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Updated: Jul 11, 2026

Non-Nutritive Suck Parameters Measurements Using a Custom Pressure Transducer System
Published on: April 19, 2024
Infants with bronchopulmonary dysplasia suckle with weak pressures to maintain breathing during feeding
Katsumi Mizuno1, Yoshiko Nishida, Motohiro Taki
1Showa University of Medicine, Department of Pediatrics, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan. katsuorobi@aol.com
Insights
The severity of bronchopulmonary dysplasia (BPD) significantly impacts preterm infants feeding abilities. Severe BPD correlates with poorer suck-swallow-respiration coordination, reduced sucking endurance, and overall impaired feeding performance.
Area of Science:
- Neonatal Medicine
- Pediatric Pulmonology
- Developmental Pediatrics
Background:
- Preterm infants with bronchopulmonary dysplasia (BPD) frequently experience feeding challenges.
- Sucking difficulties are a common concern in infants diagnosed with BPD.
Purpose of the Study:
- To investigate the relationship between the severity of bronchopulmonary dysplasia (BPD) and feeding capabilities in preterm infants.
- To assess how BPD severity influences suck-swallow-respiration coordination, sucking endurance, and feeding performance.
Main Methods:
- Twenty very low birth weight infants were evaluated at 40 weeks' postmenstrual age.
- Infants were categorized into three groups based on BPD severity: none, BPD without home oxygen, and BPD with home oxygen.
- Feeding parameters including sucking pressure, frequency, duration, swallows, deglutition apnea, and respiratory rate were measured during bottle-feeding.
Main Results:
- Infants with severe BPD exhibited the lowest sucking pressure, frequency, and burst duration.
- Severe BPD was associated with reduced feeding efficiency, fewer swallows per feeding burst, and prolonged deglutition apnea.
- These infants also showed the highest respiratory rates and the most significant decrease in oxygen saturation during feeding.
Conclusions:
- Feeding difficulties in preterm infants are directly related to the severity of bronchopulmonary dysplasia.
- Infants with BPD demonstrate impaired feeding coordination, reduced endurance, and diminished overall feeding performance.
Objective:
Preterm infants with bronchopulmonary dysplasia often demonstrate sucking difficulties. The aim of this study was to determine whether the severity of bronchopulmonary dysplasia affects not only coordination among suck-swallow-respiration but also sucking endurance and performance itself.
Patients And Methods:
Twenty very low birth weight infants were studied. Infants with anomalies or intraventricular hemorrhage were excluded from the evaluation. Subjects were divided into 3 groups: no bronchopulmonary dysplasia (7 infants), bronchopulmonary dysplasia without home oxygen therapy (7 infants), and bronchopulmonary dysplasia with home oxygen therapy (6 infants). In addition to sucking efficiency, pressure, frequency, duration, and duration of sucking burst, length of deglutition apnea, number of swallows per burst, and respiratory rate were also measured during bottle-feeding at 40 weeks' postmenstrual age. In addition, PCO2 and oxygen saturation were measured at rest and during bottle-feeding.
Results:
Infants with severe bronchopulmonary dysplasia demonstrated not only the lowest sucking pressure and sucking frequency, shortest sucking burst duration, and lowest feeding efficiency but also the lowest frequency of swallows during the run and the longest deglutition apnea. The respiratory rate was highest, and the decrease in oxygen saturation was largest, in infants with severe bronchopulmonary dysplasia.
Conclusions:
Feeding problems depend on the severity of bronchopulmonary dysplasia. Infants with bronchopulmonary dysplasia demonstrated not only poor feeding coordination but also poor feeding endurance and performance.
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