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Oromotor Stimulation for Transition from Gavage to Full Oral Feeding in Preterm Neonates: A Randomized controlled

Poonam Bala1, Rupinder Kaur, Kanya Mukhopadhyay

  • 1National Institute of Nursing Education and *Neonatal unit, Department of Pediatrics, PGIMER, Chandigarh, India. Correspondence to: Dr Kanya Mukhopadhyay, Professor, Neonatology Unit, Department of Pediatrics, PGIMER, Chandigarh 160 012, India. kanyapgi@gmail.com.

Indian Pediatrics
|February 4, 2016
PubMed

Insights

Oromotor stimulation significantly shortens the time to full oral feeding for preterm neonates. This intervention helps premature infants transition from gavage to oral feeds faster, improving feeding outcomes.

Area of Science:

  • Neonatal Medicine
  • Developmental Pediatrics
  • Clinical Nutrition

Background:

  • Preterm neonates often struggle with transitioning to oral feeding.
  • Gavage feeding is a common method for nutritional support in premature infants.
  • Optimizing feeding transition is crucial for infant growth and development.

Purpose of the Study:

  • To evaluate the impact of oromotor stimulation on the feeding transition in preterm neonates.
  • To compare the time to full oral feeding in infants receiving oromotor stimulation versus routine care.

Main Methods:

  • A randomized controlled trial involving 51 preterm neonates (28-34 weeks gestation).
  • Intervention group received oromotor stimulation alongside routine care.
  • Control group received routine care, including Kangaroo Mother Care and non-nutritive sucking.

Main Results:

  • The oromotor stimulation group reached partial and full spoon feeding significantly faster than the control group (P=0.006 and P=0.03, respectively).
  • A higher percentage of infants in the intervention group achieved partial direct breastfeeding at discharge (56% vs 31%, P=0.01).

Conclusions:

  • Oromotor stimulation, when combined with routine care, effectively reduces the duration of gavage feeding in preterm neonates.
  • This intervention promotes earlier and more successful oral feeding transitions in premature infants.
Abstract

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