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Randomized Controlled Trial of a Prefeeding Oral Motor Therapy and Its Effect on Feeding Improvement in a Thai NICU

Brenda S Lessen Knoll, Tipawan Daramas, Victoria Drake

    Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
    |February 6, 2019
    PubMed

    Insights

    The Premature Infant Oral Motor Intervention (PIOMI) significantly improved feeding efficiency in preterm newborns. This oral motor therapy accelerated feeding improvements in infants aged 32-34 weeks postmenstrual age.

    Area of Science:

    • Neonatal Medicine
    • Pediatric Nutrition
    • Developmental Pediatrics

    Background:

    • Preterm newborns often experience feeding difficulties.
    • Early intervention is crucial for improving feeding outcomes in premature infants.
    • The Premature Infant Oral Motor Intervention (PIOMI) is a potential therapy to address these challenges.

    Purpose of the Study:

    • To evaluate the effectiveness of the PIOMI on feeding efficiency in preterm newborns.
    • To assess the rate of improvement in oral feeding over the first five days.
    • To compare feeding outcomes between infants receiving PIOMI and those receiving routine care.

    Main Methods:

    • A randomized controlled trial was conducted with 30 stable preterm newborns (26-34 weeks postmenstrual age).
    • Participants were assigned to either the PIOMI group (n=15) or a control group (n=15) receiving routine care.
    • Feeding efficiency was measured by the mean volume of oral intake on Days 1, 3, and 5.

    Main Results:

    • The PIOMI group demonstrated significantly greater mean oral intake volume compared to the control group on all measurement days (p < .001).
    • On Day 1, the PIOMI group consumed 44.9% of prescribed feeding versus 29.7% for the control group.
    • The rate of feeding improvement was significantly accelerated in the PIOMI intervention group.

    Conclusions:

    • The PIOMI is an effective oral motor therapy for preterm newborns aged 32-34 weeks postmenstrual age.
    • Findings support the use of PIOMI to enhance feeding efficiency and accelerate progress in neonatal intensive care units.
    • The results align with previous studies demonstrating the benefits of targeted oral motor interventions for premature infants.
    Abstract

    Keywords:
    PIOMIPremature Infant Oral Motor Interventionfeeding efficiencyoral motor therapyprefeedingpreterm infants

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