This study aimed to investigate the effect of oral stimulation and a supplemental nursing system on the time to full maternal breastfeeding and sucking success in preterm infants.
This study aimed to investigate the effect of oral stimulation and a supplemental nursing system on the time to full maternal breastfeeding and sucking success in preterm infants. The sample consisted of 70 preterm babies. Oral motor stimulation and a supplemental nursing system were applied to the preterm infants in the experimental group, while no intervention was applied to those in the control group.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
70
OMS and an SNS were applied to preterm infants in the experimental group. Oral stimulation intervention provides assisted movement to activate muscle contraction and provides movement against resistance to build strength. The cheeks (internal and external), lips, gums, tongue, and palate were stimulated by finger-stroking following the protocol. OMS consisted of intra (oral region) and peri-oral stimulation (around the oral region). The OMS was administered three times a day by a nurse, from the day of initiation of oral feeding to the day of independent oral feeding 15 minutes before the feeding schedule. A bottle/container was filled with breast milk before the process and given to the baby via SNS while the baby was holding the mother's breast. The SNS consists of a syringe/container and a feeding catheter. One end of the feeding probe is inside the syringe/container, while the other end of it is fixed to the mother's nipple using plaster.
Gonca Muslu
Fethiye, Muğla, Turkey (Türkiye)
transition times to oral feeding
Transition time to oral feeding is the time that the preterm baby outgrew gavage feeding and fed with complementary nutritional support, and it was evaluated as days in the study.
Time frame: up to three weeks
transition times to full breast
The transition time to full breastfeeding is the duration from the day that the preterm baby started oral nutrition until the day they started breastfeeding
Time frame: up to 15 days
the weight of the babies when they started oral nutrition
. The oral nutrition body weight is the weight of preterm babies when they started oral nutrition after gavage.
Time frame: up to three weeks
the weight of the babies when they started full breastfeeding
The full breastfeeding body weight is the weight in grams of preterm babies when they started feeding from the breast alone
Time frame: up to 15 days
the duration of the baby's discharge
The duration of discharge is the number of days between the admission of preterm babies to intensive care and their discharge
Time frame: up to 2 months
The oral nutrition body weight
The oral nutrition body weight is the weight of preterm babies when they started oral nutrition after gavage.
Time frame: up to three weeks
The full breastfeeding body weight
The full breastfeeding body weight is the weight in grams of preterm babies when they started feeding from the breast alone.
Time frame: up to 15 days
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The discharge body weight
The discharge body weight is the weight in grams of preterm babies at discharge
Time frame: up to 2 months
The sucking success
The sucking score of preterm babies was determined using LATCH breastfeeding scores at discharge.
Time frame: In the first month after discharge
Heart rate of the babies
Heart rate
Time frame: 15 minutes
respiratory rate of the babies
respiratory rate
Time frame: 15 minutes
oxygen saturation of the babies
oxygen saturation
Time frame: 15 minutes