Effect of Expressed Breast Milk With Oral Stimulation On Feeding Efficiency in Preterm Infants

Main Article Content

Wiphawan Chailangka
Tipawan Daramas
Chuanruedee Kongsaktrakul

Abstract

The present study was quasi-experimental research to investigate the effect of expressed breast milk with oral stimulation on feeding efficiency in preterm infants. The study sample 30 preterm infants who gestational age (GA) range from 31-34 weeks and who admitted into the newborn ward at the tertiary Hospital between March and September, 2016. The 30 preterm infants were recruited based on the inclusion criteria, and each preterm infant was randomly assigned, using generated random numbers, to the control group or experimental group. The preterm infants in the experimental group received expressed breast milk with oral stimulation and the control group received only oral stimulation as developed by Lessen. The oral stimulation provided assisted movement for the cheeks, lips, gum, tongue and palate. The intervention was given once a day, for 5 minutes, totaling 7 consecutive days. Feeding efficiency refered to the average percentage of the amount of milk the infants could suck and swallow for first 5 minutes and average amount was measured during 2 consecutive meals on 1, 3, and 5 days. Difference in the feeding efficiency between the subjects in the experimental and the control group were determined with the repeated measure ANOVA. The result showed that the feeding efficiency on 1, 3 and 5 days of the preterm babies who received expressed breast milk with oral stimulation had better feeding efficiency than the infants who received only oral stimulation with a statistical significance. This study could be used as a guideline to promote the feeding efficiency in preterm infants.


 

Article Details

How to Cite
1.
Chailangka W, Daramas T, Kongsaktrakul C. Effect of Expressed Breast Milk With Oral Stimulation On Feeding Efficiency in Preterm Infants. Nurs Res Inno J [Internet]. 2018 Jul. 16 [cited 2024 Mar. 29];24(1):25-36. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/94749
Section
บทความวิจัย
Author Biographies

Wiphawan Chailangka, Mahidol university

RN at Bumrungrad hospital

Tipawan Daramas, Mahidol University

Asst. Professor at Ranathibodi school

Chuanruedee Kongsaktrakul, Mahidol University

Asst. Professor at Ranathibodi school

References

1. World Health Organization. Preterm birth; 2015 [cited 2015 April 16]. Available from: http://who.int/
mediacentre/factsheets/fs363/en/

2. March of Dimes. Born too soon, estimate number of preterm birth; 2010 [cited 2015 April 25]. Available
from: http:// marchofdimes.org/materials/2014-marchof-dimes-prematureity-campaign-progress-report.pdf

3. Bureau of Policy and strategy, Ministry of Public Health Statistic. Vital statistic-live birth; 2015 [cited 2015
October 15]. Available from:http://bps.moph.go.th/new_bps/files/ health_statistic2557.pdf (in Thai)

4. Bauer MA, Prade LS, Keske-Soares M, Haëffner LSB, Weinmann ARM. The oral motor capacity and feeding
performance of preterm newborns at the time of transition to oral feeding. Braz J Med Biol Res. 2008;41(10):904-7.

5. Younesian S, Yadegari F, Soleimani F. Impact of oral sensory motor stimulation on feeding performance, length
of hospital stay, and weight gain of preterm infants in NICU. Iran Red Crescent Med J. 2015;17(5):1-66.

6. Rashad HM, Dabash SAE, Amer HW. Effect of prefeeding oral stimulation program on preterm infants’ feeding
performance. J Biol Agric Healthc. 2014;4(28):39-46.

7. Hwang YS, Lin CH, Coster WJ, Bigsby R, Vergara E. Effectiveness of cheek and jaw support to improve feeding
performance of preterm infants. Am J Occup Ther. 2010;64(6):886-94.

8. Fucile S, Gisel EG, Lau C. Oral stimulation accelerates the transition from tube to oral feeding in preterm infants.
J Pediatr. 2002;141(2):230-6.

9. Lau C, Alagugurusamy R, Schanler R, Smith E, Shulman R. Characterization of the develop-mental stages of
sucking in preterm infants during bottle feeding. Acta Paediatr. 2000; 89:846-52.

10. Lessen BS. Effect of the premature infant oral motor intervention on feeding progression and length of stay in
preterm infants. [dissertation]. Bloomington, IL, Illinois Wesleyan University; 2008.

11. Lyu TC, Zhang YX, Hu XJ, Cao Y, Ren P. The effect of an early oral stimulation program on oral feeding of preterm
infants. IJNSS. 2014;1(1):42-7.

12. Rocha AD, Moreira ME, Pimenta HP, Ramos JR, Lucena SL. A randomized study of the efficacy of sensory-motororal stimulation and non-nutritive sucking in very low birth weight infant. Early Hum Dev. 2007;83(6):385-8.

13. Saehoong S, Daramas T, Pookbunmee R. A systematic review of oral stimulation to enhance sucking and swallowing in preterm infants. Rama Nurs J. 2013;19(3):293-307. (in Thai)

14. Greene Z, Walshe M, O’Donnell CP. Effect of oral stimulation feeding in preterm infants (protocol). CDSR.
2012;3:1-22.

15. Lessen BS. Effect of the premature infant oral motor intervention on feeding progression and length of stay in
preterm infants. Adv Neonatal Care. 2011;11(2):129-39.

16. Beauchamp Gk, Menella JA. Early flavor learning and its impact on later feeding behavior. J Pediatr Gastroenterol
Nutr. 2009;48(1):25-30.

17. 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.

18. Fucile S, Gisel EG, Lau C. Effect of an oral stimulation program on sucking skill maturation of preterm infants.
Dev Med Child Neurol. 2005;47:158-62.

19. Fucile S, Gisel EG, McFarland DH, Lau C. Oral and nonoral sensorimotor interventions enhance oral feeding
performance in preterm infants. Dev Med Child Neurol. 2011;53(9):829-35.

20. Mennella JA, Beauchamp GK. Early flavor experience: research update. Nutr Rev. 1998;56(7):205-11.

21. Beauchamp GK, Menella JA. Early flavor learning and its impact on later feeding behavior. J Pediatr Gastroenterol
Nutr. 2009;48(1):25-30.

22. Ventura AK, Worobey J. Early influences on the development of food preferences. Curr Biol. 2013; 23(9):401-8.

23. Mizuno K, Ueda A. Antenatal olfactory learning influences infant feeding. Early Hum Dev. 2004; 73:83-90.

24. Mennella JA, Jagnow CP, Beauchamp GK. Prenatal and postnatal flavor learning by human infants. AAP. 2001; 107(6).

25. Meza CV, Powell NJ, Covington C. The Influence of olfactory intervention on non-nutritive sucking skill in a
premature infant. OTJR. 1998;18(3):71-83.

26. Bingham PM, Abassi S, Sivieri E. A pilot study of milk odor effect on nonnutritive sucking by preterm newborns.
Arch Pediatr Adolesc Med. 2003;157:72-5.

27. Raimbault C, Saliba E, Porter RH. The effect of the odour of mother’s milk on breastfeeding behaviour of premature
neonates. Acta Paediatr. 2007;96(3):368-71.

28. Bingham PM, Churchill D, Ashikaga T. Breast milk odor via olfactometer for tube-fed, premature infants. Behav
Res Methods. 2007;39(3):630-4.

29. Yildiz A, Arikan D, Gozum 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.

30. Phumipon C. Effect of suck-swallow stimulation program on readiness and effectiveness of nutritive sucking in preterm infants. [thesis]. Chiang Mai: Chiang Mai University; 1996. (in Thai)

31. Vejaphat C. Human physiology 2. Bangkok: Boonsiri Print; 1997. (in Thai)

32. Rattanaopas P. The effects of tactile simulation on the growth and development of infants in the Phyathai Babies’
Home. [thesis]. Bangkok: Mahidol University; 1988.(in Thai)

33. Lokam C. The effect of mother providing premature infant massage program on attachment and bonding between
mother and premature infants. [thesis]. Bangkok: Mahidol University; 2003. (in Thai)

34. Teismann IK, Steinsträter O, Warnecke T, Suntrup S, Ringelstein EB, Pantev C, et al. Tactile thermal oral
stimulation increases the cortical representation of swallowing. BMC Neuroscience. 2009;10(71).

35. Nilbunga S. Functional neuroanatomy. 2nd ed. Bangkok: Chulalongkorn University Press; 2013.
36. Ratanachuek S, Sirikulchayanonta C. Study of knowledge about sweetness; 2006 [cited 2015 October 22].
Available from: http://resource.thaihealth.or.th/library/hot/12477. (in Thai)

37. Stevens JP. Repeated-measures analysis. In: Stevens JP, editor. Applied multivariate statistics for the social sciences. New York, NY: Taylor & Francis Group; 2009. p. 413-32.

38. Lessen BS, Morello CA, Williams LJ. Establishing intervention fidelity of an oral motor intervention for
preterm infants. NN. 2015;34(2):72-81.

39. Rearkyai S, Daramas T, Kongsaktrakul C. Effect of oral stimulation on feeding efficiency in preterm infants. Thai
J Pediatr. 2014;21(3):17-22. (in Thai)