4.3 Article

Clinical effects of oral motor intervention combined with non-nutritive sucking on oral feeding in preterm infants with dysphagia

Journal

JORNAL DE PEDIATRIA
Volume 98, Issue 6, Pages 635-640

Publisher

SOC BRASIL PEDIATRIA
DOI: 10.1016/j.jped.2022.02.005

Keywords

Preterm infants; Dysphagia; Sucking; Swallowing; Non-nutritive sucking

Categories

Funding

  1. Hainan Province Health Industry Research Project [20A200311]

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Oral motor intervention combined with non-nutritive sucking can effectively improve dysphagia in premature infants, promote the process of oral feeding, and reduce the occurrence of adverse effects.
Objective: To explore the effectiveness of oral motor intervention combined with non-nutritive sucking in treating premature infants with dysphagia. Methods: Sixty preterm infants admitted to the neonatal intensive care unit of the present study's hospital were selected and randomly divided into the control and intervention groups. The control group was given non-nutritive sucking intervention alone, while the intervention group was given oral motor intervention combined with non-nutritive sucking. The oral motor ability, milk sucking amount and sucking rate, feeding efficiency and outcomes, and the occur-rence of adverse reactions were measured and compared. Results: Compared to first-day interventions, preterm infant oral feeding readiness assess-ment scale-Chinese version (PIOFRAS-CV) scores of the two groups significantly increased after 14 days of intervention, and this score was higher in the intervention group compared to the control group. Similarly, after 14 days of intervention, the intervention group's milk sucking rate and amount were significantly higher than the control group. Also, after the intervention, the intervention group's total oral feeding weeks were considerably lower, while the feeding efficiency and body weight were significantly higher than the control group. Moreover, the overall adverse reaction rate in the intervention group was lower than that in the control group. Conclusions: Oral motor intervention combined with non-nutritive sucking can significantly improve the oral motor ability of premature newborns, promote the process of oral feeding, improve the outcome of oral feeding, and reduce the occurrence of adverse effects. The com-bined intervention seems to have a beneficial effect on oral feeding proficiency in preterm infants.

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