Os efeitos da estimulação sensório motora oral na sucção nutritiva na mamadeira de recém-nascidos pré-termo

PURPOSE: to check the nutritive sucking performance in preterm infants that underwent sensory-motororal stimulation. METHODS: a controlled clinical trial of intervention was performed in 20 preterm infants divided into experimental and control group. The infants received a speech therapist evaluation in two different times: at the beginning of the oral feeding (first speech therapist evaluation) and when they reached full oral feeding (second evaluation). Statistical data analyses used STATA 10 package and they were analyzed for treatment group differences with Fisher's exact Test and Student's unpaired t-test (p<0.05). RESULTS: infants in the experimental group, in the second evaluation, differed statistically in the pressure of strong sucking (p=0.003), presence of the three adaptive reflexes (p=0.001), coordination among sucking, swallowing and breathing (p=0.003), the total time for sucking (p=0.01) and of number of sucking/time (p<0.01). The total number of sucks showed a statistically significant difference (p<0.05) among the evaluations of the control group. No differences were observed among the groups as for sucking rhythm, and prescribed and ingested milk volume. CONCLUSION: in this study, sensory-motor-oral stimulation contributed for a better sucking performance, during bottle feeding, in preterm infants.

[1]  Angela Regina Maciel Weinmann,et al.  Características da sucção nutritiva na liberação da via oral em recém-nascidos pré-termo de diferentes idades gestacionais , 2009 .

[2]  CR Leone,et al.  Non‐nutritive sucking scoring system for preterm newborns , 2008, Acta paediatrica.

[3]  M. Keske-Soares,et al.  The oral motor capacity and feeding performance of preterm newborns at the time of transition to oral feeding. , 2008, Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas.

[4]  R. Schanler,et al.  Maturation of oral feeding skills in preterm infants , 2007, Acta paediatrica.

[5]  J. Hinojosa,et al.  Multiple Factors Related to Bottle-Feeding Performance in Preterm Infants , 2007, Nursing research.

[6]  C. Leone,et al.  [Development of sucking rhythm and the influence of stimulation in premature infants]. , 2007, Pro-fono : revista de atualizacao cientifica.

[7]  E. Saliba,et al.  Effects of oral stimulation and oral support on non‐nutritive sucking and feeding performance in preterm infants , 2007, Developmental medicine and child neurology.

[8]  A. Rocha,et al.  A randomized study of the efficacy of sensory-motor-oral stimulation and non-nutritive sucking in very low birthweight infant. , 2007, Early human development.

[9]  C. Lau,et al.  [Development of oral feeding skills in the preterm infant]. , 2007, Archives de pediatrie : organe officiel de la Societe francaise de pediatrie.

[10]  R. Pickler,et al.  Predictors of nutritive sucking in preterm infants , 2006, Journal of Perinatology.

[11]  C. Leone,et al.  [Sucking in preterm newborns and the sucking stimulation]. , 2006, Pro-fono : revista de atualizacao cientifica.

[12]  S. Thoyre,et al.  The Early Feeding Skills Assessment for Preterm Infants , 2005, Neonatal Network.

[13]  E. Gisel,et al.  Effect of an oral stimulation program on sucking skill maturation of preterm infants. , 2005, Developmental medicine and child neurology.

[14]  C. Lau,et al.  Coordination of suck‐swallow and swallow respiration in preterm infants , 2003, Acta paediatrica.

[15]  R. Pickler.  A DESCRIPTIVE STUDY OF BOTTLE‐FEEDING OPPORTUNITIES IN PRETERM INFANTS , 2003, Advances in neonatal care : official journal of the National Association of Neonatal Nurses.

[16]  Carmen Gracinda Silvan Scochi,et al.  Sucção não nutritiva em bebês prematuros: estudo bibliográfico , 2003 .

[17]  G. McCain.  An Evidence-Based Guideline for Introducing Oral Feeding to Healthy Preterm Infants , 2003, Neonatal Network.

[18]  K. Mizuno,et al.  The maturation and coordination of sucking, swallowing, and respiration in preterm infants. , 2003, The Journal of pediatrics.

[19]  E. Gisel,et al.  Oral stimulation accelerates the transition from tube to oral feeding in preterm infants. , 2002, The Journal of pediatrics.

[20]  P. Gartside,et al.  A feeding protocol for healthy preterm infants that shortens time to oral feeding. , 2001, The Journal of pediatrics.

[21]  J. Bosma,et al.  Developmental patterns of rhythmic suck and swallow in preterm infants. , 2001 .

[22]  P. Sjödén,et al.  The development of preterm infants' breastfeeding behavior. , 1999, Early human development.

[23]  J. Baum,et al.  Development Of Co‐Ordination Of Sucking, Swallowing And Breathing: Ultrasound Study Of Term And Preterm Infants , 1990, Developmental medicine and child neurology.

[24]  M. Hack,et al.  Development of sucking rhythm in preterm infants. , 1985, Early human development.

[25]  P. Wolff,et al.  The serial organization of sucking in the young infant. , 1968, Pediatrics.