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Effect of Fucile Oral Motor Stimulation Protocol on Feeding Performance in Preterm Infants: Systematic Review and

Golnoosh Golmohammadi1, Mozhgan Asadi2, Kowsar Baghban3

  • 1Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran.

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
|May 30, 2025
PubMed

Insights

The Fucile oral motor stimulation protocol significantly reduces the time to full oral feeding and hospital stays for preterm infants. This intervention shows promise for improving feeding outcomes in neonatal intensive care units.

Area of Science:

  • Neonatology
  • Pediatric Gastroenterology
  • Developmental Pediatrics

Background:

  • Preterm infants often experience delayed full oral feeding (FOF) due to immature feeding coordination.
  • The Fucile oral motor stimulation protocol is designed to improve feeding progression in this population.
  • Optimizing feeding milestones is crucial for preterm infant development and hospital discharge.

Purpose of the Study:

  • To evaluate the Fucile oral motor stimulation protocol's effectiveness in preterm infants.
  • Key objectives include reducing transition time to FOF and shortening hospital stays.
  • The study also aimed to assess improvements in other feeding-related outcomes.

Main Methods:

  • A systematic review and meta-analysis adhering to PRISMA guidelines was performed.
  • Searches included major databases (PubMed, Scopus, Web of Science, CENTRAL, CINAHL) from 1990-2024.
  • Included randomized controlled trials (RCTs) of preterm infants (<37 weeks gestation) comparing the Fucile protocol to controls, assessing outcomes like FOF transition time and hospital stay length.

Main Results:

  • The Fucile protocol significantly decreased transition time to FOF by an average of 5.77 days.
  • Hospital stay duration was also reduced by an average of 6.47 days.
  • These findings were supported by moderate-certainty evidence from 19 trials involving 1,031 infants.

Conclusions:

  • The Fucile protocol effectively accelerates feeding milestones and reduces hospital stays in preterm infants.
  • Moderate-certainty evidence supports its clinical application, though further high-quality trials are needed.
  • Integration into neonatal intensive care unit (NICU) practices may enhance feeding outcomes and optimize infant care.

Keywords:
full oral feedingmeta-analysisneonatal intensive care unitoral motor stimulationpreterm infantssystematic review

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