Changes in infant non-nutritive sucking throughout a suck sample at 3-months of age.
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ABSTRACT:
SUBMITTER: Zimmerman E
PROVIDER: S-EPMC7347146 | biostudies-literature | 2020
REPOSITORIES: biostudies-literature
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Changes in infant non-nutritive sucking throughout a suck sample at 3-months of age.
Zimmerman Emily E Carpenito Thomas T Martens Alaina A
PloS one 20200709 7
The goal of this study was to compare how infants' non-nutritive suck (NNS) changes throughout a suck sample. Fifty-four full-term infants (57% male) completed this study at, on average, 3.03 (SD .31) months of age. These infants sucked on our custom research pacifier for approximately five minutes. Infants produced, on average, 14.50 suck bursts during the sample. NNS data was pooled across subjects and breakpoint analyses were completed to determine if there were changes in their NNS patternin ...[more]
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Project description:IntroductionIn 2008, the American Academy of Pediatrics recommended that an infant's ability to feed independently be considered a primary consideration for discharge home. To date, NICU healthcare teams have relied on clinical experience as well as descriptive scales to determine a high risk infant's ability to transition safely from tube feeding to oral feeding. The aim of the current case study was to illustrate the clinical utility of nfant® Feeding Solution as a noninvasive and objective instrument for determining a neonate's readiness to begin and advance oral feeding.Materials and methodsWe present the case of AC, a female infant born at 28.6 weeks, with an admitting diagnosis of respiratory distress syndrome. Data collection began when AC was declared medical stable by her attending physician and ready to begin oral feedings. Data was captured during hospitalization and at discharge as well as post discharge for a total of eleven (11) data collections.ResultsResults suggested that the subject progressed in all sucking metrics over time. Data analyses revealed three general amplitude and temporal patterns against the nipple: disorganized, hypervigilant, and then organized. Real time data was used to gain immediate feedback on the impact of interventions on sucking performance.ConclusionsSuccessful infant feeding is a complex process that requires integration of physiologic function and neurobehavioral ability. To model AC's feeding performance over time, we used nfant Feeding Solution which measures tongue movement against the nipple and streams the data to a mobile tablet so it is displayed in real time. Access to real-time data provides caregivers with objective information that can be used to guide bedside care, help clinicians avoid complications and navigate infants to faster oral feeds and subsequently earlier and safer hospital discharge with lowered expense.
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