Premature Birth
Conditions
Brief summary
The study concerns the creation and implementation of a digital tool presenting the various orofacial stimuli that can be offered to premature newborns. This app is intended for parents, to allow them to play a more active role in their child's care, and provide them with special time with their child. The notion of pleasure is very important to us, and it's vital to help parents rediscover this feeling with their child. Different profiles will be created to individualize our recommendations, facilitate the understanding of orofacial stimuli, make them more concrete than drawings, and provide care adapted to each patient and improve the development of newborns through more regular orofacial stimulation.
Detailed description
Two groups will be formed: Group A - control: receiving the speech therapy currently in place in the department. Group B - experimental: will receive the same care as the first group, plus access to the videos and the introduction of early orofacial stimulation. Group B: First, an initial assessment will be performed in speech-language pathology of the oro-myofunctional and oral functions of the newborn. This will determine which orofacial solicitations to give to the baby and create in the patient's profile. Parents will be trained in orofacial stimulation and will be coached during the first sessions. When parents are ready, access will be given to their personal space on the application. Appointments will be scheduled to remodel the treatment if necessary. Sucking (ECEPAB), feeding (PIBBS) and behavioural (EDIN) abilities will be assessed. Parents will be asked to fill out a questionnaire about their feelings.
Interventions
OTHERNEORTHO
early orofacial stimulation
Sponsors
Centre Hospitalier Sud Francilien
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
24 Hours to 3 Months
Healthy volunteers
No
Inclusion criteria
* Child born prematurely before 29 weeks of amenorrhea (SA). * Alive for minimum 24h. * Holders of parental authority who have been informed of the study and have not objected.
Exclusion criteria
* Child born after 29 weeks of amenorrhea. * with a genetic or severe neurological pathology or withdrawal syndrome. * with a vital prognosis. * whose family home is too far from the service.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Milk taken daily | up to 3 months | Percentage of the amount of milk taken daily (measure taken once per week throughout the study). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Feeding behavior scale for premature infants moving to bottle-feeding (ECEPAB questionnaire | Day 0, Day 15, Day 30, Day 45, Day 60, Day 75, Day 90 | feeding behavior scale for premature infants moving to bottle-feeding (0=absent to 18=normal) |
| Milk flower (PIBBS questionnaire) | Day 0, Day 15, Day 30, Day 45, Day 60, Day 75, Day 90 | global observation and functional assessment (0=absent to 20=normal) |
| Behavior scale for the analysis of oral reflexes and suction reflexes (MIAM questionnaire) | Day 0, Day 15, Day 30, Day 45, Day 60, Day 75, Day 90 | Analysis of oral and suction reflexes : global observation and functional assessment. (0=absent to 2=normal) |
| anxiety questionnaire | Day 0, Day 30, Day 60, Day 90 | anxiety questionnaire for the parents (0=relaxed to 2=anxious) |
| satisfaction questionnaire | Day 90 | satisfaction questionnaire for the application (0=unsatisfied to 3=satisfied) |
| Newborn Pain and Discomfort Scale (EDIN questionnaire) | Day 0, Day 15, Day 30, Day 45, Day 60, Day 75, Day 90 | Newborn Pain and Discomfort Scale (0=normal to 15=painful) |
Countries
France
Outcome results
None listed