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Effect of oral stimulation on feeding performance and weight gain in preterm neonates: a randomised controlled trial

Pareshkumar A Thakkar1, H R Rohit1, Rashmi Ranjan Das2

  • 1a Department of Pediatrics , Medical College Baroda and Sir Sayaji General Hospital , Vadodara , India.

Paediatrics and International Child Health
|February 20, 2018
PubMed

Insights

Oral stimulation significantly improves feeding performance and weight gain in preterm infants. This intervention also reduces the length of hospital stay for neonates born between 30 and 34 weeks gestation.

Area of Science:

  • Neonatal care
  • Developmental pediatrics
  • Clinical nutrition

Background:

  • Oral stimulation enhances muscle tone and movement in preterm infants.
  • This facilitates normal oral motor development and improves oral feeding.
  • Preterm neonates often face challenges with oral feeding and development.

Purpose of the Study:

  • To evaluate the impact of an oral stimulation program on preterm neonates.
  • Key outcomes include feeding performance, transition to independent oral feeding, weight gain, and hospital stay duration.

Main Methods:

  • A randomized controlled trial involving 102 preterm neonates (30-34 weeks gestation).
  • Intervention group received oro-motor stimulation (5 min twice daily); control group received routine care.
  • Primary outcomes: feeding performance and time to independent oral feeding.

Main Results:

  • The intervention group showed significantly better feeding performance (intake and milk transfer rate).
  • Faster transition to independent oral feeding was observed in the intervention group.
  • Improved weight gain and a shorter hospital stay were noted for infants receiving oral stimulation.

Conclusions:

  • Oral stimulation is effective in enhancing feeding performance in preterm neonates.
  • The intervention leads to improved weight gain rates and reduced hospital length of stay.
  • This approach is beneficial for preterm infants born between 30 and 34 weeks gestation.
Abstract

Keywords:
Prematurityclinical trialfeeding problemintensive care unitlow birthweightnon-nutritive sucklingoral motor control

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