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Effect of Nonnutritive Sucking on Oral Feeding in Neonates With Perinatal Asphyxia: A Randomized Controlled Trial.

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Title: Effect of Nonnutritive Sucking on Oral Feeding in Neonates With Perinatal Asphyxia: A Randomized Controlled Trial.
Authors: Çiftci, Hilal Berber1,2 hilalberber1@gmail.com, Topbaş, Seyhun1, Taştekin, Ayhan3
Source: American Journal of Speech-Language Pathology. Jan2024, Vol. 33 Issue 1, p406-417. 12p.
Subject Terms: *Motor ability, *Children, Hypothermia treatment, Kruskal-Wallis Test, Pacifiers (Infant care), Infant development, Neonatal intensive care, Confidence intervals, Time, Oral habits, Neonatal intensive care units, Mann Whitney U Test, Infant nutrition, Randomized controlled trials, Weight gain, Descriptive statistics, Breastfeeding, Asphyxia neonatorum, Enteral feeding, Statistical sampling, Data analysis software, Discharge planning, Disease complications
Abstract: Aims: The effect of nonnutritive sucking (NNS) stimulation is unclear in infants with perinatal asphyxia. Thus, the aim of this study was to assess the effect of NNS stimulation on oral intake, discharge time, and early feeding skills in infants with perinatal asphyxia. Design: A randomized controlled study was conducted. Method: Of the 94 infants, 47 were included in the experimental group and given NNS stimulation once a day before tube feeding by a speech-language therapist (SLT) in addition to hypothermia treatment. Infants' feeding performances on the days of first oral intake and discharge were evaluated with the Early Feeding Skills Scale (EFS). Results: The time from tube feeding to oral intake was significantly lower in the experimental group compared to the control group (p < .05). EFS scores at discharge were significantly higher in the experimental group than in the control group (p < .05). There was no significant difference between the experimental and control groups in terms of discharge and weight gain (p > .05). Conclusions: The findings indicated that the NNS stimulation positively affected oral intake and early feeding skills in infants with perinatal asphyxia, as in preterms. However, NNS stimulation had no significant effect on discharge and weight gain in infants with asphyxia. This finding may be attributed to other factors. It is recommended to use NNS by an SLT in a neonatal intensive care unit within a multidisciplinary team to accelerate the transition to oral feeding and improve feeding skills in infants with perinatal asphyxia. Further studies on the effect of NNS stimulation in infants with perinatal asphyxia are needed to corroborate its effects on discharge time and weight gain. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Effect of Nonnutritive Sucking on Oral Feeding in Neonates With Perinatal Asphyxia: A Randomized Controlled Trial.
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– Name: Abstract
  Label: Abstract
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  Data: Aims: The effect of nonnutritive sucking (NNS) stimulation is unclear in infants with perinatal asphyxia. Thus, the aim of this study was to assess the effect of NNS stimulation on oral intake, discharge time, and early feeding skills in infants with perinatal asphyxia. Design: A randomized controlled study was conducted. Method: Of the 94 infants, 47 were included in the experimental group and given NNS stimulation once a day before tube feeding by a speech-language therapist (SLT) in addition to hypothermia treatment. Infants&#39; feeding performances on the days of first oral intake and discharge were evaluated with the Early Feeding Skills Scale (EFS). Results: The time from tube feeding to oral intake was significantly lower in the experimental group compared to the control group (p &lt; .05). EFS scores at discharge were significantly higher in the experimental group than in the control group (p &lt; .05). There was no significant difference between the experimental and control groups in terms of discharge and weight gain (p &gt; .05). Conclusions: The findings indicated that the NNS stimulation positively affected oral intake and early feeding skills in infants with perinatal asphyxia, as in preterms. However, NNS stimulation had no significant effect on discharge and weight gain in infants with asphyxia. This finding may be attributed to other factors. It is recommended to use NNS by an SLT in a neonatal intensive care unit within a multidisciplinary team to accelerate the transition to oral feeding and improve feeding skills in infants with perinatal asphyxia. Further studies on the effect of NNS stimulation in infants with perinatal asphyxia are needed to corroborate its effects on discharge time and weight gain. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1044/2023_AJSLP-23-00213
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 12
        StartPage: 406
    Subjects:
      – SubjectFull: Motor ability
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: Hypothermia treatment
        Type: general
      – SubjectFull: Kruskal-Wallis Test
        Type: general
      – SubjectFull: Pacifiers (Infant care)
        Type: general
      – SubjectFull: Infant development
        Type: general
      – SubjectFull: Neonatal intensive care
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Time
        Type: general
      – SubjectFull: Oral habits
        Type: general
      – SubjectFull: Neonatal intensive care units
        Type: general
      – SubjectFull: Mann Whitney U Test
        Type: general
      – SubjectFull: Infant nutrition
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Weight gain
        Type: general
      – SubjectFull: Descriptive statistics
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      – SubjectFull: Breastfeeding
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      – SubjectFull: Asphyxia neonatorum
        Type: general
      – SubjectFull: Enteral feeding
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      – SubjectFull: Statistical sampling
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      – SubjectFull: Data analysis software
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      – SubjectFull: Discharge planning
        Type: general
      – SubjectFull: Disease complications
        Type: general
    Titles:
      – TitleFull: Effect of Nonnutritive Sucking on Oral Feeding in Neonates With Perinatal Asphyxia: A Randomized Controlled Trial.
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              Text: Jan2024
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