Clinical trial on stimulation of suction in preterm cases using neuromotor reactions
Main Article Content
Keywords
Sucking Behavior, Feeding Behavior, Premature, Infant, Physical Therapy Specialty
Abstract
Background: Nutritive suction is an important milestone for correct newborn feeding. Premature infants do not develop this ability therefore, several proposals for their appearance have being designed.
Objective: Assess whether the stimulation of the innate oral reflexes using neuromotor reactions reduces the time to acquire sucking behavior.
Material and methods: Newborns before 34 weeks of gestation, fed by tube feeding due to an ineffective suction, were studied. Control group consisted of newborns with the same characteristics born during 2016. Experimental group was stimulated by neuromotor reactions until the tube feeding was retired. Observed variables included transition time to complete oral feeding, weight, height and cranial perimeter at discharge, peripheral oxygen saturation and heart rate before and after intervention, as well as quality of suction behavior using ECLES scale.
Results: A total of 23 babies from intervention group completed the study, and 25 from historical control group. Children of intervention group showed an accelerated transition to independent oral feeding and higher values of height (p = 0.01), weight (p < 0.001) and cranial perimeter (p = 0.04), at the time of hospital discharge. Gestational age at discharge and total duration of hospitalization did not show differences between groups (p > 0.05).
Conclusion: Oral stimuli intervention by means of neuromotor reactions reduced the time necessary to reach suction behavior in preterm babies.
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