Effects of human milk odor stimulation on feeding in premature infants: a systematic review and meta-analysis

Yangyang Qin1, Shu Liu2, Yanming Yang1

  • 1Nursing Department, The First Affiliated Hospital of Henan University of Chinese Medicine, No. 19 Renmin Road, Jinshui District, Zhengzhou, 450099, He Nan, China.

Scientific Reports
|April 18, 2024
PubMed

Insights

Human milk odor stimulation significantly reduces the time premature infants need to transition to oral feeding and shortens parenteral nutrition duration. However, it does not appear to affect hospital stay length.

Area of Science:

  • Neonatal Nutrition and Feeding
  • Developmental Pediatrics
  • Evidence-Based Medicine

Background:

  • Premature infants often face challenges with oral feeding initiation and require prolonged nutritional support.
  • Odor stimulation, particularly with human milk, has been hypothesized to positively influence feeding behaviors in neonates.
  • A systematic review and meta-analysis is needed to consolidate existing evidence on this intervention.

Approach:

  • Conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) adhering to PRISMA guidelines.
  • Searched multiple major biomedical databases (PubMed, Cochrane, Embase, Web of Science, Chinese databases) up to July 2022.
  • Evaluated the quality of six included RCTs (763 participants) using the Cochrane Handbook, with all studies rated as Grade B.

Key Points:

  • Human milk odor stimulation significantly reduced the transition time to oral feeding in premature infants (SMD = -0.48, P < 0.00001).
  • The intervention also shortened the duration of parenteral nutrition (MD = -1.01, P = 0.004).
  • No significant effect was observed on the length of hospitalization for premature infants (MD = -0.03, P = 0.86).

Conclusions:

  • Human milk odor stimulation is an effective intervention for accelerating oral feeding transition and reducing parenteral nutrition dependence in premature infants.
  • Further high-quality, large-sample research is required to ascertain its impact on hospital stay duration and other developmental outcomes.
  • This finding supports the integration of sensory-based interventions in neonatal care protocols for premature infants.