Feeding Readiness and Oral Feeding Success in Preterm Infants

Pamukkale University

Status: Completed

Conditions: Preterm; Feeding Behavior; Enteral Feeding Intolerance

Treatments: Other: Sensorimotor Interventions (Tactile/Kinesthetic Stimulation+Nonnutritive Sucking)

Study type: Interventional

Funder types: Other

Identifiers

NCT04946045

Preterm, Feeding Readiness

Details and patient eligibility

About

To examine the effects of sensorimotor interventions applied to in preterm infants on readiness for feeding and oral feeding success.

Full description

The preterm neonate population cannot potentially be fed orally for a long time in the postnatal period. However, the inability of preterm infants to be fed orally as soon as they are born is not a disease, their adaptation to the external environment of the uterus is more complicated because their physiological functions are not yet mature. This also means long hospital stays for premature babies. Therefore, the American Academy of Pediatrics (AAP) has determined that oral feeding is one of the main criteria for the discharge of the preterm infant from the hospital.

Many studies have been conducted on preterm infants on optimizing oral feeding performance. Studies improve oral feeding skills of preterm infants by applying various sensorimotor interventions and cue-based feeding protocols to improve oral feeding performance. These sensorimotor interventions; non-nutritive sucking (pacifier), sucking-swallowing exercises, oral support, oral stimulation, tactile stimulation, kinesthetic stimulation, sound, smell, audio-visual stimulations, etc. methods were used alone or in combination with these methods.

It has been shown in studies that sensorimotor interventions increase the success of oral feeding in preterms, increase the daily feeding volume, increase weight gain, reduce the cost by shortening the hospital stay, shorten the transition time from gastric feeding to oral/breastfeeding and help mother-infant bonding.

This thesis study was conducted using evidence-based interventions that can facilitate the development of oral feeding skills in preterm infants, the feeding problems they encounter, and their transition from gastric feeding to oral feeding.

Enrollment: 60 patients

Sex: All

Ages: 30 to 33 weeks old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• The mother's milk
• Preterm babies with a gestational age of 30-33 weeks
• No facial deformity,
• No respiratory, cardiovascular, gastrointestinal and neurological disorders or syndromes that would prevent or complicate oral feeding,
• No need for oxygen support,
• There will be preterm infants who are not fed orally, but who are started with tube (Orogastric) feeding.

Exclusion criteria

• Transferred to another center during the research,
• Unexpected complication development during the research,
• Occurrence of a pathology that will prevent or complicate oral feeding,
• In cases where there is no voluntary consent of the parent
• The mother is Covid positive

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

İntervention (Tactile/Kinesthetic Stimulation+Nonnutritive Sucking) Group

Experimental group

Description:

1. Tactile/Kinesthetic Stimulation (15 min): It was applied 3 times a day, once every 3 hours for 10 days. 2. Nonnutritive Sucking: It was applied 8 times a day for 10 days with Orogastric (OG) feeding throughout the feeding.

Treatment:

Other: Sensorimotor Interventions (Tactile/Kinesthetic Stimulation+Nonnutritive Sucking)

Control (Nonnutritive Sucking) Group

No Intervention group

Description:

1) Nonnutritive Sucking: Administered during feeding with Orogastric (OG) 8 times a day for 10 days.