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Prefeeding Oromotor Stimulation Program for Improving Oromotor Function in Preterm Infants - A Randomized Controlled

Karan Arora1, Sorabh Goel2, Swati Manerkar1

  • 1Department of Neonatology, Lokmanya Tilak Municipal Medical College and Lokmanya Tilak Municipal and General Hospital, Mumbai, India.

Indian Pediatrics
|September 16, 2018
PubMed

Insights

The Premature Infant Oral Motor Intervention program significantly improved oral motor skills and weight gain in preterm infants. This intervention also reduced the time needed to transition from gavage to full independent spoon feeding.

Area of Science:

  • Neonatology
  • Pediatric Nutrition
  • Developmental Pediatrics

Background:

  • Preterm infants often experience challenges with oral feeding due to immature oro-motor function.
  • Early intervention is crucial for optimizing feeding outcomes and growth in vulnerable preterm populations.

Purpose of the Study:

  • To evaluate the impact of the Premature Infant Oral Motor Intervention (PIOMI) program on oro-motor function.
  • To assess the effect of PIOMI on the time to achieve full independent spoon feeding in preterm infants.

Main Methods:

  • A randomized controlled trial involving 30 preterm infants (28-32 weeks gestation) receiving gavage feeds.
  • Infants were assigned to either structured oro-motor stimulation (PIOMI) or unstructured sham intervention before feeds.
  • Oro-motor function was assessed using the Neonatal Oro-Motor Assessment Scale (NOMAS).

Main Results:

  • The PIOMI group showed significantly greater improvement in NOMAS scores over 7 days compared to the control group (9.25 vs 4.79, P=0.001).
  • Infants in the PIOMI group achieved full independent spoon feeding significantly faster (4.0 days) than controls (6.64 days, P=0.001).
  • The study group exhibited a significant increase in weight gain post-enrollment compared to the control group.

Conclusions:

  • Structured oral stimulation, as delivered by the PIOMI program, enhances oro-motor skills in preterm infants (28-32 weeks gestation).
  • The intervention effectively accelerates the transition from gavage feeding to full oral feeding.
  • PIOMI positively influences growth velocity and overall feeding development in this population.
Abstract

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