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Early oral-motor management on feeding performance in premature neonates

Yan-Lin Liu1, Yi-Ling Chen, I Cheng

  • 1Division of Physical Therapy, Department of Physical Medicine and Rehabilitation, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.

Journal of the Formosan Medical Association = Taiwan Yi Zhi
|March 12, 2013
PubMed

Insights

Early oral-motor management for premature infants improves feeding and shortens hospital stays. However, abnormal brain imaging and necrotizing enterocolitis (NEC) can impact initial feeding success.

Area of Science:

  • Neonatology
  • Developmental Pediatrics
  • Speech-Language Pathology

Background:

  • Premature infants frequently exhibit poor oral-motor development, necessitating individualized developmental care and therapy.
  • Oral-motor skills are crucial for successful feeding and overall neonatal outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of early oral-motor management intervention.
  • To assess the impact on feeding patterns and neonatal outcomes in premature neonates.

Main Methods:

  • The study included 68 preterm infants (birth weight < 1500 g or gestational age < 32 weeks).
  • Intervention focused on enhancing sucking ability in infants with poor oral-motor coordination.

Main Results:

  • Infants receiving early intervention showed significant improvements in body weight gain during feeding (1916 ± 156 g vs. 2003 ± 191 g).
  • The intervention group experienced a shorter hospital stay (46.3 ± 25.3 days vs. 54.7 ± 23.5 days).

Conclusions:

  • Early oral-motor management improved feeding performance and neonatal outcomes, including reduced hospital days.
  • Abnormal brain sonography and necrotizing enterocolitis (NEC) were associated with challenges in transitioning to oral feeding.
Abstract

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