جستجوی مقالات مرتبط با کلیدواژه "nutritive sucking" در نشریات گروه "پزشکی"

Non-nutritive sucking is part of the initial development process in preterm infants that may speed up the transition from the tube to oral feeding. The aim of this study was to evaluate the effect of nonnutritive sucking on mother's finger on feeding tolerance and attainment of independent oral feeding in preterm infants.
This single blind clinical trial was conducted on 40 preterm infants admitted to the NICU of Imam Reza Hospital, Kermanshah in 2017. In the intervention group, non-nutritive sucking was performed on the mother's finger three times a day for 10 days during the first 10 minutes of gavage. Then, the gastric residual volume, time to achieve independent oral feeding, length of hospitalization, and weight at discharge were measured. The data was analyzed using SPSS software version 24.0.
According to the results, the mean of gastric residual volume was less in the intervention group (0.65±0.33) compared to the control group (2.30±0.71) (P0.05).
The results of the study showed that non-nutritive sucking on mother's finger can be effective in improving feeding tolerance and accelerating attainment of independent oral feeding in the preterm infants, resulting in early discharge from the hospital.

Effective interventions such as non-nutritive sucking (NNS) improve neonatal development. The current study aimed at assessing the effect of NNS intervention by mothers on physiological factors, duration of full oral feeding attainment, and the length of hospital stay.
The current clinical trial was conducted in the neonatal care unit (NICU) of Arash hospital affiliated to Tehran University of Medical Sciences, Tehran, Iran. The study was conducted on 2 groups of 38 preterm neonates. Neonates had gestational age of 26 - 34 weeks and received gavage feeding. They did not have assisted ventilation. Control neonates received routine care, whereas the intervention neonates received 3 NNS sessions done by mothers during the first 10 minutes of tube feeding per day. Data collection instrument included a mother-infant demographic form and an observation checklist of infant’s physiological features. The date of full feeding and length of hospitalization were recorded.
Findings did not show any statistically significant correlation between groups in physiological features. Duration of full oral feeding attainment in the intervention and control groups were 22 ± 14.51 and 30.05 ± 18.58 days, respectively. The length of hospital stay in the intervention and control groups were 31.26 ± 16.89 and 41.82 ± 23.07 days, respectively. Then, non-nutritive sucking by mother’s finger sped up the duration of full oral feeding attainment and reduced the hospitalization.
Since NNS does not require skill and expertise, participation of mother is recommended. Then, infants benefit from not only the positive effects of NNS, but also mother-infant interaction.

Breastfeeding failures and oral feeding problems in preterm infants result in long-term health complications. In this study, therefore, we aimed to evaluate the effect of oral stimulation along with non-nutritive sucking (NNS) on independent oral feeding initiation and weight gain in preterm infants. This prospective randomized clinical trial was carried out at Aliasghar Hospital in Tehran, Iran, 2014. A total of 50 26-32 weeks gestational age hospitalized infants, who were fed through tubes, were recruited in the study. The newborns were randomized into A, B and C groups. In the A and B groups, the neonates were stimulated through oral stimulation as well as non-nutritive sucking for 5 or 10 days, while in the group C, no especial intervention was performed. Infant's mean daily weight gain, the number of days until initiation of oral feeding, oral feeding progression, the number of days until reaching full oral feeding and date of discharge were recorded. The obtained data were analyzed and compared in the three groups using SPSS version 16.0. Of all the participants, 25 cases (55.55%) were male. Mean gestational age at birth and mean birth weight were 28.64±1.93 weeks and 1337.11±185.07 grams, respectively. In the group A, newborn's weight at reaching four and eight oral feedings per day and their weights at discharge were significantly higher than the other two groups (P=0.016, 0.001 and 0.001, respectively). Mean daily weight gain in the group A was higher (84.2850 g) than the other groups (69.5814 vs. 64.2677 g). However, ANOVA results showed that this difference was not significant (P=0.108). Moreover, independent samples t-test indicated that this difference between groups A and C was significant (P=0.049). In clinically stable preterm neonates, oral stimulation and should be implemented to increase their weight; however, further studies are required to address this issue.