Effects of Non-nutritive Sucking with Emptied Breasts on Breast-Feeding Performance in Preterm Infants

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Phagamas Tongsiri
๋Jariya Wittayasooporn
Tipawan Daramas

Abstract

This quasi-experimental research aimed to investigate the effect of non-nutritive sucking with emptied breasts on breastfeeding performance in preterm infants by comparing the breastfeeding performance between the preterm infants sucking on the emptied breasts and the preterm infants receiving routine nursing care. The breastfeeding performance included breastfeeding behaviors, the amount of milk that the infants can suck in the first 5 minutes, and the transition period from tube feeding to breastfeeding. The samples in this study were 46 postpartum mothers, and preterm infants admitted to a tertiary hospital in the northeast region of
Thailand. They were selected by purposive sampling based on the inclusion criteria. The motherpreterm infant dyads were equally divided into two groups: 23 dyads were in the control group,and the other 23 dyads were in the experimental group. The experiment consisted of sucking emptied breasts three times a day for 10 minutes for 10 days. When the infants had the postconceptional age of 34 weeks and the pediatrician allowed them to begin breastfeeding, the infants were breastfed. The data were recorded in the breastfeeding performance assessment form.Data were analyzed using Mann-Whitney U Test. The results showed that the breastfeeding behavior score and the amount of milk sucked in the first 5 minutes of preterm infants in the experimental group were significantly higher than those in the control group. Additionally, the transition period from tube feeding to breastfeeding of preterm infants in the experimental group was significantly shorter than in the control group. Therefore, health personnel should encourage
preterm infants to receive non-nutritive sucking with emptied breasts to promote better breastfeeding performance.
Keywords: Preterm infants, Emptied breast sucking, Breastfeeding performance

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1.
Tongsiri P, Wittayasooporn ๋, Daramas T. Effects of Non-nutritive Sucking with Emptied Breasts on Breast-Feeding Performance in Preterm Infants. Rama Nurs J [Internet]. 2022 Apr. 22 [cited 2022 Oct. 7];28(1):30-43. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/248101
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บทความวิจัย

References

World Health Organization. Preterm birth; 2016 [cited 2017 May 17]. Available from World Health Organization Website: http://www.who.int/mediacentre/factsheets/fs363/en/

Shariati MK, Karimi Z, Rezaienejad M, Basiri A,Torkestani F, Gargari SS. Perinatal complications associated with preterm deliveries at 24 to 33 weeks and 6 days gestation (2011-2012): a hospital based retrospective study. Iran J Reprod Med. 2015;13(11):697-702.

World Health Organization. Infant and young child feeding;2017 [cited 2017 September 18]. Available from World Health Organization Website: http://www.who.int/mediacentre/factsheets/ fs342/en/

Singh GCD, Devi N, Raman AVM. Exclusive breast feeding in low birth weight babies. Med J. Armed Forces India. 2009;65(3):208-12.

Alshaikh B, Kostecky L, Blachly N, Yee W. Effect of a quality improvement project to use exclusive mother’s own milk on rate of necrotizing enterocolitis in preterm infants.Breastfeeding Med. 2015;10(7):355-61.

Zhou J, Shukla VV, John D, Chen C. Human milk feeding as a protective factor for retinopathy of prematurity: a meta-analysis. Pediatrics. 2015;136(6):e1576-86.

Nyqvist KH. Breastfeeding preterm infants. In: Genna CW, editor. Supporting sucking skills in breast feeding infants. 2nd ed. Burlington: Jones & Bartlett Learning;2013. p.171-93.

Maastrup R, Hansen BM, Kronborg H, Bojesen SN,Hallum K, Frandsen A, et al. Breastfeeding progression in preterm infants is influenced by factors in infants,mothers and clinical practice: the results of a national cohort study with high breastfeeding initiation rates. PLoS One.2014;9(9):1-14.

Volpe JJ. Neurology of the newborn. 5th ed. Philadelphia:Saunders; 2008.

Sawasdivorn S, Chusilp K, Bangsaynoi K. The value of breast milk for the baby. In Thitadilok W, editor.Breastfeeding guide for the resident doctor of Obstetrics and Gynecology Department. Bangkok: The Royal Thai College Obstetrics and Gynecology; 2005. (in Thai)

Lerthamtewe W. Nursing care for preterm infants. In:Musiksukon S, editor. Pediatric nursing. Vol. 1. 4th ed.Nonthaburi: Sahamitr printing & publishing; 2015. p.330-4. (in Thai)

Genna CW, Sandora L. Breastfeeding: normal sucking and swallowing. In: Genna CW, editor. Supporting sucking skills in breastfeeding infants. 2nd ed. Burlington: Jones& Bartlett Learning; 2013. p.1-38.

Thomas JA. Guideline for bottle feeding your premature baby. Adv Neonatal Care. 2007;7(6):311-18.

Barlow SM. Oral and respiratory control for preterm feeding. Curr Opin Otolaryngol Head Neck Surg.2009;17(3):179-86.

Spatz DL. Ten steps for promoting and protecting breastfeeding for vulnerable infants. J Perinat Neonatal Nurs. 2004;18(4):385-96.

Narayanan I, Mehta R, Choudhury DK, Jain BK. Sucking on the ‘emptied’ breast: non-nutritive sucking with a difference. Arch Dis Child. 1991;66:241-4.

Thai breastfeeding center foundation. Ten steps for promoting and protecting breastfeeding for vulnerable infants; 2013 [cited 2016 September 29]. Available from Website: https://thaibf.com (in Thai)

Pickler RH, Best AM, Reyna BA, Wetzel PA, Gutcher GR. Prediction of feeding performance in preterm infants.Newborn Infant Nurs Rev. 2005;5(3):116-23.

Amaiza N, Shulman RJ, Schanler RJ, Lau C. Maturation of oral feeding skills in preterm infants. Acta Paediatr.2008;97(1):61–7.

Foster JP, Psaila K, Patterson T. Non-nutritive sucking for promoting physiologic stability and nutrition in preterm infants. Cochrane Database Syst Rev. 2016; (10):1-56.

Barlow SM, Finan DS, Lee J, Chu S. Synthetic orocutaneous stimulation entrains preterm infants with feeding difficulties to suck. J Perinatol. 2008;28(8):541–8.

VanPutte CL, Regan JL, Russo AF. Seeley’s anatomy &physiology. 10th ed. Singapore: McGraw-Hill; 2014.

Porter RH, Winberg J. Unique salience of maternal breast odors for newborn infants. Neurosci Biobehav Rev.1999;23(3):439–49.

Yildiz A, Arikan D, Gözüm S, Tastekin A, Budancamanak I. The Effect of the odor of breast milk on the time needed for transition from gavage to total oral feeding in preterm infants. J Nurs Scholarsh. 2011;43(3):265-73.

Nyqvist KH, Sjödén P, Ewald U. The development of the preterm infants’ breastfeeding behavior. Early Hum Dev.1999;55:247-64.

Vichitsukon K. Breastfeeding. In: Musiksukon S, editor.Pediatric nursing. Vol. 1. 4th ed. Nonthaburi: Sahamitr Printing & Publishing; 2015. p.72-97. (in Thai)

Almeida CM, Almeida AFN, Forti EMP. Effect of kangaroo mother care on the vital signs of low-weight preterm newborns. Rev Bras Fisioter. 2007;11(1):1-5.

Punyavachira P, Yoorat Y. The effects of skin to skin maternal contact on body temperature and oxygen saturation of term newborns in the delivery room,ramathibodi hospital. Journal of Public Health.2016;46(1):82-94. (in Thai)

Inthayote K, Urhaemnuay M, Yenbut J. Effect of emptied breast sucking on breastfeeding behaviors of preterm infants receiving orogastric tube feeding. Nursing Journal.2011;38(Suppl):32-45. (in Thai)

Papana N, Klunklin P, Soontornchai P. Effect of pacifier sucking during orogastric on the preterm infant’s breastfeeding behaviors. Nursing Journal. 2011;38(1):74-84. (in Thai)

Zhang Y, Lyu T, Hu X, Shi P, Cao Y, Latour JM. Effect of nonnutritive sucking and oral stimulation on feeding performance in preterm infants: a randomized controlled trial. Pediatr Crit Care Med. 2014;15(7):608-14.

Hill AS. The effects of nonnutritive sucking and oral support on the feeding efficiency of preterm infants.Newborn Infant Nurs Rev. 2005;5(3):133-41.

Moreira C, Cavalcante-Silva RP, Miyaki M, Fujinaga CI.Effects of nonnutritive stimulation with gloved finger on feeding transition in very low birth weight premature infants, Rev CEFAC. 2014;16(4):1187–92.

Noori F, Nariman S, Rahmiaan H, Sadat-Hoseini A,Ravarian A. The effect of non-nutritive sucking by mother on full oral feeding attainment in preterm neonates. J Compr Pediatr. 2018;9(1):1-8.