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Nonnutritive Sucking Before Oral Feeding of Preterm Infants in Turkey: A Randomized Controlled Study

Şadiye Dur1, Duygu Gözen2

  • 1Nursing Department, Faculty of Health Sciences, Izmir Demokrasi University, Turkey.

Journal of Pediatric Nursing
|January 10, 2021
PubMed

Insights

Pacifier use before feeding in preterm infants supports sucking reflex and readiness for oral feeding. This intervention improved physiological parameters and feeding efficiency in newborns.

Area of Science:

  • Neonatal care
  • Pediatric nutrition
  • Infant feeding practices

Background:

  • Pacifier use is recommended to facilitate the transition from gavage to oral feeding.
  • It aids in supporting the sucking reflex and ensuring feeding readiness in infants.

Purpose of the Study:

  • To determine the effect of pre-feeding pacifier intervention on physiological characteristics.
  • To assess the impact on feeding performance in preterm infants undergoing initial oral feeding.

Main Methods:

  • A randomized controlled trial was conducted with 72 preterm infants (born before 31 weeks gestational age).
  • Infants were admitted to a Newborn Intensive Care Unit between January 2017 and July 2018.
  • Physiological parameters (heart rate, oxygen saturation) and feeding performance were compared between experimental and control groups.

Main Results:

  • Preterm infants receiving pacifiers before feeding showed significantly lower heart rates and higher oxygen saturation levels.
  • Feeding efficiency rates and percentage of food intake were significantly higher in the pacifier group.
  • The duration of feeding was significantly shorter in the experimental group compared to the control group.

Conclusions:

  • Pre-feeding pacifier use effectively regulates physiological parameters in preterm infants.
  • Pacifier intervention supports and enhances feeding performance during the transition to oral feeding.
  • Pacifiers aid in calming infants, supporting their sucking reflex, and ensuring readiness for oral feeding.
Abstract

Keywords:
FeedingNonnutritive suckingPacifierPreterm infant

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