Effects of Oral Stimulation on Feeding Efficiency and Transition Time from Tube to Oral Feeding in Preterm Infants
Keywords:
Oral stimulation, Feeding efficiency, Preterm infant, Transition time from tube to oral feedingAbstract
This quasi-experimental research aiming to compare feeding efficiency and transition time from tube to oral feeding in preterm infants who received oral stimulation and preterm infants who received standard nursing care. Participants were preterm infants with a gestational age of 31-33 weeks who had been admitted to the neonatal intensive care unit and sick newborn unit of Ratchaburi Hospital and Damnoen Saduak Hospital. The sample was assigned to either the intervention group of 14 infants or the control group of 14 infants. The research instrument was the oral stimulation program and data collection tools included the pediatric data recording form, the oral stimulation recording form, the feeding efficiency recording form, and the transition time from tube to oral feeding recording form. General information on the sample was analyzed by descriptive statistics, repeated measure ANOVA, and independent t-test. The research findings revealed that
Preterm infants who received oral massage to stimulate sucking demonstrated significantly better feeding performance and a shorter transition period from tube feeding to independent oral feeding compared with those who received standard nursing care (p < .05).
Therefore, healthcare professionals caring for neonates should implement oral massage as an intervention to stimulate sucking ability in preterm infants, enhance feeding efficiency, and reduce the risk of aspiration.
References
Calk, P.T. (2019). Best Practices for Oral Motor Stimulation to Improve Oral Feeding in Preterm Infants: A Systematic Review. Annals of physiotherapy & occupational
therapy, 2(4), 1-14.
Chuaykarn, U. & Suwannachat, S. (2019). Recovery from Traumatic Brain Injury : The
Effects of Early Multimodal Sensory Stimulation. The southern college network
journal of nursing and public health, 6(3), 188-201. (in Thai)
Dong, Y., & Peng, C. Y. (2013). Principled missing data methods for researchers. SpringerPlus, 2(1), 222. https://doi.org/10.1186/2193-1801-2-222
El-Kassas, O., Amer, A., Abdel-Hady, H., & Abou-Elsaad, T. (2024). The transition from tube feeding to oral feeding algorithm in preterm infants: case-control study. Biomed
central Pediatrics, 24(1), 453. https://doi.org/10.1186/s12887-024-04909-6
Faul, F., Erdfelder, E., Buchner, A., & Lang, A.G. (2009). Statistical power analysis using
G*Power 3.1: test for correlation and regression analyses. Behavior Research Methods, 41, 1149-1160.
Ghomi, H., Yadegari, F., Soleimani, F., Knoll, B. L., Noroozi, M., & Mazouri, A. (2019). The
effects of premature infant oral motor intervention (PIOMI) on oral feeding of
preterm infants: A randomized clinical trial. International journal of pediatric
otorhinolaryngology, 120, 202–209. https://doi.org/10.1016/j.ijporl.2019.02.005
Kamity, R., Kapavarapu, P. K., & Chandel, A. (2021). Feeding Problems and Long-Term
Outcomes in Preterm Infants-A Systematic Approach to Evaluation and Management. Children (Basel, Switzerland), 8(12), 1158. https://doi.org/10.3390/children8121158
Kingnala, S., Klunklin, P., Urharmnuay, M., (2017). Effects of Oral Stimulation on Preterm Infants’Breastfeeding Behaviors. Nursing journal, 40(1), 128-137. (in Thai)
Lessen B. S. (2011). Effect of the premature infant oral motor intervention on feeding
progression and length of stay in preterm infants. Advances in neonatal care : official journal of the national association of neonatal nurses, 11(2), 129–139. https://doi.org/10.1097/ANC.0b013e3182115a2a
Lessen, B. S., Daramas, T., & Drake, V. (2019). Randomized Controlled Trial of a Prefeeding
Oral Motor Therapy and Its Effect on Feeding Improvement in a Thai NICU. Journal of obstetric, gynecologic, and neonatal nursing, 48(2), 176–188. https://doi.org/10.1016/j.jogn.2019.01.003
Li, L., Liu, L., Chen, F., & Huang, L. (2022). Clinical effects of oral motor intervention
combined with non-nutritive sucking on oral feeding in preterm infants with dysphagia. Jornal de pediatria, 98(6), 635–640. https://doi.org/10.1016/j.jped.2022.02.005
Li, X. L., Liu, Y., Liu, M., Yang, C. Y., & Yang, Q. Z. (2020). Early Premature Infant Oral Motor Intervention Improved Oral Feeding and Prognosis by Promoting Neurodevelopment. American journal of perinatology, 37(6), 626–632. https://doi.org/10.1055/s-0039-168544
Mahmoodi, N., Lessen, B. S., Keykha, R., Jalalodini, A. & Ghaljaei, F. (2019). The Effect of
Oral Motor Intervention on Oral Feeding Readiness and Feeding Progression in Preterm Infants. Iranian journal of neonatology, 10(3), 58-63.
https://doi.org/10.22038/ijn.2019.34620.1515
Maternal and Child Health Standard Reporting Group. (2022). Percentage of Thai women with preterm births in the fiscal year. Retrieved From
https://hdcservice.moph.go.th/hdc/reports/report.php?source=pformated (in Thai)
Niyomkar, S., Sansiriphun, N., Deeleua, J., Wannachaiyakul, S., Kunaviktikul, W., & Klunklin, A. (2021) The Effects of a Regular Infant Massage Program on Infant Growth. Thai red cross nursing journal, 14(2), 193-206. (in Thai)
Pickler, R. H., Meinzen-Derr, J., Moore, M., Sealschott, S., & Tepe, K. (2020). Effect of
Tactile Experience During Preterm Infant Feeding on Clinical Outcomes. Nursing
research, 69(5S Suppl 1), S21–S28. ttps://doi.org/10.1097/NNR.0000000000000453
Porna, J. (2021). Internal Factors Correlating with the Training Duration toAchieve Full
Oral Feeding in Premature Infants at Lampang Hospital. Lampang medical journal, 41(1), 55-62. (in Thai)
Pruksadee, N., Daramas, T. & Phumolsakul, S. (2017). Effect of the Premature Infant Oral Motor Intervention on the Transition Time from Tube to Oral Feeding and Body
Weight. Nursing research and innovation journal, 23(3), 257-268. (in Thai)
Rigopoulou, Z., Mihopoulos, A. & Perdikaris, P. (2023). Methods and problems in the
transition of premature infants to oral feeding : A review of the literature.
International journal of biological and pharmaceutical sciences archive, 9(1), 1-16. https://doi.org/10.53771/ijbpsa.2023.5.1.0106
Tongsiri, P., Manprasert, J. & Hongsiri, K. (2022). Sucking Stimulation for Promoting Oral Feeding in Preterm Infants: Nurse’s Roles. Journal of health and nursing research,
(3), 26-37. (in Thai)
World Health Organization. (2020). Preterm birth. https://www.who.int/news-room/fact-heets/detail/preterm-birth
Younes, S., Samara, M., Al-Jurf, R., Nasrallah, G., Al-Obaidly, S., Salama, H., Olukade, T.,
Hammuda, S., Ismail, M. A., Abdoh, G., Abdulrouf, P. V., Farrell, T., AlQubaisi, M., Al
Rifai, H., & Al-Dewik, N. (2021). Incidence, Risk Factors, and Outcomes of Preterm
and Early Term Births: A Population-Based Register Study. International journal of
environmental research and public health, 18(11), 5865. https://doi.org/10.3390/ijerph18115865
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