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Oral feeding competences of healthy preterm infants: a review
N Bertoncelli1, G Cuomo, S Cattani
1Department of Pediatrics and Neonatology, Modena University Hospital, 41125 Modena, Italy.
Insights
Preterm infants benefit from interventions that improve alertness and sensorimotor skills for oral feeding. Combined oral and sensorimotor therapies enhance feeding performance and shorten the time to independent feeding.
Area of Science:
- Neonatal care
- Pediatric nutrition
- Developmental pediatrics
Background:
- Neonatal intensive care unit (NICU) survival rates have improved due to technological advancements.
- Preterm infants face significant challenges with nutrition and oral feeding.
- Oral feeding difficulties are a common concern for infants born prematurely.
Purpose of the Study:
- To identify factors influencing oral feeding readiness and competence in preterm infants.
- To determine effective interventions for enhancing oral feeding performance.
- To guide clinical practice for supporting preterm infant feeding.
Main Methods:
- A literature search was conducted in the MEDILINE database.
- Relevant articles published between 2009 and 2011 were collected and reviewed.
- The review focused on factors impacting and interventions for preterm infant oral feeding.
Main Results:
- Increased infant alertness during feeding positively impacts feeding skills.
- Oral and non-oral sensorimotor interventions, alone or combined, reduce the time to independent oral feeding.
- Combined interventions led to superior nutritive sucking and improved suck-swallow and swallow-respiration coordination.
Conclusions:
- Alertness is crucial for successful oral feeding in preterm infants.
- Sensorimotor interventions are effective in promoting oral feeding skills.
- Combined oral and sensorimotor approaches offer the most significant benefits for preterm infant feeding.
Abstract:
Background. With increasing sophistication and technology, survival rates hugely improved among preterm infants admitted to the neonatal intensive care unit. Nutrition and feeding remain a challenge and preterm infants are at high risk of encountering oral feeding difficulties. Objective. To determine what facts may impact on oral feeding readiness and competence and which kind of interventions should enhance oral feeding performance in preterm infants. Search Strategy. MEDILINE database was explored and articles relevant to this topic were collected starting from 2009 up to 2011. Main Results. Increasingly robust alertness prior to and during feeding does positively impact the infant's feeding Skills. The review found that oral and non-oral sensorimotor interventions, provided singly or in combination, shortened the transition time to independent oral feeding in preterm infants and that preterm infants who received a combined oral and sensorimotor intervention demonstrated more advanced nutritive sucking, suck-swallow and swallow-respiration coordination than those who received an oral or sensorimotor intervention singly.
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