterally (PMA \>29 weeks) will be randomized into 4 groups as oral stimulation (group 1), pacifier (group 2), oral stimulation + pacifier (group 3), and control group by using a stratified blocked randomization method with a block size of 4. Stratification on GA (26-27, 28-29, 30-32 weeks GA) was used to ensure that the groups had similar gestational age distribution. The time of the patients to start breastfeeding and the length of hospital stay (days) will be compared.
Interventions
OTHERPacifier
Preterm infants in Groups 2 and 3 will suck a pacifier 3 times a day (09:00, 12:00, 15:00) for 3 minutes before feeding and then they will be fed with the O/G feeding tube.
OTHEROral stimulation
Infants in groups 1 and 3 will receive a prefeeding oral stimulation program once a day, 15 to 30 minutes before a tube feeding. Oral stimulation programs will be delivered by trained nurses or pediatric physical therapies. Nurses will be trained to deliver the stimulation program to the infants, by a member from the pediatric physical therapies medical staff, before the beginning of the study. Based on Backman's principles, the pre-feeding oral stimulation program consisted of a 12-minute stimulation program that included stroking the cheeks, lips, gums, and tongue.
Sponsors
Ankara City Hospital Bilkent
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
No minimum to 6 Months
Healthy volunteers
No
Inclusion criteria
* Preterm babies born between 26-32 weeks (including 26 and 32 weeks)
Exclusion criteria
* Babies with congenital anomalies * Babies born with asphyxia * Babies with major GIS anomalies * Babies who have undergone major GIS surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Full oral feeding time (postmenstruel week) | 2 years | The effect of oral stimulation and/or pacifier use on full oral feeding time in premature infants. |
| Hospital stay (days) | 2 years | The effect of oral stimulation and/or pacifier use on hospital stay in premature infants |
Contacts
Primary ContactMustafa S Akin, Specialist
Outcome results
None listed