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

Li Li, Li Liu, Fang Chen, Li Huang

Journal: Jornal de pediatria 2022;98(6):635-640

PMID: 35569569

Abstract

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 occurrence of adverse reactions were measured and compared.

RESULTS

Compared to first-day interventions, preterm infant oral feeding readiness assessment 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 combined intervention seems to have a beneficial effect on oral feeding proficiency in preterm infants.

Copyright © 2022 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

Address: Hainan Affiliated Hospital of Hainan Medical University, Hainan General Hospital, Department of Pediatrics, Haikou, China.; Hainan Affiliated Hospital of Hainan Medical University, Hainan General Hospital, Department of Critical Care Medicine, Haikou, China.; Hainan Affiliated Hospital of Hainan Medical University, Hainan General Hospital, Department of Neurology, Haikou, China. Electronic address: [email protected].
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