The Effect of Suckling and Swallowing Exercises During the Transition to Oral Feeding in Premature Infants:

E Gökdemir1, A K Doğan

  • 1Department of Nursing, Istanbul Medipol University, Institute of Health Science, İstanbul, Turkey.

Insights

Suck-swallow exercises significantly improved oral feeding skills in premature infants. This intervention is recommended for neonatal intensive care units to support infant development.

Area of Science:

  • Neonatal care
  • Pediatric feeding interventions
  • Infant development

Background:

  • Preterm infants often have underdeveloped oral structures, leading to feeding difficulties.
  • Supporting the development of sucking reflexes is crucial for premature babies' oral feeding success.

Purpose of the Study:

  • To investigate the impact of suck-swallow exercises on the oral feeding transition in premature infants.
  • To evaluate the efficacy of a targeted exercise program for improving feeding skills in preterm neonates.

Main Methods:

  • A randomized controlled trial was conducted with 82 premature infants in a neonatal intensive care unit (NICU).
  • The intervention group (n=41) received 12 minutes of daily suck-swallow exercises for 14 days.
  • The Early Feeding Skills Assessment Tool was used to measure outcomes, with data analyzed using SPSS22.

Main Results:

  • Infants in the intervention group showed significantly higher post-test scores in respiratory regulation, oral motor function, swallowing coordination, feeding participation, and physiological stability.
  • These improvements were statistically significant (P < 0.005) compared to the control group.

Conclusions:

  • Suck-swallow exercises effectively enhance oral feeding skills in premature infants.
  • The study recommends incorporating these exercises into neonatal intensive care unit protocols to support feeding development.
Abstract

Related Concept Videos

Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
398
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
1.0K
Deglutition01:25

Deglutition

Swallowing, otherwise known as deglutition, facilitates the transport of food from the mouth to the stomach. It is a multifaceted process that involves both the tongue and the muscles of the throat and esophagus. Saliva and mucus aid in this process, which takes approximately 4 to 8 seconds for semi-solid or solid food and around 1 second for liquids or very soft food.
Swallowing can be divided into three stages: the voluntary phase, the pharyngeal phase, and the esophageal phase. Although the...
2.6K
Psychosexual Stages of Personality: Oral01:16

Psychosexual Stages of Personality: Oral

The oral stage is the initial phase of Sigmund Freud's theory of psychosexual development, occurring from birth to approximately 12 to 18 months. During this period, the infant's mouth serves as the primary source of pleasure, with actions such as sucking, chewing, biting, and drinking playing a crucial role in reducing tension. These activities are essential not only for nourishment but also for the infant's psychological and emotional satisfaction.
Weaning, typically occurring...
1.4K
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
307
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
484