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Early Premature Infant Oral Motor Intervention Improved Oral Feeding and Prognosis by Promoting Neurodevelopment

Xiao-Li Li1, Yun Liu1, Miao Liu1

  • 1Department of Pediatrics, Liaocheng People's Hospital, Liaocheng, Shandong, China.

American Journal of Perinatology
|April 24, 2019
PubMed

Insights

Early premature infant oral motor intervention (PIOMI) significantly improved oral feeding ability and neurodevelopmental outcomes in preterm infants. This intervention enhances neuromotor coordination, leading to better long-term prognoses.

Area of Science:

  • Neonatal care
  • Developmental pediatrics
  • Clinical nutrition

Background:

  • Preterm infants often face challenges with oral feeding and neurodevelopment.
  • Early intervention is crucial for improving outcomes in this vulnerable population.

Purpose of the Study:

  • To investigate the clinical significance of early premature infant oral motor intervention (PIOMI) on the prognosis of preterm infants.
  • To evaluate the impact of PIOMI on oral feeding ability and neuromotor development.

Main Methods:

  • A randomized controlled trial involving 78 infants in the intervention group and 73 in the control group.
  • PIOMI administered daily for 14 days, consisting of oral stimulation and nonnutritive sucking.
  • Assessment using the Preterm Infant Oral Feeding Readiness Assessment (PIOFRA) and Infant Neurological International Battery (Infanib) scales.

Main Results:

  • The intervention group showed significantly higher PIOFRA scores, indicating improved oral feeding readiness.
  • Higher feeding efficiency, shorter transition to independent feeding, and improved neuromotor development (Infanib scores) were observed in the PIOMI group.
  • A significant positive effect on neurodevelopmental outcomes at 3 and 6 months of age was noted.

Conclusions:

  • Early premature infant oral motor intervention (PIOMI) effectively promotes neuromotor coordination and neurodevelopment.
  • PIOMI enhances oral feeding ability, leading to improved overall prognosis for preterm infants.
Abstract

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