Prefeeding Oromotor Stimulation Program for Improving Oromotor Function in Preterm Infants – A Randomized Controlled Trial

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Date
2018-08
Journal Title
Journal ISSN
Volume Title
Publisher
Indian Academy of Pediatrics
Abstract
Objective: To determine effect of Premature Infant Oral Motor Intervention program on oro-motor function and time to full independent wati spoon feeds in preterm infants. Methods: 30preterm infants between 28-32 weeks of gestation on full gavage feeds of 150 mL/kg/daywere randomized to receive either pre-feed oro-motor stimulation using Premature InfantOral Motor Intervention (structured stimulation) or sham intervention (unstructuredstimulation). Results: Improvement in mean (SD) Neonatal Oro-Motor Assessment Scale(NOMAS) over 7 days from baseline was significantly higher in the study group infants ascompared to control group (9.25 (1.73) vs 4.79 (1.52), P=0.001). Infants in the study groupreached full independent wati spoon feeds significantly earlier than the infants in controlgroup (4.0 (0.8) d; vs 6.64 (1.0) d; P=0.001). There was significant increase in weight gainafter enrolment in infants in study group compared to those in control group. Conclusions:Oral stimulation program improves the oro-motor skills and growth velocity in 28-32 weekpreterm infants. There is decreased transition time from gavage to full independent feeds bymouth
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Keywords
Breestfeeding, Neonate, Prematurity, Stimulation
Citation
Arora Karan, Goel Sorabh, Manerkar Swati, Konde Nimisha, Panchal Harshad, Hegde Deeparaj, Mondkar Jayashree. Prefeeding Oromotor Stimulation Program for Improving Oromotor Function in Preterm Infants – A Randomized Controlled Trial. Indian Pediatrics. 2018 Aug; 55(8): 675-678