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Sucking patterns in fullterm infants between birth and 10 weeks of age
Saakje P da Costa1, Cees P van der Schans, Sarai R Boelema
1Research and Innovation Group in Health Care and Nursing, Hanze University, Applied Sciences, Groningen, The Netherlands. s.p.da.costa@pl.hanze.nl
Insights
Most healthy newborns exhibit normal sucking patterns shortly after birth. However, about one-third of infants show irregular sucking patterns up to 10 weeks, with bottle-feeding being a potential influencing factor.
Area of Science:
- Neonatal development
- Infant feeding behavior
- Oral-motor function
Background:
- Effective sucking, coordinating sucking, swallowing, and breathing, is crucial for infant nutrition.
- Limited knowledge exists regarding infant sucking patterns immediately following birth.
Purpose of the Study:
- To investigate sucking patterns in healthy, full-term infants.
- To document age-specific variations in infant sucking behavior.
Main Methods:
- Longitudinal study of 30 healthy, full-term infants from birth to 10 weeks of age.
- Recording of 5-7 feeding episodes per infant.
- Assessment of feeding episodes using the Neonatal Oral-Motor Assessment Scale (NOMAS).
Main Results:
- 27 out of 30 infants demonstrated normal sucking patterns within the first 3 days of life.
- 14% (23/171) of feeding episodes showed abnormal sucking patterns between birth and 10 weeks.
- 10 infants displayed arrhythmical sucking patterns by 10 weeks post-birth; bottle-fed infants showed this more frequently.
Conclusions:
- Healthy full-term infants generally initiate normal sucking patterns soon after birth.
- Approximately one-third of infants experienced at least one deviating sucking episode by 10 weeks of age.
- Bottle-feeding was identified as a factor influencing sucking patterns, with no other significant influences found.
Objective:
Coordinating sucking, swallowing and breathing to achieve effective sucking is a complex process and even though sucking is essential for nutrition, little is known about sucking patterns after birth. Our objective was to study sucking patterns in healthy fullterm infants and to describe the age-specific variations.
Method:
We studied the sucking patterns of 30 healthy, fullterm infants longitudinally from 2 or 3 days after birth to 10 weeks of age. During this time we recorded five to seven feeding episodes that we assessed off-line with the Neonatal Oral-Motor Assessment Scale (NOMAS).
Results:
We found a normal sucking pattern on the second or third day after birth in 27 out of 30 infants. During the following weeks we found abnormal sucking patterns in 23 out of 171 feeding episodes (14%) and normal patterns in 148 episodes (86%). Altogether, between 38 and 50 weeks' postmenstrual age (10 weeks after birth), 10 infants displayed a deviating, arrhythmical sucking pattern. Dysfunctional sucking patterns and problems of coordinating sucking, swallowing and breathing did not occur. Birth weight, gestational age, type of labour and gender did not influence sucking patterns. Arrhythmical sucking was seen more often in bottle-fed infants.
Conclusion:
Our study demonstrated that practically all healthy fullterm infants started off with a normal sucking pattern soon after birth. One-third of the infants displayed one or more deviating episodes up to the age of 10 weeks. Apart from bottle-feeding, no other factors were found that influenced sucking patterns.
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