Impact of a pre-feeding oral stimulation program on first feed attempt in preterm infants : double-blind controlled clinical trial

Detalhes bibliográficos
Autor(a) principal: Pereira, Karine da Rosa
Data de Publicação: 2020
Outros Autores: Levy, Deborah Salle, Procianoy, Renato Soibelmann, Silveira, Rita de Cássia dos Santos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFRGS
Texto Completo: http://hdl.handle.net/10183/224990
Resumo: Objective To evaluate the effect of an oral stimulation program in preterm on the performance in the first oral feeding, oral feeding skills and transition time from tube to total oral intake. Study designer Double-blind randomized clinical trial including very preterm newborns. Congenital malformations, intracranial hemorrhage grade III or IV, bronchopulmonary dysplasia, and necrotizing enterocolitis were excluded. Intervention group (GI) received an oral stimulation program of tactile extra-, peri-, and intraoral tactile manipulation once a day for 15 minutes, during a 10-day period. Control group (GII) received sham procedure with same duration of time. Feeding ability was assessed by a speech-language pathologist blinded to group assignment. The classification of infants’ oral performance was determined by Oral Feeding Skills (OFS). Neonates were monitored until hospital discharge. Results Seventy-four (37 in each group) were randomized. Mean gestational ages and birth weights were 30±1.4 and 30±1.5 weeks, and 1,452±330g and 1,457±353g for intervention and control groups, respectively. Infants in the intervention group had significantly better rates than infants in the control group on: mean proficiency (PRO) (41.5%±18.3 vs. 19.9%±11.6 (p<0.001)), transfer rate (RT) (2.3 mL/min and 1.1 mL/min (p<0.001)) and overall transfer (OT) (57.2%±19.7 and 35.0%±15.7 (p<0.001)). Median transition time from tube to oral feeding was 4 (3–11) and 8 (7–13) days in intervention and control groups, respectively (p = 0.003). Intake of breast milk was found to reduce transition time from tube feeds to exclusive oral feeding (p<0.001, HR 1.01, 95%CI 1.005–1.019), but the impact of the study intervention remained significant (p = 0.007, HR 1.97, 95%CI 1.2–3.2). Conclusion Infants who were breast-fed and an oral stimulation program proved beneficial in reducing transition time from tube feeding to oral feeding.
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spelling Pereira, Karine da RosaLevy, Deborah SalleProcianoy, Renato SoibelmannSilveira, Rita de Cássia dos Santos2021-08-04T04:36:31Z20201932-6203http://hdl.handle.net/10183/224990001127899Objective To evaluate the effect of an oral stimulation program in preterm on the performance in the first oral feeding, oral feeding skills and transition time from tube to total oral intake. Study designer Double-blind randomized clinical trial including very preterm newborns. Congenital malformations, intracranial hemorrhage grade III or IV, bronchopulmonary dysplasia, and necrotizing enterocolitis were excluded. Intervention group (GI) received an oral stimulation program of tactile extra-, peri-, and intraoral tactile manipulation once a day for 15 minutes, during a 10-day period. Control group (GII) received sham procedure with same duration of time. Feeding ability was assessed by a speech-language pathologist blinded to group assignment. The classification of infants’ oral performance was determined by Oral Feeding Skills (OFS). Neonates were monitored until hospital discharge. Results Seventy-four (37 in each group) were randomized. Mean gestational ages and birth weights were 30±1.4 and 30±1.5 weeks, and 1,452±330g and 1,457±353g for intervention and control groups, respectively. Infants in the intervention group had significantly better rates than infants in the control group on: mean proficiency (PRO) (41.5%±18.3 vs. 19.9%±11.6 (p<0.001)), transfer rate (RT) (2.3 mL/min and 1.1 mL/min (p<0.001)) and overall transfer (OT) (57.2%±19.7 and 35.0%±15.7 (p<0.001)). Median transition time from tube to oral feeding was 4 (3–11) and 8 (7–13) days in intervention and control groups, respectively (p = 0.003). Intake of breast milk was found to reduce transition time from tube feeds to exclusive oral feeding (p<0.001, HR 1.01, 95%CI 1.005–1.019), but the impact of the study intervention remained significant (p = 0.007, HR 1.97, 95%CI 1.2–3.2). Conclusion Infants who were breast-fed and an oral stimulation program proved beneficial in reducing transition time from tube feeding to oral feeding.application/pdfengPloS one. San Francisco. Vol. 15, no. 9 (Sept. 2020), e0237915, 13 p.Nutrição da criançaLactenteRecém-nascido prematuroAleitamento maternoComportamento de sucçãoImpact of a pre-feeding oral stimulation program on first feed attempt in preterm infants : double-blind controlled clinical trialEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001127899.pdf.txt001127899.pdf.txtExtracted Texttext/plain44211http://www.lume.ufrgs.br/bitstream/10183/224990/2/001127899.pdf.txtce5ae15c6c4c878208a300bf7b009877MD52ORIGINAL001127899.pdfTexto completo (inglês)application/pdf816912http://www.lume.ufrgs.br/bitstream/10183/224990/1/001127899.pdf1f156aa16bd4a58f05808495cf5f28c8MD5110183/2249902023-09-24 03:37:30.114632oai:www.lume.ufrgs.br:10183/224990Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2023-09-24T06:37:30Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false
dc.title.pt_BR.fl_str_mv Impact of a pre-feeding oral stimulation program on first feed attempt in preterm infants : double-blind controlled clinical trial
title Impact of a pre-feeding oral stimulation program on first feed attempt in preterm infants : double-blind controlled clinical trial
spellingShingle Impact of a pre-feeding oral stimulation program on first feed attempt in preterm infants : double-blind controlled clinical trial
Pereira, Karine da Rosa
Nutrição da criança
Lactente
Recém-nascido prematuro
Aleitamento materno
Comportamento de sucção
title_short Impact of a pre-feeding oral stimulation program on first feed attempt in preterm infants : double-blind controlled clinical trial
title_full Impact of a pre-feeding oral stimulation program on first feed attempt in preterm infants : double-blind controlled clinical trial
title_fullStr Impact of a pre-feeding oral stimulation program on first feed attempt in preterm infants : double-blind controlled clinical trial
title_full_unstemmed Impact of a pre-feeding oral stimulation program on first feed attempt in preterm infants : double-blind controlled clinical trial
title_sort Impact of a pre-feeding oral stimulation program on first feed attempt in preterm infants : double-blind controlled clinical trial
author Pereira, Karine da Rosa
author_facet Pereira, Karine da Rosa
Levy, Deborah Salle
Procianoy, Renato Soibelmann
Silveira, Rita de Cássia dos Santos
author_role author
author2 Levy, Deborah Salle
Procianoy, Renato Soibelmann
Silveira, Rita de Cássia dos Santos
author2_role author
author
author
dc.contributor.author.fl_str_mv Pereira, Karine da Rosa
Levy, Deborah Salle
Procianoy, Renato Soibelmann
Silveira, Rita de Cássia dos Santos
dc.subject.por.fl_str_mv Nutrição da criança
Lactente
Recém-nascido prematuro
Aleitamento materno
Comportamento de sucção
topic Nutrição da criança
Lactente
Recém-nascido prematuro
Aleitamento materno
Comportamento de sucção
description Objective To evaluate the effect of an oral stimulation program in preterm on the performance in the first oral feeding, oral feeding skills and transition time from tube to total oral intake. Study designer Double-blind randomized clinical trial including very preterm newborns. Congenital malformations, intracranial hemorrhage grade III or IV, bronchopulmonary dysplasia, and necrotizing enterocolitis were excluded. Intervention group (GI) received an oral stimulation program of tactile extra-, peri-, and intraoral tactile manipulation once a day for 15 minutes, during a 10-day period. Control group (GII) received sham procedure with same duration of time. Feeding ability was assessed by a speech-language pathologist blinded to group assignment. The classification of infants’ oral performance was determined by Oral Feeding Skills (OFS). Neonates were monitored until hospital discharge. Results Seventy-four (37 in each group) were randomized. Mean gestational ages and birth weights were 30±1.4 and 30±1.5 weeks, and 1,452±330g and 1,457±353g for intervention and control groups, respectively. Infants in the intervention group had significantly better rates than infants in the control group on: mean proficiency (PRO) (41.5%±18.3 vs. 19.9%±11.6 (p<0.001)), transfer rate (RT) (2.3 mL/min and 1.1 mL/min (p<0.001)) and overall transfer (OT) (57.2%±19.7 and 35.0%±15.7 (p<0.001)). Median transition time from tube to oral feeding was 4 (3–11) and 8 (7–13) days in intervention and control groups, respectively (p = 0.003). Intake of breast milk was found to reduce transition time from tube feeds to exclusive oral feeding (p<0.001, HR 1.01, 95%CI 1.005–1.019), but the impact of the study intervention remained significant (p = 0.007, HR 1.97, 95%CI 1.2–3.2). Conclusion Infants who were breast-fed and an oral stimulation program proved beneficial in reducing transition time from tube feeding to oral feeding.
publishDate 2020
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dc.relation.ispartof.pt_BR.fl_str_mv PloS one. San Francisco. Vol. 15, no. 9 (Sept. 2020), e0237915, 13 p.
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