Effects of non-nutritive sucking on nutritive sucking, breathing, and behavior during bottle feedings of preterm infants.

PURPOSE: The purpose of this study was to examine the effect of prefeeding non-nutritive sucking (NNS) on breathing, nutritive sucking (NS), and behavioral characteristics of bottle feeding. SUBJECTS: The convenience sample was composed of 10 preterm infants who were 33 to 40 weeks postconceptual ag...

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Published in:Advances in Neonatal Care (Elsevier Science) Vol. 4; no. 4; pp. 226 - 235
Main Authors: Pickler RH, Reyna BA
Format: clinical trial glossary pictorial research tables/charts tracings Journal Article
Published: Elsevier B.V. 2004 Aug
Online Access:View this record in EBSCOhost
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      jtl: Advances in Neonatal Care (Elsevier Science)
      issn: 15360903
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      dt: 2004 Aug
      vid: 4
      iid: 4
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      pub: Elsevier B.V.
      place: New York, New York
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        106560786
        106560786
        2005016027
        10.1016/j.adnc.2004.05.005
        106560786
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        atl: Effects of non-nutritive sucking on nutritive sucking, breathing, and behavior during bottle feedings of preterm infants.
      aug:
        au:
          Pickler RH
          Reyna BA
        affil: School of Nursing, Virginia Commonwealth University, 1220 East Broad St, Box 980567, Richmond, VA 23298-0567; rpickler@vcu.edu
      sug:
        subj:
          Bottle Feeding
          Infant Behavior
          Infant, Premature
          Respiration In Infancy and Childhood
          Sucking Behavior
          Behavior Rating Scales
          Biophysical Instruments
          Chi Square Test
          Clinical Trials
          Convenience Sample
          Crossover Design
          Descriptive Statistics
          Funding Source
          Infant, Newborn
          Neonatal Assessment
          Paired T-Tests
          Pearson's Correlation Coefficient
          Random Assignment
          Sucking Behavior Evaluation
          Human
          Infant, Newborn: birth-1 month
      ab: PURPOSE: The purpose of this study was to examine the effect of prefeeding non-nutritive sucking (NNS) on breathing, nutritive sucking (NS), and behavioral characteristics of bottle feeding. SUBJECTS: The convenience sample was composed of 10 preterm infants who were 33 to 40 weeks postconceptual age (PCA) at the time of the observation. DESIGN: Randomized, crossover; each infant was observed twice during the first 48 hours of bottle feeding. METHODS: Ten preterm infants received NNS before 1 bottle feeding and served as their own control at a second bottle feeding. Sucking was measured using a chin strain gauge and breathing was measured with a nasal thermistor. Behavioral characteristics included behavior state, measured using the Neonatal Individualized Developmental Care and Assessment Program (NIDCAP) behavior state scale, and feeding efficiency. MAIN OUTCOME MEASURES: Characteristics of NS (number of suck bursts, sucks/burst, suck burst length) and breathing (number of breath bursts, breaths/burst, breath burst length), as well as behavior state during bottle feedings and feeding efficiency (percent of prescribed formula consumed, formula consumed/minute of feeding). PRINCIPAL RESULTS: NS waves were smoother and more regular than NNS waves. Time to onset and duration of the first non-nutritive suck burst were positively correlated with time to onset for the first nutritive suck burst. Prefeeding NNS had no statistically significant effect on characteristics of breathing or on any other characteristics of NS. Behavioral state during feedings and feeding efficiency were not affected by prefeeding NNS. CONCLUSIONS: In this sample, the use of prefeeding NNS did not affect NS, breathing during feeding, or select behavioral characteristics of feeding.
      pubtype: Academic Journal
      doctype:
        clinical trial
        glossary
        pictorial
        research
        tables/charts
        tracings
        Journal Article
      ougenre: Article
    language: English
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