The Effect of Oral Motor Intervention on Oral Feeding Readiness and Feeding Progression in Preterm Infants

Document Type : Original Article

Authors

1 Department of Nursing, School of Nursing and Midwifery, Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran

2 School of Nursing, Illinois Wesleyan University, Bloomington, IL, USA

Abstract

Background: Advances in neonatal intensive care have markedly improved survival in preterm infants. These babies need hospitalization due to the immaturity of the respiratory and digestive systems. The timing for the initiation of proper feeding in premature infants admitted to neonatal intensive care units (NICUs) is an important challenge for physicians, parents, and nurses. Therefore, this study aimed to investigate the effect of oral motor intervention (OMI) on the early onset of oral feeding in preterm infants.
Methods: This clinical trial was carried out on 40 premature infants who were admitted to the NICU of Ali-ibn Abi Talib Hospital, Zahedan, Iran, in 2012 with the gestational age of 28-32 weeks. The subjects were randomly allocated to two equal groups of intervention and control. In the intervention group, 5-minute oral stimulations were performed based on premature infant OMI (PIOMI) by the researcher on a daily basis 15 minutes before gavage for seven days. On the other hand, the control group received routine care. Then, the groups were compared using the premature oral feeding readiness assessment scale in terms of timing, initiation of oral feeding, and hospitalization duration.
Results: The intervention group achieved independent feeding significantly earlier than the control group (P=0.034). In addition, the duration of hospitalization was shorter in the intervention group, compared to that of the control group (P=0.027).
Conclusion: The utilization of PIOMI method to stimulate oral movements is beneficial in the early onset of oral feeding and reduces the duration of hospitalization. Therefore, this method can be effective in treating premature infants and reducing treatment costs.

Keywords

References

1. Kliegman RM, Behrman RE, Jenson HB, Stanton BM. Nelson textbook of pediatrics e-book. 18th ed. New York: Elsevier Health Sciences; 2007.
2. Als H, Gilkerson L, Duffy FH, Mcanulty GB, Buehler DM, Vandenberg K, et al. A three-center, randomized, controlled trial of individualized developmental care for very low birth weight preterm infants: medical, neurodevelopmental, parenting, and caregiving effects. J Dev Behav Pediatr. 2003; 24(6):399-408.
 3. Rocha AD, Moreira ME, Pimenta HP, Ramos JR, Lucena SL. A randomized study of the efficacy of sensory-motor-oral stimulation and non-nutritive sucking in very low birthweight infant. Early Hum Dev. 2007; 83(6):385-8.
 4. Boiron M, Nobrega LD, Roux S, Henrot A, Saliba E. Effects of oral stimulation and oral support on non‐nutritive sucking and feeding performance in preterm infants. Dev Med Child Neurol. 2007; 49(6):439-44.
 5. American Academy of Pediatrics. Committee on Fetus and Newborn. Hospital discharge of the highrisk neonate-proposed guidelines. Pediatrics. 1998; 102(2 Pt 1):411-7.
6. Daley HK, Kennedy CM. Meta analysis: effects of interventions on premature infants feeding. J Perinat Neonatal Nurs. 2000; 14(3):62-77.
 7. Barlow SM. Oral and respiratory control for preterm feeding. Curr Opin Otolaryngol Head Neck Surg. 2009; 17(3):179-86.
 8. Lessen BS. Effect of the premature infant oral motor intervention on feeding progression and length of stay in preterm infants. Adv Neonatal Care. 2011; 11(2):129-39.
 9. Younesian S, Yadegari F, Soleimani F. Impact of oral sensory motor stimulation on feeding performance, length of hospital stay, and weight gain of preterm infants in NICU. Iran Red Crescent Med J. 2015; 17(7):e13515.
10. McGrath JM, Braescu AV. State of the science: feeding readiness in the preterm infant. J Perinat Neonatal Nurs. 2004; 18(4):353-68.
11. Fujinaga CI, Zamberlan NE, Rodarte MD, Scochi CG. Reliability of an instrument to assess the readiness of preterm infants for oral feeding. Pro Fono. 2007; 19(2):143-50.
12. Fucile S, Gisel EG, Lau C. Effect of an oral stimulation program on sucking skill maturation of preterm infants. Dev Med Child Neurol. 2005; 47(3):158-62.
 13. Pimenta HP, Moreira ME, Rocha AD, Junior G, Clair S, Pinto LW, et al. Effects of non-nutritive sucking and oral stimulation on breastfeeding rates for preterm, low birth weight infants: a randomized clinical trial. J Pediatr. 2008; 84(5):423-7.
14. Fucile S, Gisel E, Schanler RJ, Lau C. A controlledflow vacuum-free bottle system enhances preterm infants’ nutritive sucking skills. Dysphagia. 2009; 24(2):145-51.
15. Gaebler CP, Hanzlik JR. The effects of a prefeeding stimulation program on preterm infants. Am J Occup Ther. 1996; 50(3):184-92.
Iranian Journal of Neonatology
Volume 10, Issue 3
September 2019
Pages 58-63

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