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Author Spotlight: Implications of Non-Nutritive Sucking on Speech Emergence and Infant Development
Published on: April 19, 2024
Changes in non-nutritive suck between 3 and 12 months
Alaina Martens1, Morgan Hines1, Emily Zimmerman1
1Department of Communication Sciences & Disorders, Northeastern University, 360 Huntington Ave., Boston, MA 02115, USA.
Insights
Infant non-nutritive suck (NNS) patterns change significantly between 3 and 12 months, with decreased duration and bursts but increased amplitude. Understanding these developmental changes in NNS is crucial for assessing infant feeding.
Area of Science:
- Pediatric feeding development
- Infant oral motor skills
Background:
- Non-nutritive suck (NNS) is integral to infant oral feeding.
- Limited research exists on NNS development during the first year of life.
Purpose of the Study:
- To quantify changes in infant non-nutritive suck patterns from 3 to 12 months of age.
Main Methods:
- Twenty-six full-term infants participated.
- A custom research pacifier was used for quantitative analysis of suck patterns.
- The best 2-minute suck samples were analyzed for NNS parameters.
Main Results:
- NNS duration, bursts, cycles/burst, and cycle count significantly decreased from 3 to 12 months.
- NNS amplitude significantly increased during the same period.
- NNS frequency showed no significant changes; median amplitude increased from 14.05 to 19.75 cmH2O.
Conclusions:
- Infant NNS patterns undergo significant maturation in the first year.
- Healthcare professionals need this knowledge for accurate NNS assessment and identification of feeding delays.
Background:
Non-nutritive suck (NNS) is one piece of the complex oral feeding process, yet there is paucity on how it develops throughout the first year of life.
Aims:
To determine changes in infant NNS between 3 and 12 months of age.
Study Design:
Twenty-six full-term infants (65% male) completed this study. All infants were offered our custom research pacifier to attain a quantitative analysis of their suck pattern. Based on quantitative analyses of NNS cycle count, the best 2 min of infants' suck were selected and analyzed.
Outcome Measures:
NNS duration, amplitude, cycles/burst, frequency, cycles, and bursts.
Results:
NNS duration, bursts, cycles/burst and cycles significantly decreased from 3 to 12 months, yet amplitude significantly increased over the same time period. Additionally, no significant differences were evident for NNS frequency. Three-month-old infants produced a median of 4.50 suck bursts per minute that contained 9.60 cycles/burst, resulting in a burst duration of 4.74 s. The median NNS frequency was 2.09 Hz, with an average amplitude of 14.05 cmH20. Twelve-month-old infants produced a median of 2.50 suck bursts that contained 3.75 cycles/burst, resulting in a burst duration of 1.67 s. The median NNS frequency was 2.11 Hz with an amplitude of 19.75 cmH20.
Conclusion:
Full-term infants significantly change their NNS duration, amplitude, burst number, cycles/burst and cycle number with no significant changes present in NNS frequency between 3 and 12 months. Knowledge of NNS emergence and maturation during the first year of life is imperative for proper NNS assessment so that healthcare professionals can identify delays.
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