Effect of Oral Motor Intervention on The Effectiveness of Sucking Reflex and Oral Feeding in Preterm Infants
الملخص
Introduction: preterm Infants suffer from the absence or lack of intensity of reflexes, especially (sucking, swallowing, breathing) as a result of incomplete maturation of their central nervous system, And provide them with feeding according to the results of the nursing assessment about their ability to suck and swallow, whether through the nasogastric tube, intravenous infusion or through the mouth, if the degree is weak or intermediate, feeding is done by intravenous infusion or nasogastric tube, and if the degree is strong or very strong, feeding is done by mouth, and therefore oral motor interference can improve the intensity of the sucking reflex and oral feeding. Research objective: This study aimed to Determination of the effect of oral motor interference on the effectiveness of the sucking reflex and oral feeding in preterm infants. Materials and methods: The quasi-experimental design was used in this research, and the study included (40) preterm males and females, demographic and health data were collected and the sucking reflex effectiveness scale and the oral feeding scale were used during the trial days. Results: the results showed the presence of significant differences (P<0.000) in improving the effectiveness of the sucking reflex, but there are no significant differences in weight after the eighth meal (P>0.060) with improved oral feeding. the presence of significant differences (P<0.000) in reducing the duration of the transition from tube feeding to full oral feeding, reducing the length of hospital stay, and also the presence of significant differences (P<0.020) in weight gain on dredging. Conclusion and Recommendations: The effectiveness of the sucking reflex in preterm infants in the experimental group increased more than in the control group, and this increase was very significant from a statistical point of view, and the weight of preterm infants in the experimental group increased more than in the control group, which indicated an improvement in oral feeding in preterm infants, but there are no significant differences, the weight of preterm infants in the experimental group increased by a greater value than in the control group, as this increase was statistically significant, and the duration of hospitalization of preterm infants in the experimental group was less than in the control group, and this decrease was very statistically significant, it is recommended to adopt the application of oral motor interference for preterm infants or for children with impaired sucking reflex in neonatal intensive care departments, incubators and neonatal ward.
References
2. Mousavi SZ, Shahbodaghi MR, Kadivar M, Khosravi N, Mirzazade M. The study of oral feeding disorders incidence in infants in NICU of Tehran University of medical sciences hospitals. MRJ. 2015;9(4):1–7.
3. Hockenberry M, Wilson D, Rodgers CH, Wong’s Nursing Care of Infants and Children, 11th Edition, 2015, Elsevier.
4. Scott Ricci S, Kyle T, Carman S, Maternity and Pediatric Nursing, Second Edition, 2012, China.
5. Say B, Simsek GK, Canpolat FE, Oguz SS. Effects of Pacifier Use on Transition Time from Gavage to Breastfeeding in Preterm Infants: A Randomized Controlled Trial. Breastfeed Med. 2018;13(6):433–447.
6. Harding C, An evaluation of the benefits of non-nutritive suckingfor premature infants as described in the literature, 2008.
7. Altimier L, Phillips R, The neonatal integrative developmental care model: advanced clinical applications of the seven core measures for neuroprotective familycentered developmental care, N.born Infant Nurs. (2016) Rev.16, 230–244.
8. Lessen, B;. (2011). Effect of the Premature Infant Oral Motor
Intervention on Feeding Progression and Length of Stay in Preterm Infants. Advances in Neonatal Care; 11(2): 129-139.
9. Lessen B, Morello C, Williams L, Establishing intervention fidelity of an oral motor intervention for preterm infants, J. Neonatal Nurs. (2015) 34 (2) 72–82.
10. S. Fucile, E. Gisel, C. Lau, Effect of an oral stimulation program on sucking skill maturation of preterm infants, Dev Med Child Neurol Jan 47 (2005) 158–162.
11. H.P. Pimenta, M.E.L. Moreira, A.D. Rocha, S.C.G. Junior, L.W. Pinto, S.L. Lucena, Effects of non-nutritive sucking and oral stimulation on breastfeeding rates for preterm, low birth weight infants: a randomized clinical trial, J. Pediatr. 84 (5) (2008) 423–427.
12. Beckman D, editor. Oral motor assessment an intervention. Dallas, TX: Easter Seal Society; 1998.
13. Izzaturrohmah, S and Zubaidah, Z. (2023). Implementation of preterm infant oral motor stimulation intervention (PIOMI) on very low birth weight preterm baby. Nurse and Health: Jurnal Keperawatan. 12 (1) 20-29.
http://ejournal-kertacendekia.id/index.php/nhjk/index.php.
14. Sadiq Z, (2023). Early Oral Motor Intervention for the Development of Sucking and Feeding Skills of Preterm Infants. American Journal of Sciences and Engineering Research. 6(1) 2023.
15. Kanubhai P, Wilson L, Patel N, Sriram N. (2023). Effectiveness of Premature Infant Oral Motor Intervention on Improving the Level of Sucking Reflex in Preterm Infants Admitted in NICU. International Journal for Multidisciplinary Research (IJFMR). 5(2). March-April 2023.
16. Guler S, Cigdem Z, Knoll B, Ortabag T, Yakut Y. (2022). Effect of the premature infant oral motor intervention on sucking capacity in preterm infants in turkey. Advances in Neonatal care. 22(6), 196-206.
17. Chandran R, Alagesan J, (2021). Oro-Motor Intervention Protocol to Improve Sucking Behavior among Neonates with Immature Sucking. International Journal of Surgery Protocols. 25(1): 129–134.