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Published on: February 5, 2019
Oromotor intervention as a method to improve transition from gavage to full katori spoon feeding in preterm newborns:
Sakshi Jindal1, Seema Rai1, Amanpreet Singh1
1Professor, Department of Pediatrics, Baba Farid University of Health Sciences, Faridkot, India.
Insights
Oromotor intervention (OMI) significantly shortens the time for preterm infants to transition from gavage to spoon feeding. This intervention also improves feeding efficiency and milk volume transfer, benefiting infant development.
Area of Science:
- Neonatal care
- Pediatric nutrition
- Developmental pediatrics
Background:
- Preterm infants often struggle transitioning from gavage to oral feeding.
- This feeding transition difficulty can extend hospital stays for neonates.
- Optimizing feeding methods is crucial for preterm infant outcomes.
Purpose of the Study:
- To compare the efficacy of oromotor intervention (OMI) versus standard care.
- To evaluate the impact of OMI on the transition time to spoon feeding.
- To assess OMI's effect on feeding efficiency and milk volume transfer in preterm infants.
Main Methods:
- An open-label randomized controlled trial (RCT) was conducted.
- Infants were monitored until achieving full katori spoon feeding.
- Key outcomes included transition time, weight gain, and length of stay.
Main Results:
- The OMI group demonstrated a shorter mean transition time to spoon feeding.
- Infants in the OMI group showed improved mean weight gain.
- A reduced mean length of hospital stay was observed in the intervention group.
Conclusions:
- Oromotor intervention (OMI) effectively shortens the transition to full spoon feeding.
- OMI enhances feeding performance, including volume transfer and efficiency.
- OMI positively impacts key clinical outcomes for preterm infants.
Abstract:
Preterm infants on gavage feeding encounter difficulties during their transition to direct oral feeds, which prolongs their hospital stay. The objectives of our study was to compare the transition time from gavage feeding to full katori spoon feeding in oromotor intervention (OMI) and control groups with feeding efficiency and milk volume transfer. An open labelled randomised control trial (RCT) was conducted. The new-born was followed up till reaching full katori spoon feeding. The mean transition time was shorter in the intervention group. Mean weight gain and mean length of stay in intervention group was improved compared to control. We concluded that OMI leads to shortened transition time to reach full katori spoon feeds and better feeding performance in the form of volume transfer and feeding efficiency.
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